QUIZ 3: NURSING CARE OF A FAMILY EXPERIENCING A SUDDEN PREGNANCY COMPLICATIONS

Question 1

• is the medical term for any interruption of a pregnancy before a fetus is viable (able to survive outside the uterus if born at that time)

Answer 1

Abortion

Question 2

• fetus of more than 20 to 24 weeks of gestation or one that weighs at least 500 g

Answer 2

viable fetus

Question 3

• occurs before week 16 of pregnancy

Answer 3

early miscarriage

Question 4

occurs between weeks 16 to 24

Answer 4

late miscarriage

Question 5

begin as vaginal bleeding, Initially only scant and usually bright red.
slight cramping, but no cervical dilatation

Answer 5

Threatened Miscarriage

Question 6

If the treatment of threatened miscarriage Is not adequately or timely manage

Answer 6

Imminent (Inevitable) Miscarriage

Question 7

Occasionally, some part of the gestational tissue may be retalned within the uterus during the process of miscarriage while other parts may be expelled such as membrane or placenta

Answer 7

Incomplete Miscarriage

Question 8

Entire products of conception (fetus, membranes, and placenta) are expelled spontaneously without any assistance.

Answer 8

Complete Miscarriage

Question 9

also commonly referred to as early
pregnancy failure
fetus dies in utero but is not expelled
ultrasound can establish the fetus has died

Answer 9

Missed Miscarriage

Question 10

When three or more miscarriages occur spontaneously, the process is termed as recurrent or habitual aborters.

Answer 10

RECURRENT PREGNANCY LOSS

Question 11

rare in complete spontaneous miscarriage
possible major hemorrhage in incomplete miscarriage or in a woman who develops DIC
monitor VS for signs of hypovolemic shock

Answer 11

Hemorrhage

Question 12

develops in women who lost appreciable amounts of blood
danger signs of infection
fever, abdominal pain or tenderness, foul vaginal discharge

Answer 12

Infection

Question 13

abortion that is complicated by infection
frequently occurs in women who have tried to self-abort or aborted illegally using non sterile instrument

Answer 13

Septic abortion

Question 14

if fetus is Rh positive and women is Rh negative, Rh positive blood enters maternal circulation and cause isoimmunization

Answer 14

Isoimmunization

Question 15

sadness and grief over the loss or a feeling that a woman has lost control of her life

Answer 15

Powerlessness or Anxiety

Question 16

An ____ is one in which implantation occurs outside the uterine cavity.

Answer 16

ectopic pregnancy

Question 17

When pregnancy occurs in both the womb and the tube at the same time.

Answer 17

HETEROTOPIC PREGNANCY

Question 18

At weeks 6 to 12 of pregnancy (2 to 8 weeks after a missed menstrual period) , zygote grows large enough to rupture the slender fallopian tube or the trophoblast cells break through the narrow base

Answer 18

RUPTURED EP

Question 19

Very rarely after an ectopic pregnancy ruptures - products of conception are expelled into the pelvic cavity with a minimum bleeding

Answer 19

ABDOMINAL PREGNANCY

Question 20

___ is abnormal proliferation and then degeneration of the trophoblastic villi

Answer 20

Gestational trophoblastic disease

Question 21

Previously termed Incompetent cervix is a condition that refers to the inability of the cervix to hold the fetus any longer until term because it has dilated prematurely.

Answer 21

PREMATURE CERVICAL DILATATION

Question 22

is a condition wherein the placenta of a pregnant woman is Implanted abnormally in the uterus. It accounts for the most incidents of bleeding in the third trimester of pregnancy

Answer 22

Placenta previa

Question 23

is the premature separation of the placenta that occurs late in the pregnancy.

Answer 23

ABRUPTIO PLACENTA

Question 24

is an acquired disorder of blood clotting in which the fibrinogen level falls to below effective limits.

Answer 24

DISSEMINATED INTRAVASCULAR COAGULATION

Question 25

labor that occurs before end of week 37 of gestation, occurs in approximately 9% to 11% of deaths pregnancies, and accounts for up to 75% of neonata

Answer 25

PRETERM LABOR

Question 26

is rupture of fetal membranes with loss of amniotic fluid before 37 weeks

Answer 26

Preterm Premature rupture of membrane (PPROM) -

Question 27

amniotic membrane rupture at or after 37 completed weeks and not in labor yet

Answer 27

Premature rupture of membrane (PROM)

Question 28

major threat to the fetus as seal is lost and uterine and fetal infection may occur

Answer 28

maternal and neonatal infection

Question 29

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

Answer 29

cord prolapse

Question 30

distorted facial features and pulmonary hypoplasia from pressure. Distorted facial features and pulmonary hypoplasia from pressure.

Answer 30

Potter-like syndrome

Question 31

visualization of a characteristic “fern-like” pattern on a slide, viewed under a low power on a microscope

Answer 31

Fern test

Question 32

Amniotic fluid has an alkaline pH (7.1-7.3), and the paper will turn blue.

Answer 32

Litmus test

Question 33

involves putting a drop of liquid obtained from vagina onto paper strips containing Nitrazine test nitrazine dye

Answer 33

Nitrazine test

Question 34

is a condition in which vasospasm occurs during pregnancy in both small and large arteries

Answer 34

Pregnancy Induced Hypertension (PIH) or Gestational Hypertension

Question 35

if blood pressure elevation > 140/90 before 20 weeks and persists ≥12 weeks postpartum

Answer 35

Chronic hypertension

Question 36

usually mild and later in pregnancy

Answer 36

Gestational hypertension (PIH)

Question 37

A woman is said to be mildly preeclamptic when her blood pressure rises to 140/90 mmHg, taken on two occasions at least six (6) hours apart.

Answer 37

Mild Preeclampsia

Question 38

A woman has passed from mild to severe preeclampsia when 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.

Answer 38

Severe Preeclampsia

Question 39

This is the most severe classification of PIH.

Answer 39

Eclampsia

Question 40

Occurs when more than one fetus simultaneously develop in the uterus

Answer 40

MULTIPLE PREGNANCY

Question 41

• is the simultaneous development of two fetuses

Answer 41

Twin pregnancy

Question 42

, which results from fertilization of two ova leading to fraternal twin

Answer 42

Dizygotic twins (80%)

Question 43

which results from fertilization of one ova leading to identical twin

Answer 43

Monozygotic twins (20%)

Question 44

Usually the amniotic fluid volume during pregnancy is 500 to 1000 mL at term.
Excess fluid more than 2000 mL or an amniotic fluid index above 24 cm is considered hydramnios

Answer 44

Hydramnios

Question 45

refers to a pregnancy with less than the average amount of amniotic fluid
As part of the volume of amniotic fluid is formed by the addition of fetal urine, this is usually caused by a bladder or renal disorder in the fetus that interferes with voiding.

Answer 45

Oligohydramnios