Exam 25: Complications of Pregnancy

Which intrapartal assessment should be avoided when caring for a client with HELLP syndrome?

Which assessment finding on the fetal monitor strip supports a diagnosis of abruptio placentae?

Which orders should the nurse expect for a client admitted with a threatened abortion?

A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient's magnesium level is 7.6 mg/dL. What is the nurse's priority action?

Which of these interventions should the nurse recognize as the priority for the client diagnosed with an intact tubal pregnancy?

A blood-soaked peripad weighs 900g. The nurse would document a blood loss of _____ mL.

A client with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate:

A client who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the client presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100° F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/min (bpm), and respirations, 20 breaths/min. Based on these assessment data, what does the nurse anticipate as a clinical diagnosis?

Which maternal condition always necessitates birth by cesarean section?

Which data found on a client's health history would place her at risk for an ectopic pregnancy?

The clinic nurse is reviewing home care dietary instructions for the patient diagnosed with mild preeclampsia at 34 weeks' gestation. The nurse determines that the client requires additional information when she makes which statement?

The most appropriate nursing action for the client complaining of continuous headache 24 hours postpartum after a normal vaginal birth is to:

A high-risk labor client progresses from preeclampsia to eclampsia. Aggressive management is instituted, and the fetus is delivered via cesarean section. Which finding in the immediate postoperative period indicates that the client is at risk of developing HELLP syndrome?

A client taking magnesium sulfate has a respiratory rate of 10 breaths/min. In addition to discontinuing the medication, which action should the nurse take?

Which information should the labor nurse recognize as being pertinent to a possible diagnosis of abruptio placentae?

Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?

A laboratory finding indicative of DIC is:

The physician suspects that the client may have gestational trophoblastic disease. Which clinical manifestations support this diagnosis? (Select all that apply.)

As the triage nurse in the emergency room, you are reviewing results for the high- risk obstetric client who is in labor because of traumatic injury experienced as a result of a motor vehicle accident (MVA). You note that the Kleihauer-Betke test is positive. Based on this information, you anticipate that:

The labor and birth nurse is reviewing the risk factors for placenta previa with a group of nursing students. The nurse determines that the students understood the discussion when they identify which patient being at the highest risk for developing a placenta previa?