1) A nurse is caring for a client admitted for induction of labor due to intrauterine fetal demise at 32 weeks. What statement by the nurse would be most
... [Show More] therapeutic at this time?
a. After you recover you can hopefully conceive again and start your family.
b. My sister lost a baby too, I know how you feel and I’m here to help.
c. If you want to talk about how you’re feeling, I can call a chaplain.
d. Would you like to hold your baby after he is born?
2) A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat on the ultrasound. What assessment data must be collected in order to ensure the safety of future pregnancies?
a. Chromosomal studies of the placental tissue.
b. The fetus’ blood type.
c. Maternal while blood cell count.
d. Maternal Rh status.
3) Following a cerclage at 14 weeks, the nurse counsels the client to report any cramping or contractions. What is the rational for these instructions?
a. The client is at risk for bleeding if she contracts with cerclage in place
b. Contractions can indicate that cerclage procedure was unsuccessful
c. Fetus’ lungs are not yet developed, so preterm birth would be dangerous
d. Labor is contraindicated due to the scar on the uterus
4) A client is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals implantation in the right fallopian tube. What important education should the patient receive?
a. The client should return in two weeks to see if the pregnancy has migrated into the uterus.
b. The client needs to take Methotrexate and stop her prenatal vitamins.
c. The client should be rushed to emergency surgery for the removal of her pregnancy.
d. The pregnancy could end in miscarriage so the nurse should recommend grief counseling.
*Methotrexate will stop cell replication so the body will detect not further growth and will then release it and it will be expelled
5) The nurse is caring for a G1P0 who experienced a miscarriage at home. Which statement is true about her future pregnancies?
a. She has increased risk of future miscarriages.
b. She is a candidate for a Cerclage procedure.
c. She should avoid pregnancy for at least one year.
d. It is most likely that her next pregnancy will be healthy.
*She would only be a greater risk of miscarriages if it was greater than 3 miscarriages. The Cerclage procedure is for an incompetent cervix where it is stitched closed. Avoid pregnancy for a year for a molar pregnancy. [Show Less]