Mother Baby Test 2 Flashcards
What is the implantation of a zygote at a site other than in uterus, associated with tubal constrictures?
Ectopic pregnancy
What is low implantation of placenta possibly because of uterine abnormality?
Placenta previa
What medication is used for an ectopic pregnancy that hasn’t ruptured?
methotrexate
What procedure can be used for a ruptured ectopic surgery?
laparoscopy to ligate the bleeding vessels and to remove or repair the damaged fallopian tube
What patient education would you give to a patient who had an ectopic pregnancy?
Educate on importance of mental wellbeing and support system with grief, educate on future fertility
A nurse is caring for a client who is 40 weeks gestation and in active labor. The client is 6cm of cervical dilation and 100% effaced. The nurse obtains the client’s blood pressure reading 82/52mm Hg. Which intervention should the nurse perform?
A. Prepare for c-section
B. Assist the client to upright position
C. Prepare for immediate vaginal delivery
D. Assist the client to turn onto her side
D. Turning client to right side relieves this pressure of the enlarged uterus on the inferior vena cava, restoring blood pressure.
What is the therapeutic range of Magnesium?
4-8
What med stimulates fetal lung surfactant, takes 24 hours to work, given if client has to deliver preterm?
Betamethasone
What is the desired outcome when administering magnesium sulfate to a pregnant women for preeclampsia?
A. Exhibits a decrease in systolic and diastolic BP
B. Experiences no seizures
C. States she feels calmer and more relaxed
B
Gestational hypertension begins after ___ weeks, elevated BP at 140/90 or above on two occasions.
20
Client is receiving Mag Sulfate. Client states she feels very sleepy, and she is worried that something may be wrong. What are the priority nursing interventions?
Assess deep tendon reflexes, assess vital signs, assess level of consciousness, fetal heart rate
What does HELLP in HELLP Syndrom stand for?
Hemolysis
Elevated
Liver enzymes
Low
Platelets
What is primarily effected with HELLP syndrome?
The liver - it can begin to die
Why would a patient with HELLP Syndrome not be able to receive an epidural or anesthesia?
They have low platelet count and high risk of bleeding at epidural site
What is an inevitable spontaneous abortion?
The pregnancy will be lost. There may or may not be warning signs.
What is a threatened spontaneous abortion?
The body shows signs of possible miscarriage but may or may not actually miscarry
What is a missed spontaneous abortion?
When the fetus dies in utero but not expelled from the body. (Patient will need D&C if under 14 weeks or deliver if over 14 weeks)
A nurse is assessing a client in labor who has had epidural anesthesia for pain. Which finding should the nurse identify as a complication from the epidural block?
A. Vomiting
B. Tachycardia
C. Respiratory Depression
D. Hypotension
D. Maternal hypotension is an adverse effect of epidural anesthesia. Nurse should admin IV fluid bolus prior to epidural to decrease likelihood of this complication
A nurse is caring for several clients. The nurse should recognize that it is safe to give tocolytic therapy to which patient?
A. client experiencing fetal death at 32 wks
B. client experiencing preterm labor at 26 wks
C. client with Braxton-Hicks at 36 weeks
D. client who has post-term pregnancy at 42 wks
B - tocolytic meds are used to relax the uterus in preterm labor.
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 wks. Which manifestation should the nurse expect to identify as consistent with the dx?
A. Severe nausea and vomiting
B. Large amount of vaginal bleeding
C. Unilateral, cramp-like abdominal pain
D. Uterine enlargement greater than expected for gestational age
C
A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which statement by the parents indicates understanding?
A. The med should be given in one large dose every day
B. Restricting fiber from our child’s diet will help absorption
C. The med will be more effective if given with meals
D. Our child’s blood count will need to be monitored routinely for several weeks
D - Treatment will be determined by monitoring H&H
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. Nurse should recognize which condition?
A. Abruptio placentae
B. Placenta previa
C. Precipitous labor
D. Threatened abortion
B. Painless, bright red vaginal bleeding in the 2nd to 3rd trimester is manifestation of placenta previa.
What are some precursors that contribute to preterm labor?
Stress, dehydration, infection, young or old age, high blood pressure, lack of care, African American, use of drugs, smoking
What are three medications that can be given during/for preterm labor and why?
Magnesium sulfate: tocolytic that relaxes the uterus
Terbutaline: tocolytic that also relaxes the uterus Betamethasone: Stimulates fetal lung surfactant in baby
