Exam 28: Care of the High-Risk Mother, Newborn, and Family with Special Needs

A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?

A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit. To prevent further stress on the heart, what should the nurse anticipate to be ordered?

A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however, the mother would become sensitized during delivery. If this were the case, the mother would produce what in subsequent pregnancies?

What is the cause of gestational hypertension?

A neonate is born with weak muscle tone, froglike extremities, and ears that fold easily. From these observations, what gestational age should the nurse give this infant?

What symptom, no matter what stage of pregnancy, should be reported immediately?

What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?

The patient who has taken the ovulation stimulant clomiphene (Clomid), and who has been determined to be pregnant, calls the clinic nurse to report that she is bleeding and has passed a small grapelike object. From this information the nurse suspects a _________ ____________.

When should the gestational age of the infant be determined?

The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ______ minutes.

A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red, painless vaginal bleeding. What condition should the nurse immediately suspect?

The nurse is assessing a "kick count" for a patient with gestational hypertension. What result should be a cause for concern?

A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion, in what position would the nurse place the patient?

A pregnant woman visits a clinic visit during her 21st week of pregnancy. The nurse identifies edema, hypertension, and proteinuria. What condition does the nurse suspect?

Why do alcohol and illegal drugs endanger the fetus?

What is the antidote for magnesium sulfate toxicity?

A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should recognize that the adolescent is at a greater risk for which problem?

A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn. What statements by the nurse are most appropriate? (Select all that apply.)

Compared to older infants of comparable weight, how much higher is the morbidity and mortality rate for preterm infants?

A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient?