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
Q

Uncontrolled glucose metabolism

A

also associated with an increase incidence of preeclampsia, stillbirth, neonatal hypoglycemia, respiratory distress syndrome, and premature delivery

26
Q

Painless vaginal bleeding

A

placenta previa

27
Q

abruption placentae

A

Bleeding is dark red

28
Q

placenta previa

A

usually bright red is the main characteristics

29
Q

Bleeding accompanied by abdominal or low back pain is typical characteristic of

A

abruption placentae

30
Q

placentae previa

A

Pain is an important symptom that distinguishes abruption placentae from

31
Q

The major complication of a fetus in a breech position

A

a prolapsed umbilical cord

32
Q

A normal fetal heart rate

A

120 and 160 heats/minute

33
Q

The temperature drop just before it rises at the time of

A

ovulation

34
Q

Magnesium Sulfate

A

given parentally

35
Q

Magnesium Sulfate

A

central nervous depressant that can prevent seizures in a client with pregnancy-induced hypertension

36
Q

A woman can continue having sexual intercourse though out her pregnancy as long as she remains

A

comfortable

37
Q

Human Chorionic Gonadotropin (HCG) hormone

A

increases in a woman’s blood

38
Q

Human Chorionic Gonadotropin (HCG) hormone

A

Increases urine in fairly large concentrations until the 15th week of pregnancy

39
Q

Increase in (HCG) human chorionic gonodotropin in a woman blood and urine is indicative of

A

pregnancy

40
Q

four components of the birth process

A

powers, the passage, the passenger and the psyche

41
Q

passage of mucus plug or bloody show as the cervix ripens

A

early sign of labor

42
Q

four P’s”

A

powers, the passage, the passenger and the psyche

43
Q

Lightening

A

early indication of labor

44
Q

Progressive uterine contractions

A

definite signs of true labor

45
Q

True labor is differentiated from false labor by the

A

dilatation of the cervix

46
Q

Urine test kit purchased at the pharmacy to test for pregnancy, detects for the presence of

A

HCG

47
Q

A pregnant client with known cardiac problems should be observed for

A

dyspnea and increased heart rate

48
Q

Magnesium

A

inhibits uterine contraction

49
Q

Magnesium inhibits uterine contraction so women receiving the drug must also receive

A

oxytocin to strengthen labor contractions

50
Q

more likely than others to have infection or hemorrhage after birth

A

woman with placentae previa

51
Q

If a vaginal examination is done when placentae previa is suspected, the physician will do it with

A

preparation for both vaginal and caesarian delivery (double setup) in place

52
Q

Ambivalence

A

having mixed feelings

53
Q

Ambivalence or having mixed feelings

A

normal reaction in the first trimester of pregnancy as a woman attempts to adjust to her new role

54
Q

Guidelines for intermittent auscultation of the fetal heart rate (FHR) during labor include the use of an

A

ultrasonic device or a fetoscope

55
Q

For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be

A

3 to 4 Ibs each month in the first trimester

56
Q

For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be

A

1 Ib per week for a total of 25 to 35 Ibs