Test Bank for Maternity and Women Health Care
10th Edition
Full chapter download at: https://testbankbell.com/product/downloadable-test-bankfor-maternity-and-womens-health-care-10th-edition-lowdermilk/
1 A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding concerns her nurse?
1 Blood pressure (BP) increase to 138/86 mm Hg
2. Weight gain of 0.5 kg during the past 2 weeks
3 A dipstick value of 3+ for protein in her urine
4. Pitting pedal edema at the end of the day
ANS: C
Proteinuria is defined as a concentration of 1+ or greater via dipstick measurement. A dipstick value of 3+ alerts the nurse that additional testing or assessment should be made. Generally, hypertension is defined as a BP of 140/90 or an increase in systolic pressure of 30 mm Hg or 15 mm Hg diastolic pressure.
Preeclampsia may be manifested as a rapid weight gain of more than 2 kg in 1 week.
Edema occurs in many normal pregnancies as well as in women with preeclampsia. Therefore, the presence of edema is no longer considered diagnostic of preeclampsia.
Chapter 27: Hypertensive Disorders in Pregnancy MULTIPLE CHOICEDIF: Cognitive Level: Analysis REF: 661 OBJ: ClientNeeds:PhysiologicIntegrity
TOP: Nursing Process: Diagnosis
2 The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate transaminase (AST) level, and a falling hematocrit. The nurse notifies the physician because the lab results are indicative of:
1 Eclampsia
2. Disseminated intravascular coagulation (DIC)
3. HELLP syndrome
4. Idiopathic thrombocytopenia
ANS: C
HELLP syndrome is a laboratory diagnosis for a variant of severe preeclampsia that involves hepatic dysfunction characterized by hemolysis (H), elevated liver enzymes (EL), and low platelets (LP).
Eclampsia is determined by the presence of seizures
DIC is a potential complication associated with HELLP syndrome.
Idiopathic thrombocytopenia is the presence of low platelets of unknown cause and is not associated with preeclampsia.
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The remarks on page 149 apply with equal force to the melody played by the 2nd violin in the above extract.
The third movement is a scherzo, full of life and vivacity. Its first theme, given out by the viola, is heard after a few bars of introduction, thus:—
This is developed, with much spirit and variety of treatment, until with slackened speed it merges into a “moderato e tranquillo,” to which reference has been made as containing, near its close, the “motto theme.” After this the first subject of the scherzo is resumed, and the movement runs on to a climax, in which, with excellent effect, the original theme is given out by the violins in octaves.
The finale commences with a slow introduction, whose first notes are made up of a unison passage in the minor mode, which is closely akin to the motto theme. At the commencement of the vivace which follows this introduction we again have the motto in the major mode:—
Of this theme (the motto) in various forms much use is made during the course of the finale. Here, for instance, is an interesting passage, the latter part of which (meno mosso) is a metamorphosis of this theme:—
G , O . 2.
The almost orchestral effect of extended unison passages such as this and the previous example is perhaps hardly admissible in the chamber music form. Yet in the works of the classical masters (Cherubini, for instance) such passages may at times be found.
[Listen] [MusicXML]
Later in the movement the viola, with a quiet persistence which runs on for a number of bars, repeats this same theme thus:—
[Listen] [MusicXML]
Another theme of melodious character may also be quoted. It appears first in the key of E♭, and later in G, and, along with what has been mentioned, constitutes the principal subject-matter of the movement which ends this interesting Quartett. The following is the theme as it first appears:—
G , O . 2.
[Listen] [MusicXML]
As regards the composer of this Quartett, it may be added that Le Ménestrel of July 13th of the year 1902 announced “that a new opera, entitled Nikita Dobriniez, by a young and unknown composer named Gretchaninoff, will be produced in St. Petersburg during the coming winter season.”
Russian Schools of Musical Thought
The two chief cities of the Russian Empire, St. Petersburg and Moscow, have each had its representative school of musical thought, the one at first working almost entirely for the advancement of a purely national style, the other, with a more eclectic taste, favouring outside ideas and influences.
Tschaïkovsky was the leader at Moscow, having for his adherents Arensky, Rachmaninoff, and Siloti; while Rimsky-Korsakoff, Balakireff, Borodin, and others represented the more conservative St. Petersburg. But along with this external division of interests there always prevailed the utmost unanimity and a genuine feeling of brotherhood, and one result of this may be found in their working together, in a quite intimate way, in the composition of works like the String Quartett based on the notes B A F,
which is the joint production of Rimsky-Korsakoff, Liadoff, Borodin, and Glazounoff.
The story runs[35] that in the year 1881, at St. Petersburg, a certain M. Belaieff, a wealthy and enthusiastic amateur, happened to be present at the rehearsal of the first Orchestral Symphony by Alexander Glazounoff, and was so much impressed by its fine qualities that he decided to remove what had hitherto been a difficulty and establish a music-publishing house, which should have for its object the issuing of Glazounoff’s works and those of other composers of this Russian school. He, indeed, proved himself a very Mæcenas, organising concerts in and out of Russia, and never tiring in his endeavours to gain a hearing for the composers whose cause he had thus so practically espoused. No wonder, therefore, that they should desire to do him honour, and in this Quartett we find one such act of homage. As most musicians are quite well aware, the note B♭ is in Germany called B, and B♮ is called H; hence the possibility of writing, as has several times been done, a fugue whose subject is the name of the great composer Bach.
BelaieffB A C H
[Listen] [MusicXML]
In like manner these Russian composers took the three syllables of the name of their friend Belaieff, and, Be standing for B ♭ , la for the sixth note A of the natural scale, and eff for the note F, they used the theme
String Quartett on Name Belaieff
as the leading motive of a composition, consisting of (1) an Allegro by Rimsky-Korsakoff, (2) Scherzo by A. Liadoff, (3) Serenata alla Spagnola by A. Borodin, and (4) Finale by A. Glazounoff. The composition begins in this manner:—
Leading to the Allegro:—
The second movement, a Scherzo, commences thus:—
The usual Trio, which follows, commences thus:—
After this the Scherzo is repeated, with considerable development.
This is the third movement, written, as the name indicates, in the Spanish style:—
Serenata alla Spagnola.
