Chapter 29: Care of the High-Risk Mother, Newborn, and Family with Special Needs Cooper: Foundations

Questions 41

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Chapter 29 Questions

Question 1 of 5

A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?

Correct Answer: B

Rationale: Medical treatment is aimed at meeting fluid and electrolyte replacement.

Question 2 of 5

A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse?

Correct Answer: D

Rationale: If untreated, hyperemesis gravidarum can result in maternal or fetal death.

Question 3 of 5

How should twins who share a placenta and come from one fertilized ovum be identified?

Correct Answer: D

Rationale: Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.

Question 4 of 5

What complication of delivery should the nurse expect with the birth of multiple fetuses?

Correct Answer: D

Rationale: Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not relate to the delivery.

Question 5 of 5

A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient?

Correct Answer: C

Rationale: An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.

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