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2ND YR > MCN > Flashcards

MCN Flashcards

1
Q

The patient develops an elevated blood pressure (140/90 mmHg) but has no proteinuria or edema

A

Gestational Hypertension

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2
Q

No drug therapy needed for this type of hypertension

A

Gestational Hypertension

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3
Q

4 Classifications of Hypertension

A
  1. Gestational Hypertension
  2. Mild Pre-eclampsia
  3. Severe Pre-eclampsia
  4. Eclampsia
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4
Q

Most severe classification of PIH

A

Eclampsia

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5
Q

A patient has this condition when the cerebral edema is so acute that seizure or coma occurs.

A

Eclampsia

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6
Q

With eclampsia, the maternal mortality is high from what causes

A

Cerebral hemorrhage, and Circulatory collapse or Renal failure

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7
Q

The reason why fetal prognosis in eclampsia is poor

A

Hypoxia and Consequent Fetal Acidosis

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8
Q

Diagnosis of the patient if her blood pressure has risen to 160 mmHg systolic and 110 mmHg diastolic or above on at least two occasions 6 hours apart at bed rest

A

Severe Preeclampsia

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9
Q

Edema is most readily palpated over what area?

A

BONY SURFACES:
1. Tibia on the anterior leg
2. Ulnar Surface of Forearm
3. Cheekbones

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10
Q

Weight gain at pre-eclampsia indicates…

A

Abnormal tissue fluid retention

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11
Q

This reduces the urine output at approximately 400 to 600 mL for 24 hours

A

EDEMA

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12
Q

How many mL edema reduces to the urine output for 24 hours

A

400 to 600 mL

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13
Q

Pulmonary Edema

A

Shortness of breathe / Difficulty of Breathing (dyspnea)

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14
Q

Cerebral edema causes

A

Visual disturbances; blurred vision or seeing spots before the eys

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15
Q

Cerebral edema produces what symptoms?

A
  1. headache
  2. hyperreflexia
  3. ankle clonus (continues motion of the foot)
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16
Q

With the severe preeclampsia, the extreme edema will be noticeable as puffiness in a woman’s –

A

hands and face

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17
Q

Severe preeclampsia signs and symptoms

A
  1. Hypertension (160/110 mmHg)
  2. Proteinuria (+3 or +4 )
  3. Extreme edema
  4. Oliguria (altered renal function)
  5. Elevated serum creatinine (more than 1.2 mg/dL)
  6. Cerebral Edema; visual disturbances (blurred vision)
  7. Thrombocytopenia
  8. Epigastric pain
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18
Q

A condition where vasospasm occurs during pregnancy in both small and large arteries

A

Pregnancy Induced Hypertension

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19
Q

S/s of PIH

A

hypertension, proteinuria, and edema

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20
Q

Risk factors of PIH

A
  1. women of color
  2. multiple preg
  3. primipara
  4. age; <20 or >40
  5. from low socioeconomic background
  6. have hydramnios
  7. with an underlying disease like heart disease, diabetes, and essential hypertension
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21
Q

Try to explain the Pathophysiology of PIH

A

.

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22
Q

What is PIH?

A

try to explain on your own

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23
Q

PIH usually occurs at what AOG?

A

After the 20th week AOG

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24
Q

If there is vasoconstriction, the blood pressure will decrease or increase?

A

Increase

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25
Q

A condition with physical changes including the breakdown of red blood cells, changes in the liver, and low platelets.

A

HELLP SYNDROME

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26
Q

Meaning of HELLP Syndrome

A

Hemolysis
Elevated
Liver
Low
Platelets

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27
Q

if the protein has already leaked out and it is responsible for containing water inside the vessels, this will occur

A

edema

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28
Q

This is one of the most common diagnostic tests that determine the presence of protein in the urine.

A

Urinalysis

29
Q

this position will help to avoid uterine pressure on the vena cava and this will prevent supine hypertension syndrome

A

Lateral recumbent position

30
Q

best method for aiding increased evacuation of sodium and encouraging diuresis

A

BED REST

31
Q

Muscle relaxant; prevents seizures

A

Magnesium sulfate

32
Q

used to decrease hypertension

A

Anti hypertensive drug; hydralazine (apresoline)

33
Q

this drug will halt the seizure

A

Diazepam (valium)

34
Q

antidote for magnesium intoxication

A

calcium gluconate

35
Q

if a woman is receiving magnesium sulfate, you must watch out if the baby is born because the baby may have ____ because the drug crosses placenta

A

respiratory depression

36
Q

how will you prevent aspiration of a woman having a seizure

A

turn the woman on her side

37
Q

If a patient is experiencing a tonic-clonic seizure, these two drugs are administered IV as an emergency measure

A

Magnesium sulfate
Diazepam

38
Q

3 stages of (tonic-clonic) seizure

A

1st - tonic stage
2nd - clonic stage
3rd - postictal stage

39
Q

3 hypotensive drugs for severe PIH

A
  1. Hydralazine (apresoline)
  2. labetalol
  3. nifedipine
40
Q

Severe oliguria may be treated by

A

IV, salt-poor albumin

41
Q

HELLP SYNDROME
complications associated;

A

(a) subcapular liver hematoma
(b) hyponatremia
(c) renal failure
(d) hypoglycemia
(e) cerebral hemorrhage
(f) aspiration pneumonia
(g) hypoxic encephalopathy

Fetal complication:
(a) growth restriction
(b) preterm birth

42
Q

Nursing intervention that will improve the platelet count of the patient

A

Transfusion of fresh-frozen plasma/platelets

43
Q

Preterm labor occurs at what AOG?

A

before the end of week 37 of gestation

44
Q

how many uterine contractions a woman should have to be considered as true’labor’

A

4 contractions every 20 minutes

45
Q

what are the causes of preterm labor

A
  1. DEHYDRATION
  2. URINARY TRACT INFECTION
  3. PERIODONTAL DISEASE
  4. CHORIOAMNIONITIS
46
Q

if the patient is dehydrated, the pituitary gland will secrete what hormone? and what will hormone may cause to release?

A

the antidiuretic hormone will cause to release oxytocin

47
Q

this will accelerate the formation of lung maturity

A

Corticosteriod

48
Q

the drug used to hasten the fetal lung maturity

A

Betamethasone (steriod)

49
Q

the will stop labor from progressing

A

calcium blockers / prostaglandin antagonist

50
Q

the drug used to manage pain

A

analgesic agent

51
Q

At what week PROM usually occurs?

A

before 37 weeks

52
Q

this is the rupture of fetal membranes with loss of amniotic fluid during pregnancy

A

Preterm Rupture of Membrane

53
Q

extension of the cord out of the uterine cavity into the vagina

A

cord prolapse

54
Q

the first s/s for PROM

A

sudden gush of clear fluid with continued minimal leakage

55
Q

what does a PROM patient needs to avoid because it might increase the risk of infection?

A

Avoid doing routine vaginal examination

56
Q

IV drug used to educe the possibility of infection in newborn in PROM

A

IV penicilin/ampicillin

57
Q

This will reduce the pressure on the fetus or cord and allows a term birth

A

Amnioinfusion

58
Q

This procedure will help to reseal the membrane of PROM by the use of fibrin-based commercial sealant so that it will again intact

A

Endoscopic Intrauterine procedure

59
Q

What is the causative agent of syphilis?
a. Chlamydia Trachomatis
b. Neisseria gonorrhoeae
c. Treponema pallidum
d. Trichomonaes vaginalis

A

C. Treponema pallidum

60
Q
  1. Maternal and Child Nursing is a challenging role for nurses, to be an advocate the nurse should protect the rights of family members, including the fetus. Which of the following are the philosophy of Maternal and Child Nursing.

A. Family Centered
B. Community Centered
C. Evidence-based
D. All are considered as philosophy of MCN

A

D. All are considered as philosophy of MCN

61
Q

What does the framework of Maternal and child care would like to achieve in the practice of nursing?
A. Nursing Research
B. Nursing Theory
C. ADPIE
D. All may apply

A

D. All may apply

62
Q

Your patient is being prepared for an amniocentesis. Before the procedure is performed, it is most important for the nurse to obtain which of the following?
A. The heart rate of the fetus
B. A urine specimen from the mother
C. The mother’s body temperature
D. A blood specimen for the mother

A

A. The heart rate of the fetus

63
Q

A client is having a non-stress test. The fetal heart rate is 130-150 bpm, but there has been no fetal movement for 15 minutes. Which of the following is the most appropriate nursing response?

A. Encourage her to walk around the monitoring unit for 10 minutes, then resume monitoring

B. Immediately report the situation to her physician and prepare her for induction of labor

C. Offer her a snack of orange juice and crackers

D. Turn her on her left side and attempt to auscultate fetal heart sounds with a Doppler

A
64
Q

Following an amniocentesis, the client should be monitored for an hour for:

A. Breast tenderness
B. Temperature elevation
C. Increased fetal activity
D. Rupture of membranes

A
65
Q

A client is admitted to the labor and delivery unit. As she is placed on the electronic fetal monitor, she asks the nurse to explain her baby’s heart beat. Which of the following is the normal range for a term fetal heart rate per minute?

A. 80 to 100 beats per minute
B. 120 to 160 beats per minute
C. 100 to 160 beats per minute
D. 130 to 180 beats per minute

A

B. 120 to 160 beats per minute

66
Q

A 17 year old primigravida comes in for her 32 week prenatal appointment. The nurse asks her about her plans after delivery. Which of the following information would indicate that this family may be at high risk for ineffective family functioning:

A. “I plan to live at home with my parents. My mom will take care of the baby while I go to school for half a day and then work the other half. We have a nursery fixed up in a corner of my room. It’ll be hard, but I think we can make it.”

B. “I’m going to get an apartment in a few weeks. Hopefully my parents and my boyfriend will give me money otherwise I don’t know how we will survive.”

C. “My boyfriend and I are getting married after the baby is born. He’s older - 20, and in the army. They pay pretty well and they have good benefits. He’ll be going to Germany pretty soon, so I’ll move back home to my parents. I plan to finish my high school later on when the baby is older.”

D. “I’m giving the baby up for adoption. I’m just not ready to be a parent yet. It’ll be an open adoption and I’ll get to see the baby and stuff.”

A

D. “I’m giving the baby up for adoption. I’m just not ready to be a parent yet. It’ll be an open adoption and I’ll get to see the baby and stuff.”

67
Q

A fetal ultrasound is done prior to an amniocentesis in order to:

A. Ensure the baby is mature enough to withstand the amniocentesis
B. Evaluate the amount of amniotic fluid
C. Locate the fetus and implantation site of the placenta
D. Evaluate fetal lung maturity

A

C. Locate the fetus and implantation site of the placenta

68
Q

When a woman who is at 34 weeks gestation has a non-reactive results to successive non-stress tests, a nurse would prepare the woman for which of the following?

A. An emergency cesarean delivery
B. Internal fetal monitoring
C. Induction of labor
D. A biophysical profile

A

D. A biophysical profile

69
Q

Your client is scheduled for a nonstress test (NST). After 20 minutes, you have noted four fetal movements accompanied by accelerations of the fetal heart rate 15 or more beats per minute, each lasting 15 seconds. You interpret this test to be:

A. Nonreactive
B. Positive
C. Reactive
D. Negative

A

C. Reactive

2ND YR (1 decks)

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