Ch. 21B

Question 1

Types of Placenta Previa

Answer 1

Marginal, Partial, Complete, Occult

Question 2

Marginal placenta

Answer 2

Not covering the os, Mother van still have vaginal birth

Question 3

Partial placenta

Answer 3

Partially covers the os

Question 4

Complete placenta

Answer 4

Completely covers the os

Question 5

Occult placenta

Answer 5

Physician cannot define the placenta

Question 6

Signs and symptoms of Placenta Previa

Answer 6

Painless Bleeding, stomach is hard and firm

Question 7

Possible reason for getting placenta previa

Answer 7

having a previous c-section or scar, and the placenta attaching over that

Question 8

Reasons for getting abruptio placentae

Answer 8

Chronic HTN, Preeclampsia, Cocaine, Abuse

Question 9

Signs and symptoms of Abruptio PLacentae

Answer 9

Hard abdomen, PAINFUL bleeding (contraction last only a minute or more, this is continuous pain)

Question 10

Treatment of Abruptio Placentae

Answer 10

Emergency C-section

Question 11

Treatment of Ectopic Pregnancy

Answer 11

Removal of the egg. If too advanced, use methotrexate

Question 12

Teaching with methotrexate

Answer 12

Cannot get pregnant for 1 year, Masks pregnancy and cancer

Question 13

Spontaneous abortion happens when in pregnancy?

Answer 13

before 20 weeks

Question 14

Threatened miscarriage

Answer 14

Happens usually before 20 weeks. Mother will have spotting but still have a fetal HR

Question 15

Inevitable miscarriage

Answer 15

Cervix is open, there is bleeding, it is only a matter of time

Question 16

Complete miscarriage

Answer 16

Cervix opened, everything came out on its own

Question 17

Missed miscarriage

Answer 17

Baby has died, no bleeding, and the mother is at risk for sepsis

Question 18

Recurrent miscarriages

Answer 18

3 or more miscarriages in a row

Question 19

What procedure does a nurse follow with missed miscarriage?

Answer 19

Cytotek to induce labor, and D&C to get rid of everything else.

Question 20

Complete Hydatidiform mole

Answer 20

There is no active nucleus. No amniotic membrane, placenta, or fetus

Question 21

Partial Hydatidiform mole

Answer 21

Two sperm attached to one egg, embryonic parts present and amniotic sac

Question 22

What treats Hydatidiform mole?

Answer 22

Methotrexate and D&C

Question 23

How to diagnose hydatidiform mole

Answer 23

The mother will look really pregnant really fast

Question 24

Abnormal placenta adherence

Answer 24

Placenta accreta, placenta increta, placenta percreta

Question 25

Placenta accreta - 75%

Answer 25

Deep into uterine wall, does not penetrate muscle. Most common

Question 26

Placenta Increta - 15%

Answer 26

Deep into uterine muscle. Most likely a hysterectomy

Question 27

Placenta Percreta - 5%

Answer 27

Penetrates into other organs. Possible hysterectomy, and bladder or bowel repair