Page 713 - Saunders Comprehensive Review For NCLEX-RN

1. Enlargement of the breasts
2. Complaints of feeling hot when the room is cool
3. Periods of fetal movement followed by quiet periods
4. Evidence of bleeding, such as in the gums, petechiae, and purpura
209. The nurse in a maternity unit is reviewing the clients’ records. Which clients
should the nurse identify as being at the most risk for developing
disseminated intravascular coagulation (DIC)? Select all that apply.
1. A primigravida with abruptio placenta

2. A primigravida who delivered a 10-lb infant 3 hours ago

3. A gravida 2 who has just been diagnosed with dead fetus
syndrome

4. A gravida 4 who delivered 8 hours ago and has lost 500 mL
of blood
5. A primigravida at 29 weeks of gestation who was recently

diagnosed with gestational hypertension
210. The home care nurse is monitoring a pregnant client who is at risk for
preeclampsia. At each home care visit, the nurse assesses the client for which
sign of preeclampsia?
1. Hypertension
2. Low-grade fever
3. Generalized edema
4. Increased pulse rate
211. The nurse is assessing a pregnant client with type 1 diabetes mellitus about
her understanding regarding changing insulin needs during pregnancy. The
nurse determines that further teaching is needed if the client makes which
statement?
1. “I will need to increase my insulin dosage during the first 3
months of pregnancy.”
2. “My insulin dose will likely need to be increased during the
second and third trimesters.”
3. “Episodes of hypoglycemia are more likely to occur during the
first 3 months of pregnancy.”
4. “My insulin needs should return to prepregnant levels within 7 to
10 days after birth if I am bottle-feeding.”
212. A pregnant client reports to a health care clinic, complaining of loss of
appetite, weight loss, and fatigue. After assessment of the client, tuberculosis
is suspected. A sputum culture is obtained and identifies Mycobacterium
tuberculosis. Which instruction should the nurse include in the client’s
teaching plan?
1. Therapeutic abortion is required.
2. Isoniazid plus rifampin will be required for 9 months.
3. She will have to stay at home until treatment is completed.
4. Medication will not be started until after delivery of the fetus.
213. The nurse is providing instructions to a pregnant client with a history of
cardiac disease regarding appropriate dietary measures. Which statement, if

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