Chapter 10, Complications Of Pregnancy

Question 1

Most common cause of spontaneous abortion is

Answer 1

Severe congenital abnormalities, they account for about 50% to 60% of early spontaneous abortions. Other possible causes are various types of infections and maternal disorders

Question 2

Pregnant woman should be taught that the first common sign of a threatened abortion is usually

Answer 2

Vaginal bleeding

Question 3

A woman has been admitted for incomplete abortion, which order should nurse perform first 1) NPO 2) crossmatch two units of blood 3) start IV fluid of LR 4) Admin pinto in 5) acetaminophen and codeine 6) bed rest with bathroom privileges

Answer 3

Start the IV and draw blood to send for the type and crossmatch. She needs to be stabilized cardiovascular before anything else occurs bc she may have lost blood and is at high risk for blood loss

Question 4

Wha are two complications of missed abortions

Answer 4

Infection and disseminated intramuscular coagulation (DIC); DIC may be manifested by small areas of hemorrhaging. HCP should be notified

Question 5

Signs of threatened abortion are noted at 8 weeks of gestation. Which of the following actions is appropriate management approach for this type of abortion?

Answer 5

Prepare the women for an ultrasound to determine the integrity of the gestational sac;

Question 6

Signs and symptoms of a hydatidiform mole pregnancy

Answer 6

Uterus that is larger than expected, vaginal bleeding, excessive nausea and vomiting, and early development of preeclampsia

Question 7

A woman in labor has a long history of uncontrolled hypertension. The hypertension has continued throughout pregnancy and labor. The nurse is aware that the women is at high risk for which complication?

Answer 7

Abruptio placental; risk factors include maternal hypertension. Vasoconstriction is an effect of hypertension that can affect the endometrial arteries

Question 8

What are the two classic signs of preeclampsia?

Answer 8

Hypertension and proteinuria. Edema with preeclampsia may continue up to the legs to the hands and face

Question 9

How to know if a women with severe preeclampsia being treated with an IV infusion of mag sulfate is successful ?

Answer 9

Seizures do not occur

Question 10

Rh factor incompatibility can occur only in which of the following?

Answer 10

Rh negative mother, and Rh positive father

Question 11

What is an indirect coombs test?

Answer 11

Her previous exposure to Rh-positive blood (whether they are sensitized aka have developed antibodies)

Question 12

Increased fetal surveillance should occur in the first trimester of a pregnant women with preexisting DM to monitor for

Answer 12

Congenital anomalies ; neural tube defects, chromosomal abnormalities, and cardiac anomalies

Question 13

Earliest sign of cardiac decompensation?

Answer 13

Decreasing energy level

Question 14

Which vitamin is important to take prior to conception?

Answer 14

Folic acid

Question 15

Hypovolemic shock s/s?

Answer 15

Fetal tachycardia, decreased blood pressure, cold and clammy skin, increased urinary output

Question 16

Factors that increase risk of preeclampsia

Answer 16

Pre pregnancy diabetes, first baby, women between 20-30, African America, multi fetal, family history

Question 17

Which pregnancy hormones are responsible for creating insulin resistance in maternal cells

Answer 17

Estrogen, progesterone, HPL (human placental lactogen)

Question 18

Loss of pregnancy before the fetus is viable or capable of living outside the uterus is termed

Answer 18

Abortion

Question 19

When the membranes rupture and the cervix dilates an abortion is usually

Answer 19

Inevitable

Question 20

HIV positive mother, given multiple antiviral drugs will be given, the primary drug is called

Answer 20

ZDV, zidovudine