Pregnancy III

Question 1

what is the goal of second or third trimester ultrasound?

Answer 1

is this a healthy pregnancy, are we prepared for everything, (do we need to consider a c section)

Question 2

how is chorionic villus sampling (CVS) performed?

Answer 2

transcervical or transabdominal (if they have herpes). ultrasound is used as a guide to obtain endometrial tissue from just outside the uterus. doctor will then advise whether to continue or discontinue the pregnancy

Question 3

finger like projections on the inside of the uterus and help form placental – have chromosomal and genetic makeup of the fetus

Answer 3

chorionic villi

Question 4

when does CVS occur?

Answer 4

10-13 weeks, is extremely accurate

Question 5

what does CVS test for?

Answer 5

GENETIC ABNORMALITIES, DNA, OR CHROMASOMAL ABNORMALITIES

Question 6

what are nursing considerations for hyperemesis gravidarum?

Answer 6

Monitor I&O
CBC and CMP
BM
daily weights
medications
emotional support
diet -eat every 1-2 hours -carbs, bland low fat foods.
dont drink lots of water with food.

Question 7

what are possible treatments for missed, or incomplete aborntions?

Answer 7

D&C, misoprostol, labs.

Question 8

What is the timeframe criteria for an abortion?

Answer 8

anything less than 20 weeks.

Question 9

what is the definition of eclampsia?

Answer 9

potentially preventable extension of severe preeclampsia marked by ONE OR MORE SEIZURES.

Question 10

What are the potential glucose abnormalities that can occur in late pregnancy with diabetes mellitus?

Answer 10

hyperglycemia.

Question 11

what are possible maternal complications from diabetes mellitus?

Answer 11

risk for preeclampsia, hydramnios, macrosomia, shoulder dystocia, spontaneous abortion

Question 12

What are possible fetal complications from diabetes mellitus?

Answer 12

congential malformation, small for gestational age, intrauterine growth restriction

Question 13

what are possible neonatal complications from diabetes mellitus?

Answer 13

HYPOGLYCEMIA (MOST COMMON), hypocalcemia, hyperbilirubinemia, respiratory distress syndrome.

Question 14

what are intrapartum care considerations for obese clients?

Answer 14

appropriate BP cuff to monitor for preeclampsia, c section more likely, analgesia more challenging bc of difficulty finding landmarks.

Question 15

t/f: rule out existing diabetes and sleep apnea with obese patients?

Answer 15

true

Question 16

when is breastfeeding contraindicated?

Answer 16

if the mother has HIV

Question 16

GBS has a 60% chance of developing in fetus if mom is untreated and can cause what?

Answer 16

sepsis, pneumonia, meningitis in the infant.

Question 17

what is the first line of treatment for group b strep?

Answer 17

penicillin

Question 18

what is the second line of treatment for group b strep if non-life-threatening penicillin allergy is present?

Answer 18

cephazolin

Question 19

what is the recommended treatment for group b strep if life-threatening penicillin allergy is present?

Answer 19

vancomycin or clindamycin if high risk for anaphylaxis

Question 20

want the antibiotic to be given at least _______ before she goes into labor but it isn’t always possible. ideally you want to give antibiotics ________ before delivery if mother has group b strep.

Answer 20

four hours, 4 hours