Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during pregnancy is associated with:

Maternal pheylketonuria (PKU) is an important health concern during pregnancy because:

While providing care in an obstetric setting, the nurse should understand that after birth care of the woman with cardiac disease :

A woman with asthma is experiencing an after birth hemorrhage. Which drug would not be used to treat bleeding because it may exacerbate her asthma?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Glucose metabolism is profoundly affected during pregnancy because:

In caring for a pregnant woman with sickle cell anemia, the nurse is aware that signs and symptoms of sickle cell crisis include:

What laboratory marker is indicative of disseminated intravascular coagulation (DIC)?

In caring for an immediate after birth patient, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:

A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse?

The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the Pitocin infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate transaminase (AST) level, and a falling hematocrit. The nurse notifies the physician because the laboratory results are indicative of:

A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment the nurse finds the following vital signs: temperature of 37.3° C, pulse rate of 88 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no ankle clonus. The patient complains, “I’m so thirsty and warm.” The nurse:

A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats/min, respiratory rate of 24 breaths/min, blood pressure (BP) of 155/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for:

Nurses should be aware that chronic hypertension:

A woman presents to the emergency department with complaints of bleeding and cramping. The initial nursing history is significant for a last menstrual period 6 weeks ago. On sterile speculum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion?

A laboring woman with no known risk factors suddenly experiences spontaneous rupture of membranes (ROM). The fluid consists of bright red blood. Her contractions are consistent with her current stage of labor. There is no change in uterine resting tone. The fetal heart rate begins to decline rapidly after the ROM. The nurse should suspect the possibility of:

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

When assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal:

To care for a laboring woman adequately, the nurse understands that the __________ stage of labor varies the most in length?

The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:

Which presentation is described accurately in terms of both presenting part and frequency of occurrence?

With regard to factors that affect how the fetus moves through the birth canal, nurses should be aware that:

As relates to fetal positioning during labor, nurses should be aware that:

Which basic type of pelvis includes the correct description and percentage of occurrence in women?

In relation to primary and secondary powers, the maternity nurse comprehends that:

Which description of the four stages of labor is correct for both definition and duration?

In order to evaluate the condition of the patient accurately during labor, the nurse should be aware that:

The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products:

Which statement is the best rationale for assessing maternal vital signs between contractions?

In planning for home care of a woman with preterm labor, which concern must the nurse address?

Nurses should know some basic definitions concerning preterm birth, preterm labor, and low birth weight. For instance:

With regard to dysfunctional labor, nurses should be aware that

As relates to the use of tocolytic therapy to suppress uterine activity, nurses should be aware that:

The least common cause of long, difficult, or abnormal labor (dystocia) is

The exact cause of preterm labor is unknown and believed to be multifactorial. Infection is thought to be a major factor in many preterm labors. Select the type of infection that has not been linked to preterm births.

The standard of care for obstetrics dictates that an internal version may be used to manipulate the:

The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is:

Before the physician performs an external version, the nurse should expect an order for a:

A maternal indication for the use of forceps is:

The process by which people retain some of their own culture while adopting the practices of the dominant society is known as:

When attempting to communicate with a patient who speaks a different language, the nurse should:

Individual irregularities in the ovarian (menstrual) cycle are most often caused by:

Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of prostaglandins is/are:

The transition phase during which ovarian function and hormone production decline is called

Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as:

Despite warnings, prenatal exposure to alcohol continues to exceed by far exposure to illicit drugs. A diagnosis of fetal alcohol syndrome (FAS) is made when there are visible markers in each of three categories. Which category is not associated with the diagnosis of FAS?

When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused by:

Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a woman taking this medication that the drug:

While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the patient’s recent menstrual cycles. The nurse should collect additional information associated with which patient statement?

When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of:

A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this patient, the nurse should know that:

One of the alterations in cyclic bleeding that occurs between periods is called:

As relates to dysfunctional uterine bleeding (DUB), the nurse should be aware that:

The U.S. Centers for Disease Control and Prevention (CDC) recommends that HPV be treated with patient-applied:

To detect human immunodeficiency virus (HIV), most laboratory tests focus on the:

Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:

The nurse who is teaching a group of women about breast cancer would tell the women that:

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

A nurse practitioner performs a clinical breast examination on a woman diagnosed with fibroadenoma. The nurse knows that fibroadenoma is characterized by:

A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. This is most likely:

Fibrocystic changes in the breast most often appear in women in their 20s and 30s. The etiology is unknown but it may be an imbalance of estrogen and progesterone. The nurse who cares for this patient should be aware that treatment modalities are conservative. One proven modality that may provide relief is:

Which patient is most at risk for fibroadenoma of the breast?

The drug of choice for treatment of gonorrhea is:

Which collection of risk factors most likely would result in damaging lacerations (including episiotomies)?

To teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor?

The nurse recognizes that a woman is in true labor when she states

Which action is correct when palpation is used to assess the characteristics and pattern of uterine contractions?

The nurse who performs vaginal examinations to assess a woman’s progress in labor should:

A nulliparous woman who has just begun the second stage of her labor would most likely:

When managing the care of a woman in the second stage of labor, the nurse uses various measures to enhance the progress of fetal descent. These measures include:

Nurses can help their patients by keeping them informed about the distinctive stages of labor. Which description of the phases of the first stage of labor is accurate?

It is paramount for the obstetric nurse to understand the regulatory procedures and criteria for admitting a woman to the hospital labor unit. Which guideline is an important legal requirement of maternity care?

With regard to a woman’s intake and output during labor, nurses should be aware that:

If a woman complains of back labor pain, the nurse could best suggest that she:

Which collection of risk factors most likely would result in damaging lacerations (including episiotomies)?

At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed. The infant’s trunk is pink, but the hands and feet are blue. What is the correct Apgar score for this infant?