1) A woman presents to the emergency department complaining of bleeding and cramping

1) A woman presents to the emergency department complaining of bleeding and cramping. Last menstrual period was 6 weeks ago. 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 for which type of spontaneous abortion?

a.     Septic

b.     Threatened

c.     Inevitable

d.     Incomplete

2.Pre-conception counseling for a Type 1 Diabetic is critical to the outcome of diabetic pregnancy because poor glycemic control before and during early pregnancy is associated with which of the following?

a.     First trimester hyperglycemia

b.     Polyhydramnios

c.     Congenital anomalies in the fetus

d.     Hyperemesis gravidarum

3.A 30-year-old female is admitted with nausea and vomiting. She is 16 weeks pregnant and is complaining of thirst and vertigo. BP 120/70mmHg, P 104/mn, R 20/mn, Temp 100.1F. Nursing care for this patient would include which of the following?

a.     Keep the room dark with minimal stimulation

b.     Measure the fundal height to determine gestational age

c.     Maintain IV with 20 units of Pitocin to run at 125/hour

d.     Monitor lab values, especially potassium

4.. In evaluating the effectiveness of magnesium sulfate for treatment of preterm labor, which of the following findings would alert the nurse to possible side effects?

a.     Respiratory rate of 16 breaths per minute

b.     Deep tendon reflexes 2+ and no clonus

c.     Serum magnesium level of 12mEq/l

Urine output of 160ml in 4 hours

5.Which statements are true regarding preterm labor? (Select all that apply)

a.     Sedatives and narcotics may stop preterm labor

b.     Trauma can cause preterm labor

c.     Magnesium sulfate is a drug to stop contractions

d.     Dehydration may lead to preterm labor

e.     A cerclage will allow the cervix to dilate

6.In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy, the nurse recognizes that further teaching is warranted when the client states which of the following?

a.     "Insulin dosage will likely need to be increased during the 2nd and 3rd trimesters."

b.     "I will need to increase my insulin dosage during the first 3 months of pregnancy."

c.     "Insulin needs should return to pregestational during early postpartum"

d.     "Episodes of hypoglycemia are more likely to occur during the first 3 months."