Maternal Trinal 50 Items PDF

MATERNAL TRINAL 50 ITEMS 1.The nurse is educating her patients with gestational diabetes about signs of hyperglycemia, which of the following are signs that the nurse would discuss with a client? The nurse is educating her client about hyperglycemia, which of the following are signs that the nurse...

MATERNAL TRINAL 50 ITEMS 1.The nurse is educating her patients with gestational diabetes about signs of hyperglycemia, which of the following are signs that the nurse would discuss with a client? The nurse is educating her client about hyperglycemia, which of the following are signs that the nurse is in touch with a client? The nurse is on the phone. B. Half, flushed skin. C. Increased urine output. D. Polydipsia. 2.Which of the following are risk factors for developing gestational diabetes? And the nurse will discuss with their client. Which of the following are risk factors to developing gestational DM that the nurse would discuss with her client? Select all that apply. A. Over the age of 35. B. The BMI of 28. C. Family history of diabetes mellitus. D. Polycystic Ovarian syndrome. 3.Before conception, the nurse recommends to a woman who is planning to get pregnant to get her HbA1c or glycosylated hemoglobin and ensure that it is? B. less than 7%. Normal is 6.5% 4.The guidelines for carbohydrate counting as medical nutrition therapy for gestational diabetes includes the following, except. B. unlimited intake of proteins and carbohydrates, moderate intake of fats 5. Signs of hypoglycemia. Include the following. Select all that apply A. Shakiness B. Cold, sweaty skin D. Feeling dizzy and faint 6.A pregnant client diagnosed with gestational DM receives HumulinR, 8 units of subcutaneous given at 8 a.m. The nurse should be most alert for signs of hypoglycemia at one time during the day. B. 10 a.m. to 12 noon. 7.The nurse monitors the client for hypoglycemic reactions, knowing that NPH insulin, or intermittent acting insulin, takes in approximately how many hours following administration? When is the peak of action of NPH, or Intermediate Acting Insulin? C. 8 to 12 hours. 8.The nurse is teaching the client who makes regular an NPH insulin in the same syringe. Which action of the nurse is instructing the client to take? Which instructions would the nurse give the client to take? C. Rotate the insulin vial in the hands while mixing. 9.The health care provider must prescribe regular insulin 8 units and NPH insulin 10 units subcutaneously every morning. Which nursing action regarding insulin administration is correct? D. Throw up regular insulin first and then NPH insulin in the same syringe. Regular insulin is cloudy. NPH insulin is clear. 10.The client received regular insulin at 7 p.m. At what appropriate time would the nurse likely anticipate the potential for a hypoglycemic reaction? D. 10.30 p.m. 11.A Gestational DM patient is prescribed regular insulin 6 units in the morning. If the patient prefers to eat breakfast at 8 o'clock in the morning, when should be the best time to give the insulin injection? C. 7:30 a.m. 12. The client with Gestational DM understands that the condition is due to insulin resistance or decrease in insulin sensitivity. In addition to the hormones are estrogen, progesterone, and human placental Lactogen, what other hormone causes insulin resistance? B. Cortisol 13.A client 26 weeks pregnant in Gestational DM is prescribed 2000 calories diabetic diet. The nurse needs to know that. B. A gram of fat, protein, carbohydrates has 9, 4, 4 calories 14.The nurse is teaching the client of Gestational DM about injection of insulin, which statements are true regarding of the injection site? D. rotate the site within the same location for about one week before rotating to a new location. 15.Which laboratory test should best reflect the client's blood glucose profile and adherence to anti-diuretic therapy over the past 3 months? B. Glycosylated hemoglobin. 16.Nursing care for a client who is post cerclage for incompetent cervix includes the following except C. Administer of oxytocin meditation 17.In which of the following signs and symptoms will most likely make the nurse suspect that a client is having Gestational Thromboplastic disease? B. Fundal height greater than the age of gestation 18.A 32-year-old multigravida returns to the clinic for a prenatal visit, a 36-week gestation. The assessment include BP 150/90, pulse 80 bpm, respiratory rate 18 bpm. What further information should the nurse obtain to determine if the client is becoming pre-eclampic. Select all that apply. C. Proteinuria. D. Peripheral edema. 19.After instructing the primigravida client a 36-week gestation about how pre-eclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that eclampsia can lead to which of the following problems? A. hydrocephalic infants / Hydrocephalus (first trimester) 20. For a client receiving magnesium sulfate for severe preeclampsia, which assessment finding would alert the nurse to suspect hypermagnesemia? C. Decreased tendon reflexes. 21. Before surgery, to remove an ectopic pregnancy on the fallopian tube. Which signs or symptom would alert the nurse of the possibility of tubal rupture due to ectopic pregnancy. B. Sweaty, clammy skin. 22.A multi gravida client, 14 weeks gestation, reports that she is experiencing severe morning sickness and that she and that she has not been able to eat anything down for a week. The nurse should assess for signs of? C. hypokalemia 23.A client of 15 weeks gestation presents as an obstetrics triage unit with dark brown vaginal bleeding continues with nausea and vomiting. Her BP, 142 over 90. Her fundal height is 19 centimeters. This action would be the priority for the nurse to suggest to the health care provider. D. Stat obstetrics or pelvic ultrasound. ULTRASOUND 24. The nurse is assessing a pregnant client who has many risk factors for deep vein thrombosis. What signs and symptoms would possibly indicate that the DVT is present? Select all that apply. C. Pain and swelling on the affected side, D. Warm, redness on the affected site. 25.Which finding is considered a positive Homan’s sign in the assessment of Deep Vein Thrombosis? B. Pain when a patient reports pain in the calf when the foot is manually dorsiflexed. 26.A client has had her left ovary removed due to a deep ovarian ectopic pregnancy and developed in deep vein thrombosis in days post-operatively as confirmed by a doctor or staff. Heparin infusion was started. The next dose that the action of heparin is B. Heparin does not dissolve clots the have already form, but prevents other clots from forming and preventing other clots from becoming larger. 27.The drug classification of heparin is B. anti-coagulant 28.This statement is incorrect about deep vein thrombosis C. DVT in the lower extremity has low probability of becoming a pulmonary embolism. 29.A blood clot that travels to another part of the body is called? B. an embolus 30.The best care-interventing development of deep vein thrombosis in a post-operative patient is B. early ambulation 31.A pulmonary embolism is described as B. a blood clot in the vein breaks off and travels to the lungs causing blockage in the pulmonary artery. 32.Bluish discoloration of the periumbilical region as a result of accumulation of blood in the peritoneal cavity is called B. Cullen sign 33.A client on heparin infusion 1400 units per hour for the 4 days for the treatment of deep vein thrombosis in the legs starts to develop hematuria and bleeding. The nurse understands that this could be due to heparin toxicity and stops heparin infusion, the nurse should be aware to have which of the following medications readily available. C. Prothamine sulfate. 34. The nurse takes the unit of stack of emergency medication and finds that there is available naloxone injection. She understands that naloxone is a following action except B. It acts as a synergy to morphine, heroin, or methadone. 35. The following are descriptions of choriocarcinoma, except D. It is characterized by human chorionic gonadotrophin in level 0, 2 weeks post suction curettage for a molar pregnancy. 36.Persistent vomiting and hyperemesis gravidarum can lead to which of the following complications? B. Metabolic alkalosis. 37.Which of the following results indicate a normal potassium level? B. 3.5 to 5.5 millimoles per liter. 38.The action of hormones in pregnancy and how it affects the body. B. It raises insulin resistance. 39.Laila, 30 years old, has had diabetes which was an adolescent. She is 8 weeks pregnant. Hyperglycemia during the first trimester has one possible effect on the fetus. C. Malform organs. 40.A blood loss of 800 of a cesarean birth is considered. C. Normal blood loss. 41. A postpartum has retained placental fragments that is causing excessive postpartum bleeding. Which test would reveal a retained placental fragments, apart from a routine sonogram study/ ultrasound? D. Human chorionic gonadotrophin. 42. A 42-year-old multigravida, 40-weeks pregnant, and an ultrasound diagnosed with gestational thromboplastic disorder. Signs of this disorder include the following excepts. C. Outline of the fetus shown on the ultrasound, but no fetal hole. 43. An Rh-negative woman was given to an Rh-positive infant. The woman had a negative indirect post-test under her 8 weeks gestation. And the infant has a negative direct post-test. What do the nurses know about this test? A. Although the infant is Rh-positive, the mother has no antibodies to the Rh factor. An Rh immunoglobulin or rhogam should be given to the mother. 44. Mrs. Rowland is prescribed an insulin pump, meaning 24 hours infusion of insulin for gestational therapy. What patient education should the nurse want to provide this? While night time is a particularly difficult time for the fetus during pot therapy. B. Continuous insulin administration without food intake can lead to hypoglycemia. 45.The woman comes to the clinic for a routine antenatal checkup. She is 34 weeks gestation and her soul is also finally. Which will be of greatest concern to the nurse? D. Blood pressure of 150 over 94 millimeters per minute. 46.Magnesium sulfate is ordered for a client hospitalized for pregnancy induced hypertension. What effects would a nurse expect to see as a result of this medication? C. CNS depression. 47.A women is admitted with suspected placenta previa. What tests does the nurse expect to be done to confirm the diagnosis of placenta previa. D. an ultrasound. 48.A 25-year-old woman is 4 months pregnant. She has had rheumatoid fever at age 15 and developed a systolic murmur. She reports exertional dyspnea. What instructions should the nurse give her? C. avoid heavy housework, shopping, stair climbing, and all unnecessary physical effort. 49.A pregnant woman comes for six months checkup and mentions to the nurse that she is getting so much weight and even her shoes and briefs are getting tight. What would a nurse not include in the care? B. Further assessment of her weight, blood pressure, and urine. 50.A 32 year old, gravida of 2, para 1, preterm 0, abortion 0, living 1 is admitted to the labor room and her previous delivery was normal spontaneous vaginal delivery without complications. She has heavy contraction for 4 hours at home. The nurse examines her and determine that found the birth of the pregnant when she is 4 cm dilated, 70% in weight. The fetus is in the breech presentation. The patient says that the water just broke. What should the nurse first do? C. Check the fetal heart rate