Complications of Maternity

Question 1

What are the 2 signs and symptoms of a miscarriage?

Answer 1

1. Spotting

2. Cramping

Question 2

How is a miscarriage treated?

Answer 2

Bedrest and pelvic rest

Imminent - IV, blood D&C

Question 3

How is a hydatidiform mole (molar pregnancy) confirmed and treated?

Answer 3

Ultrasound; treated with a D&C, no pregnancies during follow up time

Question 4

A gestation outside of the uterus that usually occurs in the Fallopian tube. It is confirmed with an ultrasound and the first sign is pain and spotting. Methotrexate (Rheumatrex) is given to the mom to stop the growth of the embryo to save the tube.

Answer 4

Ectopic pregnancy

Question 5

The placenta is implanted wrong and it begins to prematurely separate when the cervix begins to dilate and efface. Treated with bed rest, c-section, and blood count checks. No vaginal exams can be performed.

Answer 5

Placenta previa

Question 6

What are 2 maternal complications for someone with placenta previa?

Answer 6

1. Hemorrhage

2. Potential DIC risk

Question 7

The placenta is implanted normally but it begins to separate prematurely. Ultrasound is used to confirm the diagnosis. Rigid board like abdomen with or without vaginal bleeding, abdominal pain, incrased uterine tone, and difficult to palpate the fetus.

Answer 7

Abruptio placenta

Question 8

What is the method of delivery for a woman with abruptio placenta?

Answer 8

C-section

Question 9

What are the 2 priorities with an abruptio placenta?

Answer 9

1. Manage fetal status

2. Maternal shock

Question 10

This is when the cervix dilates prematurely which occurs in the fourth month of pregnancy. This client will have a history of repeated, painless second trimester miscarriages.

Answer 10

Incompetent cervix

cerclage at 14-18 weeks to reinforce cervix

Question 11

What will a women with hyperemesis gravidarum have in her urine?

Answer 11

Ketones

Question 12

What are 4 interventions for someone with hyperemesis gravidarum?

Answer 12

1. NPO for 48 hours
2. IV fluids 3,000 ml in first 24 hours
3. Don’t talk about food (foods should be icy cold or steaming hot)
4. Quiet environment

Question 13

Increased blood pressure, proteinuria, edema after 20 weeks, sudden weight gain, hyperreflexia, headache, blurred vision, and seeing spots. Treat with bedrest, magnesium, and increased protein in diet.

Answer 13

Preeclampsia

Question 14

how often should checks for magnesium toxicity be done?

Answer 14

Every 1-2 hours (BP, respirations, deep tendon reflexes, and LOC)

Question 15

What is the only cure for preeclampsia?

Answer 15

Delivery (after delivery, mom is at RF seizures for 48 hours)

Question 16

What is the turning point from preeclampsia to eclampsia?

Answer 16

Seizure occurs

Question 17

Occurs after 20 weeks, proteinuria is present

Answer 17

Pregnancy induce hypertension

Question 18

Occurs after 20 weeks but there is no proteinuria

Answer 18

Gestational HTN

Question 19

Labor that occurs between 20-37 weeks

Answer 19

Premature labor

Question 20

What happens if the umbilical cord ceases to pulse?

Answer 20

Fetal death has occurred

Question 21

What should you check when membranes rupture either spontaneously or artificially?

Answer 21

Fetal heart tones

Question 22

What are the 2 positions that a woman should be placed in if there’s a prolapsed cord?

Answer 22

1. Trendelenburg

2. Knee chest

Question 23

What are the 3 risks to the fetus that has shoulder dystocia?

Answer 23

1. Fetal hypoxia
2. Brachial plexus injury
3. Broken clavicle

Question 24

Should a nurse ever apply fundal pressure?

Answer 24

No - physician must do it

Question 25

Leading cause of neonatal morbidity and is transmitted from the birth canal of the infected mother during delivery. The risk to the fetus is only after the rupture of membranes. Not a sexually transmitted disease.

Answer 25

Group B Strep