Chapte 21

Question 1

Is the medical term for any interruption of a pregnancy before a fetus is viable

Answer 1

Abortion

Question 2

Defined as a fetus of more than 20 to 24 weeks of gestation or one that weighs atleast 500g.

Answer 2

Viable fetus

Question 3

Miscarriage that occurs before week 16 of pregnancy

Answer 3

Early miscarriage

Question 4

Miscarriage that occurs between 16 and 20 weeks

Answer 4

Late miscarriage

Question 5

The only artery that delivers blood towards the heart muscles

Answer 5

Coronary artery

Question 6

Most frequent cause of miscarriage in the first trimester is

Answer 6

Abnormal fetal development

Question 7

Symptoms begin as a vaginal bleeeding intially only scant and usually bright red

Answer 7

Threatened miscarriage

Question 8

A patient may notice slight cramping but no cervical dilatation is present on vaginal examination

Answer 8

Threatened miscarriage

Question 9

Key intervention for threatened miscarriage

Answer 9

Avoidance of strenous activity for 24 to 48 hours.

Question 10

Loss of the products of conception cannot be halted.

Answer 10

Imminent (Inevitable) miscarriage

Question 11

How much is abnormally heavy bleeding

Answer 11

Saturating more than one pad per hour

Question 12

The entire products of conception are expelled sponataneously without any assistance.

Answer 12

Complete miscarriage

Question 13

Part of the conceptus (usually the fetus) is expelled, but the membranes or placenta is retained in the uterus

Answer 13

Incomplete miscarriage

Question 14

Intervention for incomplete miscarriage

Answer 14

D&C or suction curettage

Question 15

Also commonly referred to as early pregnancy failure, the fetus die in utero but is not expelled

Answer 15

Missed miscarriage

Question 16

Medication management for missed miscariage are

Answer 16

Misoprostol and mifepristone

Question 17

Patients who had three spontaneous miscarriages that occured at the same gestational age were called

Answer 17

Habitual aborters

Question 18

Habitual aborters are also knows as

Answer 18

Recurrent pregnancy loss

Question 19

Organisms responsible for infection after miscarriage are usually

Answer 19

Enterobacteriaceae
Streptococci
Staphylococci
Enterococci

Question 20

Why advise patients not to use tampons during infections

Answer 20

Stasis of any body fluid increases the risk of infection

Question 21

This infection usually involves the inner lining of the uterus

Answer 21

Endometritis

Question 22

For septic abortion, a comination of what antiobiotics are commonly prescribed to combat infection

Answer 22

Combination of penicillin (Gram-positive coverage), gentamicin (gram-negative aerobic coverage), and metronidazole (gram-negative anaerobic coverage)

Question 23

Production of antibodies against Rh-positive blood.

Answer 23

Isoimmunization

Question 24

This prevents the buildup of antibodies in the event the conceptus was Rh positive.

Answer 24

RhIG (RhoGAM)

Question 25

Is one in which implantation occured outside the uterine cavity.

Answer 25

Ectopic pregnancy

Question 26

Is an abnormal proliferation and then degeneration of the throphoblastic vili

Answer 26

Gestational trophoblastic disease

Question 27

H mole occurs most often in

Answer 27

*Patients who have a low dietary intake of animal fat
*older than 35 years or
*younger than 15 years and
*are of asian heritage

Question 28

Treatment that involves temporarily sewing the cervix closed with stitches

Answer 28

Cervical Cerclage

Question 29

Incompetent cervix, refers to a cervix that dilates prematurely and therefore cannot retain a fetus until term.

Answer 29

Premature Cervical Dilatation

Question 30

First symptom of cervical dilatation

Answer 30

Pink-stained vaginal discharge

Question 31

A condition in which the placenta is implanted abnormally in the lower part of the uterus.

Answer 31

Placenta previa

Question 32

Most common cause of painless bleeding in the third trimester

Answer 32

Placenta previa

Question 33

Help speed up lung maturity or development in preterm babies

Answer 33

Betamethasone

Question 34

Infection of the fetal membranes and fluid

Answer 34

Chorioamnionitis

Question 35

A patient experiences what in premature separation of the placenta

Answer 35

Sharp, stabbing pain high in the uterine fundus as the initial separation occurs

Question 36

Is an acquired disorder of blood clotting in which the fibrinogen level falls to below effective limits

Answer 36

Disseminated Intravascular Coagulation

Question 37

Stops or delay preterm labor by helping prevent and slow contractions of the uterus

Answer 37

Terbutaline

Question 38

Given by IV, used to treat preeclampsia and prevent eclamptic seizures

Answer 38

Magnesium Sulfate

Question 39

Is a condition in which vasospasm occurs in both small and large arteries during pregnancy, causing increased blood pressure.

Answer 39

Gestational hypertension

Question 40

Preeclampsia is a pregnancy related disease process evidenced by

Answer 40

*Increased blood pressure
*proteinuria

Question 41

What antiplatelete agen may prevent ordelay the development of preeclampsia

Answer 41

Low dose aspirin

Question 42

Antidote for magnesium toxicity due to administration of magnesium sulfate

Answer 42

1g of calcium gluconate solution

Question 43

Magnesium sulfate is continued for __ to __ hours after birth to prevent eclampsia

Answer 43

12 to 24 hours

Question 44

Tonic phase lasts approximately

Answer 44

20 seconds

Question 45

The clonic stage of seizure lasts for

Answer 45

1 minute

Question 46

Meaning of HELLP syndrome

Answer 46

*Hemolysis leads to anemia
*Elevated liver enzymes lead to epigastric pain
*Low platelets lead to abnormal bleeding

Question 47

Amniotic fluid volume at term is

Answer 47

500 to 1000 mL

Question 48

Refers to pregnancy with less than the average amount of amniotic fluid

Answer 48

Oligohydramnios