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OBS AND GYNE QUIZ 4 WITH ANSWERS AND RATIONALE

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In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

Correct! Wrong!

In a missed abortion, there is early fetal intrauterine death, and products of conception are not expelled. The cervix remains closed; there may be a dark brown vaginal discharge, negative pregnancy test, and cessation of uterine growth and breast tenderness.

Which of the following best describes preterm labor?

Correct! Wrong!

Preterm labor is best described as labor that begins after 20 weeks’ gestation and before 37 weeks’ gestation. The other time periods are inaccurate.

When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?

Correct! Wrong!

A key point to consider when preparing the client for a cesarean delivery is to modify the preoperative teaching to meet the needs of either a planned or emergency cesarean birth, the depth and breadth of instruction will depend on circumstances and time available.

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Which of the following describes the Babinski reflex?

Correct! Wrong!

With the Babinski reflex, the newborn’s toes hyperextend and fan apart from dorsiflexion of the big toe when one side of the foot is stroked upward from the heel and across the ball of the foot.

Which of the following would the nurse identify as a classic sign of PIH?

Correct! Wrong!

Edema of the hands and face is a classic sign of PIH.

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Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?

Correct! Wrong!

Hyperstimulation of the uterus such as with oxytocin during the induction of labor may result in tetanic contractions prolonged to more than 90seconds, which could lead to such complications as fetal distress, abruptio placentae, amniotic fluid embolism, laceration of the cervix, and uterine rupture.

Which of the following factors would the nurse suspect as predisposing a client to placenta previa?

Correct! Wrong!

Multiple gestation is one of the predisposing factors that may cause placenta previa.

Which of the following would the nurse assess in a client experiencing abruptio placenta?

Correct! Wrong!

A client with abruptio placentae may exhibit concealed or dark red bleeding, possibly reporting sudden intense localized uterine pain. The uterus is typically firm to board-like, and the fetal presenting part may be engaged.

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Which of the following statements best describes hyperemesis gravidarum?

Correct! Wrong!

The description of hyperemesis gravidarum includes severe nausea and vomiting, leading to the electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems.

Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?

Correct! Wrong!

Abruptio placentae is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage.

OBS AND GYNE QUIZ 4 WITH ANSWERS AND RATIONALE
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