Exam 4 CH 19-22

Question 1

Categories of abortion and their causes.

Answer 1

table 19.1

Question 2

Definition of the types of abortion and how to treat it

Question 3

Medications

Question 4

Cervical Cerclage

Question 5

Placenta Previa

Question 6

Eptopic Pregnancy

Question 7

Placental abruption

Question 8

1 hr glucose is conducted

Answer 8

26-28weeks

Question 9

2 types of diabetes

Question 10

gestational diabetes

Question 11

A woman who develops diabetes during pregnancy is said to have type 2 diabetes.

Answer 11

False

Question 12

lispro and aspart injectable insulin that doesn’t cross the placental membrane

Question 13

peripartum cardiomyopathy

Question 14

functional classification system

Answer 14

• Class I: asymptomatic; no limitation of physical activity
• Class II: symptomatic (dyspnea, chest pain) with increased activity
• Class III: symptomatic (fatigue, palpitation)
  with normal activity
• Class IV: symptomatic at rest or with any
  physical activity

Question 15

T/F
A woman with class II heart disease would have symptoms with increased activity.

Answer 15

True

Question 16

methyldopa /aldomet

Question 17

chronic hypertension

Question 18

meds to give a patient who has asthma

Answer 18

solemetrol

Question 19

what to do if a patient has TB

Answer 19

pg 709
INH 300 mg /day combined riphanton 600mg/day

do this for 9 months
take vitamin B6 for symptoms

Question 20

iron deficiency anemia

Answer 20

cold, pica, pale, craving olives,

pg 711
foods to eat. meats, green leafy vegetables, legumes, dried fruit, whole grains, peanut butter, bean dip, fortified breads and cerals.

Question 21

thalassemia

Answer 21

never give patient iron supplements because they have enough iron in their body but their hemoglobin is not absorbing it.

Question 22

sickle cell anemia

Answer 22

staying away from triggers. stay hydrated.

Question 23

Lupus

Answer 23

NSAIDs and Plaquenil

Question 24

MS Flare ups

Answer 24

CAM therapy

Question 25

Women with RA (phumetoid arthritis

Answer 25

methotrexate do not give pregnant women.

Question 26

CMV cytomegalovirus

Answer 26

most common in the WORLD.

Question 27

congenital rubella

Answer 27

Do not give live vaccines to pregnant women

Question 28

patient has active herpes outbreak or tingling sensation (beginning stages)

Answer 28

C Section!! Not vaginal delivery preventative: acyclovir in the 3rd trimester.

Question 29

Varicella (chicken pox)

Question 30

Parvovirus

Answer 30

hand to mouth transmission

Question 31

GBS Group B streptococcus

Answer 31

natural bacteria in the vagina. Tested at 35-37 weeks. Treated during delivery. Needed PenG (gold standard)/ ancef/ clindomyacinto treat it loading dose 5mil units 2nd dose 2.5mil units and given every 4 hour till delivery. Needs at least 2 doses to be "adequatly treated" if not baby will be in the hospital for at least 3 days.

Question 32

Toxoplasmosis

Answer 32

hand to mouth after touching cat feces

Question 33

HIV

Answer 33

low viral load can be delivered vaginally on antiviral meds through pregnancy and labor high viral load: c section baby will be on antivirals for first 6 months of life

Question 34

T/F A pregnant woman who is HIV-positive must undergo a cesarean birth.

Answer 34

False

Question 35

Neonatal abstinence syndrome

Question 36

dystocia

Question 37

hyper/hypotonic uterine dysfunction

Question 38

brachial plexus injury

Answer 38

limp arm

Question 39

T/F Psychological stress in the woman can contribute to dystocia.

Answer 39

True

Question 40

Tocolytic drugs

Answer 40

there are no clear first-line drugs to manage preterm labor; may prolong pregnancy for 2 to 7 days while steroids can be given for fetal lung maturity -indomethacin and nupharamine

Question 41

cephlopelvic disporpotion

Answer 41

baby head is too big to go through the moms pelvis

Question 42

umbilical cord prolapse

Answer 42

push the baby up to relieve pressure on the cord.

Question 43

TOLAC

Answer 43

- Trial of labor after cesarean. can be done with a low lac incision

Question 44

amniotic fluid embolism S/S

Answer 44

difficulty breathing, hypotension, cyanosis, seizures, tachycardia, coagulation failure, DIC, pulmonary edema, uterine atony with subsequent hemorrhage, ARDS, cardiac arrest

Question 45

Which of the following assessment findings would lead the nurse to suspect an amniotic fluid embolism?

Answer 45

Respiratory distress

Question 46

Difference between labor induction and augmentation

Answer 46

- Induction: stimulating contractions via medical or surgical means - Augmentation: enhancing ineffective contractions after labor has begun

Question 47

cervical ripening agents

Answer 47

pg. 774 dinaprostol, misoprostol, oxytocin:

Question 48

lytotonics vs tocotonics

Question 49

bishop score

Question 50

indications fr inductions

Question 51

T/F Oxytocin is an important agent used to ripen the cervix for labor induction.

Answer 51

false

Question 52

amnioinfusion

Question 53

T/F An amnioinfusion is appropriate for a pregnant woman experiencing a prolonged second stage of labor.

Answer 53

False

Question 54

c section know post operative care