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405 5 Flashcards

1
Q

Spontaneous Abortion is indicated by

A

bleeding between conception and 20 weeks’ gestation

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2
Q

About 75% of spontaneous abortions occur between

A

8 and 13 weeks

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3
Q

spontaneous abortions are usually r/t

A

chromosomal defects

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4
Q

Spontaneous Abortion signs

A

Bright-red vaginal bleeding

cramping, backache, and pelvic pressure

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5
Q

Spontaneous Abortion: major complication to watch for

A

shock

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6
Q

Spontaneous Abortion: save all

A

peripads/linens

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7
Q

Spontaneous Abortion: Start an

A

IV

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8
Q

Spontaneous Abortion: client should notify nurse of any tissue larger than a

A

dime

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9
Q

Spontaneous Abortion: client should notify nurse of any discharge that is

A

foul smelling

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10
Q

Spontaneous Abortion: implement grief protocol if fetus loss occurs: Provide a

A

memory packet (footprints, bracelet)

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11
Q

Spontaneous Abortion: implement grief protocol if fetus loss occurs: allow family to

A

see the fetus

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12
Q

Types of Spontaneous Abortion: spotting without cervical changes

A

Threatened

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13
Q

Tx of Threatened Spontaneous Abortion

A

bed rest for 24 to 48 hours; no sexual intercourse for 2 weeks

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14
Q

Gestational Trophoblastic Disease is aka

A

Hydatidiform Mole

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15
Q

Hydatidiform Mole: ____ ___ degenerate into a bunch of clear vesicles in grapelike clusters

A

Chorionic villi

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16
Q

Hydatidiform Mole predisposes the client to

A

cancer

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17
Q

Signs of Hydatidiform

A

bleeding in 1st trimester

Uterus larger than expected for GA

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18
Q

Hydatidiform Mole: Instruct to prevent pregnancy for

A

1 year

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19
Q

Hydatidiform Mole: Instruct to obtain monthly

A

serum hCG levels for 1 year

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20
Q

Hydatidiform Mole: If hCG levels don’t diminish, you could develop

A

cancer

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21
Q

Ectopic Pregnancy sign: possible absence of

A

normal early pregnancy symptoms

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22
Q

Ectopic Pregnancy sign: Pregnancy test is

A

positive

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23
Q

3 Ectopic Pregnancy signs:

A
  • Missed period
  • Full feeling in lower abd
  • Lower quadrant tenderness
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24
Q

Ectopic Pregnancy complication: Acute rupture: signs

A 
Abd mass
sharp pain
Fainting
Shock
Shoulder pain
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25
Q

Ectopic Pregnancy: perform gentle

A

palpation and percussion

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26
Q

Ectopic Pregnancy: prepare client for abdominal

A

ultrasound

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27
Q

Ectopic Pregnancy: prepare client for possible

A

laparotomy

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28
Q

Ectopic Pregnancy: type and crossmatch client for

A

2 units packed RBCs

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29
Q

Suspect ectopic pregnancy in any woman

A

of childbearing age who comes to the hospital with abd pain

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30
Q

Abruptio Placentae

A

the placenta prematurely detaches from the uterus

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31
Q

Placenta Previa

A

the placenta attaches to the wrong part of the uterus (the lower part)

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32
Q

Placenta Previa is associated with

A

previous uterine scars, surgery, and fibroid tumors

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33
Q

Abruptio Placentae abd

A

rigid

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34
Q

Placenta Previa uterus feels

A

soft

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35
Q

Abruptio Placentae FHR

A

abnormal

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36
Q

Placenta Previa FHR

A

normal

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37
Q

Abruptio Placentae: First intervention

A

bed rest

No vaginal/rectal, abd manipulation

38
Q

Placenta Previa: First intervention

A

Extended bed rest until the fetal lungs are mature, then delivery
No vaginal/rectal, abd manipulation

39
Q

Abruptio Placentae: watch for signs of DIC which are

A

bleeding/bruising anywhere

decreased lab values (platelets, PT, fibrino)

40
Q

Abruptio Placentae: prepare for emergency

A

C section

41
Q

Tetracycline and pregnancy

A

contraindicated because it darkens the baby’s teeth

42
Q

Toxoplasmosis is usually r/t

A

cats

43
Q

Maybe the biggest factor in having a successful teen pregnancy

A

nutrition

44
Q

Preterm Labor definition

A

labor between 20 and 37 weeks

45
Q

Preterm Labor risk factor: Infection, especially

A

UTI

46
Q

Preterm Labor psychosocial risk factor:

A

any kind of stress

47
Q

warning signs of preterm labor: Uterine contractions every

A

10 minutes or more often

48
Q

warning signs of preterm labor: more than __ contractions in an hour

A

5

49
Q

Preterm Labor: Teach need for bed rest with fetus off of the cervix (e.g., no ___ or ____).

A

sitting or kneeling

50
Q

Preterm Labor: to increase uterine perfusion position side-lying and

A

elevation of feet

51
Q

Preterm Labor: during labor, teach to empty bladder every

A

2 hours

52
Q

Preterm Labor: medication that’s used because it decreases uterine activity through relaxation of smooth muscle

A

Magnesium sulfate

53
Q

Gestational hypertension: There is no

A

proteinuria

54
Q

Gestational hypertension: BP elevation occurs for the first time after

A

midpregnancy

55
Q

Transient hypertension definition

A

It resolves by 12 weeks after birth

56
Q

Preeclampsia usually occurs after

A

week 20

57
Q

Preeclampsia involves gestational hypertension plus

A

proteinuria

58
Q

HELLP syndrome

A

Hemolysis, elevated liver enzymes, low platelets

59
Q

Although not technically classified as a separate hypertensive disorder of pregnancy, HELLP syndrome is a variant of severe

A

preeclampsia

60
Q

Eclampsia

A

Seizures in a woman with preeclampsia

61
Q

magnesium sulfate antidote

A

calcium gluconate

62
Q

the major side effect of tocolytic drugs

A

tachycardia

63
Q

tocolytic definition

A

drug that suppresses premature labor

64
Q

Chronic hypertension

A

Hypertension has been observed before pregnancy or is diagnosed before the 20th week of gestation

65
Q

Preeclampsia is characterized by a BP greater than

A

140/90

66
Q

When does Preeclampsia usually develop

A

during the last 10 weeks or up to 48 hours post delivery

67
Q

Preeclampsia occurs predominantly in

A

primigravida and in multigravida if experienced as a primigravida

68
Q

preeclampsia patho: Generalized

A

vasoconstriction

69
Q

preeclampsia patho: involves the loss of

A

plasma protein into the interstitial spaces
(fluid is drawn into the extravascular spaces, which
results in hypOvolemia)

70
Q

preeclampsia: there is decreased perfusion because of the

A

hypOvolemia

71
Q

preeclampsia risk factor: Poor ____ intake

A

protein

72
Q

preeclampsia assessment: how will they look at first glance

A

edema of the face and fingers

73
Q

preeclampsia assessment: weight

A

gaining more than 2 pounds a week

74
Q

HELLP syndrome: Many women are ____ and do not have ____

A

normotensive

proteinuria

75
Q

Even if HTN is absent, women with HELLP syndrome should be treated prophylactically with

A

magnesium sulfate

76
Q

The chances that someone with HELLP will get it again in another pregnancy

A

high

77
Q

Antepartum Preeclampsia care: Home management

A

Inform client that absolute bed rest with bathroom privileges is necessary

78
Q

Antepartum Preeclampsia care: client should report weight gain of

A

more than 2 lbs

79
Q

Antepartum Preeclampsia care: at home the client should test herself for

A

proteinuria

80
Q

Antepartum Preeclampsia care: diet

A

high protein and low salt

81
Q

Antepartum Preeclampsia care: environment should be

A

quiet and dim

82
Q

Antepartum Preeclampsia care: Check for _____ under BP cuff

A

Petechiae

83
Q

Intrapartum Preeclampsia care: Keep nurse-to-client ratio at

A

1:1

84
Q

Intrapartum Preeclampsia care: activity level/position

A

absolute bed rest, side-lying and with

side rails up.

85
Q

Intrapartum Preeclampsia care: Check urine for protein every

A

hour

86
Q

Intrapartum Preeclampsia care: Check DTR every

A

hour

87
Q

Intrapartum Preeclampsia care: administer

A

magnesium sulfate

88
Q

Intrapartum Preeclampsia care: If convulsions or seizures do occur: Do not attempt to

A

insert something in the mouth

89
Q

The 2 main goals for preeclampsia is

A

maintain perfusion to the uterus and prevent seizures

90
Q

Preeclampsia care: antiHTN drugs are rarely used, but if they are the drug of choice is

A

hydralazine

91
Q

Preeclampsia care: antiHTN drugs are rarely used, but if they are it’s because the diastolic BP was above

A

110

92
Q

Preeclampsia: although delivery is said to be the “cure” the client can still

A

seize up to 48 hours after

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