Maternity2 Flashcards

1
Q

Self-care instruction for a pregnant woman to lessen backache should include

A

Wearing low-heeled shoes

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2
Q

Fetal weight increases most during the

A

third semester

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3
Q

Alcohol

A

considered a terotogen

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4
Q

technique that involves the palpating the uterus in such a way that the rebound of the floating fetus is felt by the examining finger

A

Ballotment

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5
Q

Constipation

A

factor which can contribute to varicose veins

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6
Q

Gestational hypertension

A

development of hypertension in a normotensive client without proteinuria

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7
Q

Gestational hypertension

A

blood pressure returns to normal by postpartum day 10

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8
Q

preeclampsia

A

term may be used when pregnancy induced hypertension (PIH) includes proteinuria and edema

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9
Q

Preeclampsia progresses to eclampsia when

A

convulsions (seizures)

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10
Q

Preeclampsia progresses to

A

eclampsia

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11
Q

Seizures and coma are associated with an

A

eclamptic condition

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12
Q

common sign of mild pregnancy induced hypertension (PIH)

A

Generalized edema-especially in the face, fingers, hands and ankles

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13
Q

Blurred vision

A

symptom of pregnancy-induced hypertension

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14
Q

Blurred vision

A

should be reported to health care provider

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15
Q

To prevent supine hypotensive syndrome and to promote fetal perfusion during pregnancy the teaching plan should include an advice to

A

lie on the left side

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16
Q

The primary concern with pica in pregnant women is that non-food items may be substituted for

A

nutritious foods

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17
Q

High risk groups for preeclampsia

A

African Americans and young primipara

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18
Q

Magnesium Sulfate

A

used in treating PIH is an anti-convulsant given to prevent seizure

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19
Q

Excess magnesium first cause

A

loss of deep tendon reflex followed by respiratory depression

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20
Q

Calcium gluconate

A

reverses the effects of Magnesium

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21
Q

Gestational diabetes

A

abnormal glucose tolerance due to decreased effectiveness of insulin during the second and third trimesters

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22
Q

Untreated diabetes in pregnancy may lead to

A

polyhydramnios

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23
Q

Calcium gluconate

A

should be available for immediate use when a woman receives magnesium sulfate

24
Q

(excessive amniotic fluid) or macrosomia (large fetus)

A

polyhydramnios

25
Uncontrolled glucose metabolism
also associated with an increase incidence of preeclampsia, stillbirth, neonatal hypoglycemia, respiratory distress syndrome, and premature delivery
26
Painless vaginal bleeding
placenta previa
27
abruption placentae
Bleeding is dark red
28
placenta previa
usually bright red is the main characteristics
29
Bleeding accompanied by abdominal or low back pain is typical characteristic of
abruption placentae
30
placentae previa
Pain is an important symptom that distinguishes abruption placentae from
31
The major complication of a fetus in a breech position
a prolapsed umbilical cord
32
A normal fetal heart rate
120 and 160 heats/minute
33
The temperature drop just before it rises at the time of
ovulation
34
Magnesium Sulfate
given parentally
35
Magnesium Sulfate
central nervous depressant that can prevent seizures in a client with pregnancy-induced hypertension
36
A woman can continue having sexual intercourse though out her pregnancy as long as she remains
comfortable
37
Human Chorionic Gonadotropin (HCG) hormone
increases in a woman’s blood
38
Human Chorionic Gonadotropin (HCG) hormone
Increases urine in fairly large concentrations until the 15th week of pregnancy
39
Increase in (HCG) human chorionic gonodotropin in a woman blood and urine is indicative of
pregnancy
40
four components of the birth process
powers, the passage, the passenger and the psyche
41
passage of mucus plug or bloody show as the cervix ripens
early sign of labor
42
four P’s”
powers, the passage, the passenger and the psyche
43
Lightening
early indication of labor
44
Progressive uterine contractions
definite signs of true labor
45
True labor is differentiated from false labor by the
dilatation of the cervix
46
Urine test kit purchased at the pharmacy to test for pregnancy, detects for the presence of
HCG
47
A pregnant client with known cardiac problems should be observed for
dyspnea and increased heart rate
48
Magnesium
inhibits uterine contraction
49
Magnesium inhibits uterine contraction so women receiving the drug must also receive
oxytocin to strengthen labor contractions
50
more likely than others to have infection or hemorrhage after birth
woman with placentae previa
51
If a vaginal examination is done when placentae previa is suspected, the physician will do it with
preparation for both vaginal and caesarian delivery (double setup) in place
52
Ambivalence
having mixed feelings
53
Ambivalence or having mixed feelings
normal reaction in the first trimester of pregnancy as a woman attempts to adjust to her new role
54
Guidelines for intermittent auscultation of the fetal heart rate (FHR) during labor include the use of an
ultrasonic device or a fetoscope
55
For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be
3 to 4 Ibs each month in the first trimester
56
For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be
1 Ib per week for a total of 25 to 35 Ibs