OB Ch 16 &17

Question 1

What is Type 1 Diabetes

Answer 1

hereditary

Question 2

what is type 2 diabetes

Answer 2

glucose intolerance

Question 3

what is gestational diabetes

Answer 3

caused by pregnancy - glucose intolerance

Question 4

if a pregnant woman is found to have gestational diabetes, what should she do daily

Answer 4

multivitamins/ monitor glucose

Question 5

what is the best way to reduce poor outcomes of diabetes

Answer 5

folic acid

Question 6

what is the best way to control blood sugar

Answer 6

insulin, diet, exercise

Question 7

what device delivers insulin frequently and accurately controls blood sugar

Answer 7

insulin pump

Question 8

what is normal blood sugar level for a fasting glucose test

Answer 8

less than 90

Question 9

what is normal bloo sugar for a non fasting glucose test

Answer 9

less than 120

Question 10

what is the desired HbA1C level

Answer 10

less than 8.5

Question 11

how does pregnancy affect insulin administration

Answer 11

body doesn’t produce

Question 12

what should a person do after taking a short acting insulin injection

Answer 12

eat

Question 13

what would necessitate a cesarean birth if the mom has genital herpes

Answer 13

active lesions 3rd trimester

Question 14

if a baby has HIV antibodies at birth does that mean that the infant is HIV positive

Answer 14

NO

Question 15

what puts a pregnant woman at risk for toxoplasmosis

Answer 15

cat feces, raw meat

Question 16

how would the nurse establish a baseline in a mom with a cardiovascular condition

Answer 16

VS all the time

Question 17

why are cardiovascular problems considered high risk in pregnancy

Answer 17

cause CHF, death in labor

Question 18

what are symptoms of right sided heart failure

Answer 18

JVD, ascites, peripheral edema

Question 19

what are symptoms of left sided heart failure

Answer 19

pink frothy sputum, crackles, pulmonary edema

Question 20

what helsp iron absorption

Answer 20

vitamin C

Question 21

what are some expected side effects of iron

Answer 21

constipation, black stools

Question 22

what are some tips to avoid constipation

Answer 22

water, fiber, stool softeners

Question 23

what symptoms indicate that asthma is not well controlled

Answer 23

preeclampsia, hemorrhage, preterm labor, respiratory failure

Question 24

what is a common complication to an infant of a teen mom

Answer 24

low birth weight, anemia(low iron), higher infant mortality

Question 25

what is very important socially for a teen mom to increase a successful pregnancy and outcome

Answer 25

support

Question 26

what are symptoms of IPV

Answer 26

Anxiety, depression, unable to trust | placenta rips from uterus

Question 27

what are symptoms of preeclampsia

Answer 27

1+ protein in urine, edema, BP 140/90 or higher

Question 28

what are symptoms of eclampsia

Answer 28

seizures, coma, death

Question 29

what medication is commonly given for preeclamspia to relax smooth muscle

Answer 29

magnesium sulfate

Question 30

what is the antidote for magnesium sulfate

Answer 30

calcium gluconate

Question 31

what is the desired blood level of magnesium sulfate

Answer 31

4-8

Question 32

what symptoms would the nurse expect to see if MgSO4 is too high

Answer 32

respiratory depression, no reflexes

Question 33

what are symptoms of spontaneous abortion

Answer 33

cramping, spotting, frank bleeding, clots

Question 34

what is the most common fetal cause of spontaneous abortion

Answer 34

chromosomal abnormalities, incompatible with life

Question 35

what action does Misoprostol have

Answer 35

induce uterine contractions

Question 36

what can the nurse do to help with the grieving process

Answer 36

offer to view fetus, acknowledge loss, be there for parents

Question 37

what are symptoms of ectopic pregnancy

Answer 37

pelvic pain, vaginal spotting, shoulder pain

Question 38

what are risk factors for having an ectopic pregnancy

Answer 38

surgery, infection

Question 39

what is the treatment of a ruptured ectopic pregnancy

Answer 39

emergency surgery

Question 40

why is this considered an emergency

Answer 40

could bleed out

Question 41

what medication can be given if an ectopic pregnancy has not rupture and the goal is preserving the Fallopian tube

Answer 41

Methotrexate

Question 42

what is placenta previa

Answer 42

placenta is implanted close to or over cervix

Question 43

what should be avoided if a woman is suspected of having placenta previa

Answer 43

digital exam

Question 44

what is a priority with placenta previa

Answer 44

getting the baby out alive

Question 45

what is placental abruption

Answer 45

placenta prematurely ripped away from uterus

Question 46

what are symptoms of placental abruption

Answer 46

sudden constant pain, dark red vaginal bleeding, rigid abdomen, fetal distress

Question 47

what are main concerns with placental abruption

Answer 47

bleeding out and baby dying

Question 48

what is Rh incompatibility

Answer 48

if mom is - and baby is + blood won't mix well and mom will fight off baby

Question 49

what is given to combat this and when is it given

Answer 49

rhogam shot - after every birth

Question 50

what is isoimmunization

Answer 50

produces antibodies to fight Rho(D)

Question 51

how many children can Rh- mothers have

Answer 51

as many as she wants with rhogam shot

Question 52

what is hydatiform mole

Answer 52

placenta develops into mass of cysts

Question 53

what are symptoms of hydatiform mole

Answer 53

vaginal bleeding - bright red, increased HcG

Question 54

why is it important to follow up with the practitioner after removing mole

Answer 54

monitor HcG watch for S&S of cancer

Question 55

how long should a woman wait to become pregnant again after having mole

Answer 55

6-12 months

Question 56

what is the treatment for incompetent cervix and what is the expected outcome

Answer 56

cerclage - ties uterus so baby can't come out - untie when ready to birth

Question 57

what is twin to twin transfusion syndrome and when would you see this

Answer 57

1 baby is huge and 1 baby is tiny - only 1 placenta

Question 58

what is the most common complication with multiple pregnancy

Answer 58

preterm birth