High Risk Pregnancy

Question 1

Hyperemesis gravidarum:

Answer 1

Excess vomiting during pregnancy.

Question 2

Nursing action for hyperemesis gravidarum bordering on severe dehydration:

Answer 2

Start an IV of lactated ringers.

Question 3

Possible outcome for untreated severe hyperemesis gravidarum:

Answer 3

Fetal or maternal demise.

Question 4

Identical twins sharing a placenta and ovum:

Answer 4

Monozygotic twins.

Question 5

Fraternal twins that do not share a placenta or ovum:

Answer 5

Dizygotic twins.

Question 6

Potential risk(s) for multigravida, multiple fetuses pregnancy:

Answer 6

Over distention of the uterus.

Premature delivery.

Question 7

Procedure(s) done for ectopic pregnancy:

Answer 7

Salpingectomy.

Salpingotomy.

Question 8

Ectopic pregnancy:

Answer 8

An ovum fertilized outside the uterus.

Question 9

D&C (dilation and curettage) procedure:

Answer 9

Dilation of the cervix followed by scraping of the uterus.

Question 10

Spontaneous abortion, but not all products were expelled:

Answer 10

Incomplete abortion.

Question 11

Placenta previa:

Answer 11

Placenta transplants in the lower uterine segments.

Question 12

Symptoms of placenta previa:

Answer 12

Painless vaginal bleeding.

Question 13

Abruptio placentae:

Answer 13

Placenta lifts off the uterus.

Question 14

Symptoms of abruptio placentae:

Answer 14

Severe pain.

Question 15

Palpation of abdomen with abruptio placentae:

Answer 15

Rigid, board like between contractions.

Question 16

Patient positioning for abruptio placentae:

Answer 16

Modified side laying left, with wedge under right hip.

Question 17

Medication used to treat preeclampsia:

Answer 17

Magnesium sulfate.

Question 18

Preeclampsia:

Answer 18

Pregnancy induced hypertension.

Question 19

Carriers of toxoplasmosis:

Answer 19

Cat litter boxes.

Raw or uncooked meats.

Question 20

Concern for young, underdeveloped teenage girl in labor:

Answer 20

Head of the fetus will be too big to fit through her true pelvis.

Question 21

Condition when head of the fetus is too big to fit through the true pelvis:

Answer 21

Cephalopelvic disproportion disorder.

Question 22

Gestation where baby is considered preterm:

Answer 22

37 weeks = term.

Question 23

Most significant problem that occurs in preterm babies:

Answer 23

Respiratory distress.

Question 24

Signs and Symptoms of respiratory distress in a preterm newborn:

Answer 24

Grunting.

Flaring.

Retractions.

Cyanosis.

Question 25

Monitoring for a preterm baby to diabetic mother:

Answer 25

Hypoglycemia.

Question 26

Pathological jaundice:

Answer 26

Born with it in the 1st 24 hours of life.

Question 27

Phototherapy:

Answer 27

Fluorescent light converts bilirubin to water so it can be excreted.

Question 28

PIH:

Answer 28

Pregnancy induced hypertension (preeclampsia).

Question 29

Monitoring for PIH:

Answer 29

Edema.

Proteinuria.

Visual disturbances.

Urine output.

Deep tendon reflexes.

Question 30

PPD:

Answer 30

Postpartum depression.

Question 31

Breastfeeding, with sudden high fever and reddened area on the breast:

Answer 31

Mastitis.

Question 32

Medication for treatment of mastitis:

Answer 32

Antibiotics.

Question 33

Timeframe for Rh immuno globulin injection:

Answer 33

72 hours.

Question 34

TORCH:

Answer 34

Toxoplasmosis.

Other infections.

Rubella.

Cytomegalovirus (CMV).

Herpes.

Question 35

Signs and Symptoms of disseminated intravascular coagulation (DIC):

Answer 35

Petechia.

Signs of bleeding.

Blood oozing from every orifice.

Question 36

Common signs of postpartum hemorrhage:

Answer 36

Retained placenta.

Lacerations.

Multiple fetuses.

Question 37

Differences between placenta previa and abruptio placentae:

Answer 37

Pain.

AP - Severe pain and rigid abdomen.

PP - Painless bright red bleeding.

Question 38

Missed spontaneous abortion:

Answer 38

The fetus is still in utero but is no longer alive.

Question 39

Measurement before giving dosage of the stimulant Terbutaline:

Answer 39

Heart rate.

Question 40

Term for >3 consecutive spontaneous abortions:

Answer 40

Habitual spontaneous abortions.

Question 41

HELLP:

Answer 41

H - hemolysis.

EL - elevated liver enzymes.

LP - low platelet count.

Question 42

Toxemia:

Answer 42

Eclampsia.

Question 43

Consequences of toxemia (eclampsia):

Answer 43

Seizures.

Question 44

Additional symptom to monitor for PIH with +1 pitting edema in lower extremities:

Answer 44

Blurred vision.

Headache.

Epigastric pain.

Drowsiness.

Question 45

Can a patient with eclampsia leave the hospital and return home?

Answer 45

No.

Question 46

Physician orders for eclampsia:

Answer 46

Magnesium sulfate.

Bed rest.

Question 47

Test for reports of bright red painless vaginal bleeding at 22-28 weeks gestation:

Answer 47

Ultrasound.

Question 48

Monitor for most post-term neonates:

Answer 48

Hypoglycemia - glucose levels.

Question 49

Priority intervention for 43 week post-term infant with APGAR of 1-4:

Answer 49

Oxygen for airway.

Question 50

Primary question for interpreting pregnancy complaints:

Answer 50

“How many weeks pregnant are you?”

Question 51

Primary risk of mortality in post-term infants:

Answer 51

Hypoxemia.

Lack of oxygen once the placenta has worn out. 40 weeks and it’s done.

Question 52

Patient positioning for prolapsed cord protruding from her vagina:

Answer 52

Knee to chest position.

Trendelenburg is contraindicated because gravity can compress the cord.

Question 53

Difficulty for preterm infants related to large body surface area, with decreased brown fat:

Answer 53

Thermal regulation.

Question 54

Characteristics of post term infant’s skin:

Answer 54

Less vernix.

Hypoglycemic.

Question 55

Hemolytic anemia occurs when a mother is sensitized to:

Answer 55

Rh factor.

Question 56

Drug classification ordered for admittance during preterm labor:

Answer 56

Toxicolytic.

Stops or slows down labor.