Chapter 11 The Critically Ill Pregnant Woman

Chapter 11  The Critically Ill Pregnant Woman

Complete Chapter Questions And Answers
 

Sample Questions

1.
A pregnant woman in her third trimester is in the ICU for minor trauma to her right arm and leg as a result of a car wreck. Her injuries appear to be superficial, but her nose begins bleeding profusely immediately after the nurse places a nasotracheal tube. What is the most likely explanation for the bleeding?
A)
Internal hemorrhaging from trauma
B)
Hemophilia
C)
Rupture of the mucosa, which are extra fragile during pregnancy
D)
Improper placement of tube

2.
An obese woman was admitted to the ICU for diabetic coma caused by advanced diabetic ketoacidosis. On recovering, the patient mentions to the nurse that she missed her last period and has felt nauseated in recent weeks. In reviewing her chart, the nurse compares her current test results with those from her last admission to the hospital, about 3 months ago. She notes that the woman’s red blood cell count has increased by 20%, her systolic blood pressure has increased by 10 mm Hg, her resting heart rate has increased from 85 to 105 bpm, and her creatinine clearance has increased from 90 to 130 mL/min. Which of these changes is consistent with those that normally accompany pregnancy? Select all that apply.
A)
20% increase in red blood cells
B)
10 mm Hg increase in systolic blood pressure
C)
Increase in resting heart rate from 85 to 105 bpm
D)
Increase in creatinine clearance from 90 to 130 mL/min

3.
A woman in her ninth month of pregnancy is in the ICU, recovering from surgery to remove a stage 1 tumor from her brain. She is still under the effects of general anesthesia. As the nurse is taking her vital signs, the woman regurgitates some fluid from her mouth. What is the most likely cause of the regurgitation?
A)
Esophageal cancer
B)
Displacement of the esophageal sphincter
C)
Airway obstruction
D)
Congenital defect of the esophagus

4.
Blood work results of a pregnant woman in her third trimester in the ICU have recently been delivered, and the nurse is reviewing them. The woman has a hematocrit of 35%, a white blood cell count of 4,000/mm3, and a fibrinogen level of 500 mg/dL. She also has a blood pressure reading of 118/70 mm Hg. Which of these is in the normal range for a pregnant woman? Select all that apply.
A)
Hematocrit of 35%
B)
White blood cell count of 4,000/mm3
C)
Fibrinogen level of 500 mg/dL
D)
Blood pressure of 118/70 mm Hg

5.
A pregnant woman has arrived at the ICU with a blood pressure reading of 170/115, pronounced edema in her hands and feet, and proteinuria. Which condition does the woman most likely have?
A)
Severe preeclampsia
B)
Preeclampsia
C)
Disseminated intravascular coagulation
D)
HELLP syndrome

Answer Key

1.
C
2.
A, C, D
3.
B
4.
A, C, D
5.
A