Placenta Previa
1. A pregnant woman walked into the emergency department complaining of severe
abdominal and back pain and excessive vaginal bleeding. This patient has a
history of placenta previa. As a nurse, what are some interventions you will
perform on this patient? Select all that apply.
A. Take mother’s vitals
B. Type and screen mother
C. Prepare mother for Cesarean secion
D. Prepare mother for normal spontaneous vaginal delivery
E. Have electronic fetal monitor on
Answer B, C, E
2. The nurse is performing an assessment on a client diagnosed with placenta previa.
Which assessment findings would the nurse expect to note? Select all that apply.
A. Uterine rigidity
B. Painless
C. Bright, red vaginal bleeding
D. Soft, relaxed, non-tender uterus
Answer B, C
3. Woman G2P1 comes in for her wellness check up at 33 weeks gestation. The provider
determines the location of the placenta with an ultrasound assessment and determines the
placenta covers the entire cervical os. The patient is diagnosed with placenta previa.
What are the possible risk factors for Placenta Previa?
A. Postpartum hemorrhage in previous pregnancy
B. Smoking
C. Prior Cesarean births
D. Fibroids
E. All of the above
Answer E.
4. What complications could be anticipated in the delivery room for a woman with
placenta previa during her labor and delivery? Select all that apply.
A. Will deliver vaginally
B. Hemorrhage
C. Hysterectomy
D. Blood transfusion
Answer B, C, D
Placenta Abruptio
1. The nurse is assessing a pregnant client in the second trimester of pregnancy who
was admitted to the maternity unit with a suspected diagnosis of abruptio
placentae. Which assessment finding should the nurse expect to note if this
condition is present?
A. Soft abdomen
B. Uterine tenderness
C. Absence of abdominal pain
D. Painless, bright red vaginal bleeding
Answer. B
2. An ultrasound is performed on a client at term gestation who is experiencing moderate
vaginal bleeding. The results of the ultrasound indicate that abruptio placentae is present.
On the basis of these findings, the nurse should prepare the client for which anticipated
prescription?
A. Delivery of the fetus
B. Strict monitoring of intake and output
C. Complete bed rest for the remainder of the pregnancy
D. The need for weekly monitoring of coagulation studies until the time of delivery.
Answer. A
3. A 28 year old female, who is 33 weeks pregnant with her second child, has
uncontrolled hypertension. What risk factor below found in the patient's health history
places her at risk for abruptio placentae?
A. Childhood polio
B. Preeclampsia
C. Cesarean section
D. Her age
Answer. B
4. A 36 year old woman, who is 38 weeks pregnant, reports having dark red bleeding.
The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What
other signs and symptoms can present with abruptio placentae? Select all that apply:
A. Decrease in fundal height
B. Hard abdomen
C. Fetal distress
D. Abnormal fetal position
E. Tender uterus
Answer. B, C, E
5. You're performing a head-to-toe assessment on a patient admitted with abruptio placentae.
Which of the following assessment findings would you immediately report to the physician?
A. Oozing around the IV site
B. Tender uterus
C. Hard Abdomen
D. Vaginal bleeding
Answer. A
Hyperemesis Gravidarum
1. A nurse is assessing a patient with hyperemesis gravidarum, which of the
following symptoms would the nurse expect to see? Select all that apply
A. Weight loss
B. Frequent urination
C. Poor skin turgor
D. High blood pressure
E. Tachycardia
Answer A, C, E
2. Which of the following conditions would you expect for a patient with
hyperemesis gravidarum?
A. Hypervolemia
B. Hypomagnesmia
C. Hypercalcemia
D. Hypokalemia
Answer. D
3. A pregnant client with HG needs advice on how to minimize nausea and
vomiting. Which instruction should the nurse give this client?
A. Lie down for at least 2 hours after eating
B. Avoid dry crackers, toast and soda
C. Eat small frequent meals throughout the day
D. Decrease intake of carbonated beverages
Answer. C
4. A pregnant client tells the nurse that she has been nauseated and vomiting.
How will the nurse explain that hyperemesis gravidarum is distinguished from
morning sickness?
A. HG usually lasts for the duration of the pregnancy
B. HG causes dehydration and electrolyte imbalances
C. Sensitivity to smells is usually the cause of vomiting in HG
D. The woman with HG will have persistent vomiting without weight-loss
Answer B
Preeclampsia
1. A nurse administered magnesium sulfate to a client with preeclampsia.
What would cue the nurse that the client is experiencing magnesium
toxicity?
A. Calcium gluconate
B. Calcium oxide
C. Sodium chloride
D. Narcan
Answer A
2. A nurse is assessing a client with preeclamlpsia. Which assessment finding
would indicate that her condition is worsening?
A. Maternal age younger than 19 and older than 40
B. Chronic hypertension
C. BMI of 18
D. Anemia
E. Diabetes Mellitus
Answer A, B, E
4. A nurse administered magnesium sulfate to a client with preeclampsia. What
wold cue the nurse that the client is experiencing magnesium toxicity? Select all
that apply.
A. +3 Deep tendon reflex
B. Urine output of 40mL in two hours
C. Respirations noted at 11 breaths per minute
D. Flushing and sweating
Answer. B C
5. A client is receiving magnesium sulfate for preeclampsia. What level would
cue the nurse in determining that the magnesium level is therapeutic?
A. 2.5 mg/dl
B. 4.8 mg/dl
C. 3.4 mg/dl
D. 3.0 mg/dl
Gestational Diabetes
1. A pregnant client with gestational diabetes asks the nurse about dietary
recommendations. Which instruction should the nurse provide to promote
glycemic control?
A. Consume a diet high in simple carbohydrates
B. Limit carbohydrate intake to evenly spaced meals and snacks throughout
the day.
C. Increase saturated intake to stabilize blood sugar levels
D. Aboid protein-rich foods to prevent fluctuations in blood glucose
Answer B
2. A pregnant client with gestational diabetes is receiving insulin therapy. The
nurse observes the client experiencing diaphoresis, shakiness, and palpitations.
Which action should the nurse take first?
A. Administer a rapid-acting carbohydrate source, such as orange joice
B. Administer an additional dose of insulin
C. Assess the client’s blood glucose level.
D. Document the findings in the client’s chart.
Answer A
3. Later in pregnancy, which hormone causes insulin resistance of the tissues
A) progesterone
B) estrogen
C) Human placental lactogen (hPL)
D) all of the above
Answer- C
4. When do most patients tend to develop gestational diabetes during
pregnancy?
A. usually during the 1-3 month of pregnancy
B. usually during the 2-3 month of pregnancy
C. usually during the 1-2 trimester of pregnancy
D. Usually during the 2nd, or 3rd trimester.
Answer D