Mother Issues

Question 1

Gonorrhea

Answer 1

Treated with ceftriaxone IM plus doxycycline for seven days by mouth. Causes PID which is one of the most common causes of sterility

Question 2

Fundus

Answer 2

12 hrs after birth- 1cm above umbilicus. Descend by 1-2cm each day

Question 3

Hydatidiform mole

Answer 3

Benign neoplasm can turn malignant. Grape-like clusters of vesicles. For nclex no fetus involved. Uterus enlarges too fast. If malignant called choriocarcinoma. Measure hcgs until normal. Do not get pregnant during follow up.

Question 4

Placenta previa

Answer 4

Placenta implanted wrong. Prematurely separated and baby doesn’t get oxygen. Placenta is coming out first. Painless bleeding in second half of pregnancy. Tx- complete required hosp to prevent blood loss and fetal hypoxia; bedrest; pad counts; c-section; don’t perform vaginal exam

Question 5

Abruptio placenta

Answer 5

Implanted normally. Separates prematurely> bleeds (external or concealed). Concealed means bleeding into the uterus. Severity 1-3 worst. Major cause- membrane rupture> rapid decompression of uterus. SnS- rigid board like abdomen with or without vaginal bleeding, pain and inc uterine tone.

Question 6

Incompetent cervix

Answer 6

Cervix dilates prematurely in 4th month of pregnancy. Hx of repeated second trimester miscarriages. Purse-string suture (cerclage) at 14-18 wks.

Question 7

Hyperemesis gravidarum

Answer 7

Excessive vomiting> dehydration> starvation> death. R/t high levels of estrogen and hcg. BP dec, h/h inc, uo dec, k dec, wt dec. Ketones in urine because breaking down body fat. Tx- npo 48 hrs, IVF 3000ml/24 hr, antiemetic, vitamins, quiet, oral care, don’t talk about food, no emesis basin in sight, 6-8 small dry feelings then clear liquids, icy cold or hot

Question 8

Preeclampsia

Answer 8

Proteinuria- losing protein> fluid doesn’t stay in vascular space> leaks into the tissues. HA, blurred vision, seeing spots, hyperreflexia (inc DTRs). Clonus> seizure. Watch for wt gain of 2lb or more in a week. Tx- bedrest, inc protein. Severe- mag sulfate to sedate/ prevent seizures. BP> 160/110 severe; right quadrant pain ind impending eclampsia.

Question 9

Shoulder dystocia

Answer 9

Mcroberts maneuvers-legs stretched out further. Mazzanti- suprapubic pressure

Question 10

Group b streptococcus (GBS)

Answer 10

Risk factors - preterm birth less than 37 wks, premature ROM longer than 18hrs, intrapartum maternal fever higher than 100.4, previous infant with GBS. Prophylaxis penicillin or clindamycin

Question 11

Weight gain

Answer 11

First trimester 2-4 lb; second 12-14 lb; third 8-12 lb