Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)

Urinary frequency.

rupture of membranes.

heartburn accompanied by severe headache.

decreased libido.

Vaginal bleeding.

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Urinary frequency is a common symptom of pregnancy, especially in the first and third trimesters, due to the increased pressure of the uterus on the bladder. It is not a sign of complication and does not need to be reported immediately.

Choice B reason: Rupture of membranes is the breaking of the amniotic sac, which can occur spontaneously or artificially before or during labor. It is a sign of impending delivery and can increase the risk of infection. It should be reported immediately to the health care provider.

Choice C reason: Heartburn accompanied by severe headache can indicate preeclampsia, a serious condition characterized by high blood pressure and proteinuria in pregnancy. It can lead to eclampsia, which is a life-threatening seizure disorder. It should be reported immediately to the health care provider.

Choice D reason: Decreased libido is a normal change in pregnancy, due to hormonal fluctuations, physical discomfort, and emotional stress. It is not a sign of complication and does not need to be reported immediately.

Choice E reason: Vaginal bleeding can indicate various complications in pregnancy, such as placenta previa, placental abruption, or miscarriage. It can pose a threat to the mother and the fetus. It should be reported immediately to the health care provider.

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Correct Answer is B

Explanation

Choice A reason: A total placenta previa is when the placenta completely covers the internal os, blocking the baby's exit from the uterus.

Choice B reason: Placenta previa is a condition where the placenta implants in the lower uterine segment and may cover or be near the cervical internal os. When the placental edge just reaches the internal os but does not cover it, it is called a marginal previa.

Choice C reason: A complete placenta previa is when the placenta partially covers the internal os, reducing the space for the baby to pass through.

Choice D reason: "Partial placenta previa" refers to a situation where the placenta partially covers the internal cervical os — meaning some, but not all, of the opening is obstructed by placental tissue.

A. Hypoinsulinemia B. Hypercalcemia C. Hypobilirubinemia D. Hypoglycemia E. None of the above

Correct Answer is D

Explanation

Choice A reason: Hypoinsulinemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of low insulin levels in the blood, which can cause hyperglycemia.

Choice B reason: Hypercalcemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of high calcium levels in the blood, which can cause muscle weakness, confusion, and kidney stones.

Choice C reason: Hypobilirubinemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of low bilirubin levels in the blood, which can cause pale skin and eyes.

Choice D reason: Hypoglycemia is a major neonatal complication of the infant of a diabetic mother. It is a condition of low blood sugar levels, which can cause seizures, lethargy, and brain damage.

Choice E reason: None of the above is not a correct answer. There is one major neonatal complication of the infant of a diabetic mother, which is hypoglycemia.

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Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is D

Explanation

During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:

A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's best response is:

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:

What is the best nursing intervention for a pregnant woman in her third trimester who complains of feeling faint, dizzy, and agitated while her vital signs are being assessed?

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

What is the result of a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period?

What is the first action that the nurse should take when assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation and finding a rate of 82 beats/min?