High Risk Antepartum Nursing Care

Question 1

Preterm Labor (PTL)

Answer 1

Onset of labor before 37 weeks gestation

Question 2

Preterm Infant

Answer 2

born after 20 weeks and before 37 weeks

Question 3

Late Preterm Infant

Answer 3

born between 34 and 37 weeks of gestation

Question 4

Very Preterm Infant

Answer 4

born between 32 completed weeks of gestation

Question 5

Low Birth Weight infant (LBW)

Answer 5

<2500 grams

Question 6

Very Low Birth Weight infant

Answer 6

<1500 grams

Question 7

Extremely Low Birth Weight

Answer 7

<1000 grams

Question 8

Progesterone

Answer 8

supplement may be useful to prevent preterm birth for women with a history of spontaneous preterm birth

Question 9

Corticosteroid therapy

Answer 9

with antenatal steroids, is concurrently recommended to women at risk of preterm birth

Question 10

Preterm Premature Rupture Of Membranes (PPROM)

Answer 10

rupture of membranes with a premature gestation (37wks)

Question 11

Premature Rupture Of Membranes

Answer 11

rupture of the chorioamniotic membranes before the onset of labor but at term

Question 12

Latency

Answer 12

time from membrane rupture to delivery

Question 13

Previable PROM

Answer 13

ROM before 23-24 weeks

Question 14

Preterm PROM remote from term

Answer 14

24-32 weeks of gestation

Question 15

Preterm PROM near term

Answer 15

31-36 weeks gestation

Question 16

Incompetent cervix

Answer 16

mechanical defect in the cervix that results in painless cervical dilation in the second trimester that can progress to ballooning of the membranes into the vagina and delivery of a premature fetus

Question 17

Multiple gestation

Answer 17

pregnancies with more than one fetus

Question 18

Monozygotic twins

Answer 18

are from one zygote that divides in the first week of gestation

Question 19

Dizygotic twins

Answer 19

result from fertilization of two eggs

Question 20

Conjoined twins

Answer 20

may result from an aberration in the twinning process ascribed to incomplete splitting of an embryo into two separate twins

Question 21

Hyperemesis Gravidarum

Answer 21

vomiting during pregnancy that is so severe it leads to dehydration, electrolyte, and acid-base imbalance, starvation ketosis, and weight loss.

Question 22

Medical Nutritional Therapy (MNT)

Answer 22

cornerstone of diabetes management for all diabetic women, and the goal is to provide adequate nutrition, prevent diabetic ketoacidosis, and promote euglycemia

Question 23

Preeclampsia and Eclampsia Syndrome

Answer 23

Preeclampsia is a systemic disease with hypertension accompanied by proteinuria after the 20th week of gestation

Question 24

Preeclampsia superimposed on chronic hypertension

Answer 24

Hypertensive women who develop new-onset proteinuria; proteinuria before the 20th week of gestation; or sudden increase in proteinuria or BP or platelet count <100,000 in women with HTN and proteinuria before 20 weeks gestation.

Question 25

Gestational Hypertension

Answer 25

Systolic BP >or equal to 140/90 for the first time after 20 weeks, without proteinuria.

Question 26

Preeclampsia

Answer 26

hypertensive, multisystem disorder of pregnancy whose etiology remains unknown.Pregnancy-specific syndrome of reduced organ perfusion secondary to vasospasm and endothelial activation

Question 27

HELLP Syndrome

Answer 27

Hemolysis, Elevated Liver Enzymes, Low Platelets

Question 28

Eclampsia

Answer 28

occurrence of seizure activity in the presence of preeclampsia

Question 29

Total Placenta Previa

Answer 29

placenta completely covers the internal cervical os

Question 30

Partial Placenta Previa

Answer 30

placenta partially covers the internal cervical os

Question 31

Marginal Placenta Previa

Answer 31

the edge of the placenta is at the margin of the internal cervical os

Question 32

Low-lying placenta

Answer 32

placenta is implanted in the lower uterine segment in close proximity to the internal cervical os

Question 33

Placenta Previa

Answer 33

placenta attaches to the lower uterine segment of the uterus, near or over the internal cervical os instead of in the body or fundus of the uterus

Question 34

Placental Abruption

Answer 34

premature separation of a normally planted placenta

Question 35

Abortion

Answer 35

spontaneuos or elective termination of pregnancy before 20 weeks gestation

Question 36

Induced abortion

Answer 36

medical or surgical termination of pregnancy before fetal viability

Question 37

Elective abortion

Answer 37

termination of pregnancy before fetal viability at the request of the woman but not for reasons of impaired health of the mother or fetal disease.

Question 38

Therapeutic Abortion

Answer 38

termination of pregnancy for serious maternal medical indications or serious fetal anomalies

Question 39

Spontaneous Abortion (SAB)

Answer 39

abortion occuring without medical or mechanical means (miscarriage)

Question 40

Ectopic Pregnancy

Answer 40

develops as a result of the blastocyst implanting somewhere other than the endometrial lining of the uterus

Question 41

Gestational Trophoblastic Disease

Answer 41

spectrum of placental related tumors

Question 42

Hydatiform Mole

Answer 42

benign proliferating growth of the trophoblast in which the chorionic villi develop into edematous, cystic, vascular transparent vesicals that hang in grape like clusters without a viable fetus

Question 43

4 P’s

Answer 43

pregnancy?
past?
partner?
parents?