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20.A nurse is assessing a pregnant woman with gestational hypertension. Which of the following would lead the nurse to suspect that the client has developed severe preeclampsia?

A) Urine protein 300 mg/24 hours

B) Blood pressure 150/96 mm Hg

C) Mild facial edema

D) Hyperreflexia

21.A nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following? (Select all that apply.)

A) Dark red vaginal bleeding

B) Insidious onset

C) Absence of pain

D) Rigid uterus

E) Absent fetal heart tones

22.The health care provider orders PGE2 for a woman to help evacuate the uterus following a spontaneous abortion. Which of the following would be most important for the nurse todo?

A) Use clean technique to administer the drug.

B) Keep the gel cool until ready touse.

C) Maintain the client for hour afteradministration.

D) Administer intramuscularly into the deltoidarea.

A nursing student is reviewing an article about preterm premature rupture of membranes.

23.Which of the following would the student expect to find as factor placing a woman at high risk for this condition? (Select all that apply.)

A) High body mass index

B) Urinary tract infection

C) Low socioeconomic status

D) Single gestations

E) Smoking

A woman with placenta previa is being treated with expectant management. The woman and 24.fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?

A) My mother lives next door and can drive me here if necessary.

B) I have a toddler and preschooler at home who need my attention.

C) I know to call my health care provider right away if I start to bleed again.

D) I realize the importance of following the instructions for my care.

25.A woman with hyperemesis gravidarum asks the nurse about suggestions to minimize nausea and vomiting. Which suggestion would be most appropriate for the nurse to make?

A) Make sure that anything around your waist is quite snug.

B) Try to eat three large meals a day with less snacking.

C) Drink fluids in between meals rather than with meals.

D) Lie down for about an hour after you eat

26.A woman with gestational hypertension experiences a seizure. Which of the following would be the priority?

A) Fluid replacement

B) Oxygenation

C) Control ofhypertension

D) Delivery of thefetus

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The

27.nurse is monitoring the womans serum magnesium levels. Which level would the nurse identify as therapeutic?

A) 3.3 mEq/L

B) 6.1 mEq/L