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PPN301 Maternal & Child Health > Week 3: Pregnancy at Risk > Flashcards

Week 3: Pregnancy at Risk Flashcards

1
Q

What does IPV stand for?

A

Intimate Partner Violence

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2
Q

What are the 2 IPV Screening Tools?

A

RADAR Tool + HITS Tool

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3
Q

What does “RADAR” tool stand for?

A

R: Remember to ask routinely about IPV
A: Ask directly about violence; interview in private AT ALL TIMES
D: Document findings
A: Assess patient’s safety
R: Review options with patient

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4
Q

What does HITS Tool stand for?

A

How often does your partner:
- physically hurt you (12345)
- insult/talk down to you (12345)
- threaten you with harm (12345)
- scream/curse at you (12345)
score of 10+ = IPV

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5
Q

A person comes to your clinic with their partner who insists on being present during prenatal visits. You suspect that the client is being abused. What would be the best approach to use?
a) confront the partner with your suspicions
b) ask the client, in front of their partner, if they are afraid of their partner
c) try to have a colleague engage the partner outside the room so that you can broach the subject of abuse
d) tell the partner to go outside as you want to talk to the client alone

A

c

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6
Q

You are a nurse working with a client who continues to smoke during pregnancy. You know that this has implications for the baby. What would be the best approach to address the issue of smoking during pregnancy?
a) advise the client to request the “patch” from their doctor
b) tell the client that smoking is dangerous as it may cause preterm birth or a baby that is small for gestational age
c) explore ways in which the client can reduce the amount they smoke during pregnancy
d) tell the client’s doctor that the client is continuing to smoke despite the risks.

A

c

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7
Q

A spontaneous abortion is also known as a ________________.

A

miscarriage

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8
Q

Miscarriage (spontaneous abortion) is the loss of pregnancy before ____ weeks gestation or less than ______ fetal weight
a) 18 weeks, 500g
b) 20 weeks, 500g
c) 22 weeks, 600g
d) 24 weeks, 600g

A

b

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9
Q

Early loss miscarriage occurs _______?
A) before 12 weeks
B) after 12 weeks
C) before 15 weeks
D) after 15 weeks

A

A

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10
Q

80% of miscarriages occur before ____ weeks of gestation
A) 10
B) 12
C) 14
D) 20

A

B

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11
Q

Late loss abortion can occur in what weeks?
A) 10-12 weeks
B) 14-20 weeks
C) 12-20 weeks
D) 6-12 weeks

A

C

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12
Q

The following are all types of pregnancy loss except:
A) Missed
B) Complete
C) Threatened
D) Eventual

A

D

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13
Q

Name the 5 Types of Pregnancy Loss

A

A. Threatened
B. Inevitable
C. Incomplete
D. Complete
E. Missed

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14
Q

A patient comes into the hospital complaining of mild uterine cramping with moderate bleeding. Which of the following would the nurse suspect that the client is experiencing?
A) Incomplete abortion
B) Hyperglycemia
C) Inevitable abortion
D) Complete abortion

A

C

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15
Q

Which description aligns with an incomplete abortion?
A) moderate bleeding, mild/severe cramping
B) heavy/profuse bleeding, severe cramping
C) slight bleeding, mild cramping
D) spotting/no bleeding, no cramping

A

B

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16
Q

The type of abortion where the cervix is usually open is:
A) Recurrent abortion
B) Septic abortion
C) Missed abortion
D) Complete abortion

A

B

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17
Q

Name the types of abortion where the cervix is OPEN (4)

A
  1. Inevitable abortion
  2. Incomplete abortion
  3. Septic abortion* usually open
  4. Recurrent abortion
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18
Q

Name the types of abortion where the cervix is CLOSED (2)

A
  1. Complete abortion
  2. Missed abortion
19
Q

What is the medical management for an ectopic pregnancy?
A) Morphine
B) Acetaminophen
C) Oxytocin
D) Methotrexate

A

D

20
Q

What is the adolescent age range for a higher-risk pregnancy?
A) 8 - 19 years
B) 10 - 19 years
C) 10 - 18 years
D) 8 - 18 years

A

B

21
Q

What are the risks of adolescent pregnancy? (3) EPS

A
  1. Eclampsia (gestational / chronic hypertension)
  2. puerperal endometritis
  3. systemic infections
22
Q

What is the age that is considered to be advanced maternal age?

A

35 years +

23
Q

Which type of pregnancy loss has moderate bleeding and mild-severe cramping?

A

Inevitable abortion

24
Q

What type of pregnancy loss has slight bleeding and mild cramping?

A

Complete abortion

25
Q

Which type of pregnancy loss has no bleeding (or a bit of spotting), and no cramping?

A

Missed abortion

26
Q

Cervical insufficiency is:

A

passive and painless dilation of cervix without contractions or labour (structural weakness of cervical tissue…collagen disorder…) premature dilation of cervix

27
Q

An ectopic pregnancy is:

A

Fertilized ovum implanted OUTSIDE uterine cavity (95% occur in the fallopian tube uterine tube)…AN ACUTE EMERGENCY!!!

28
Q

Which of the following are clinical manifestations of an ectopic pregnancy?
A) Abdominal pain
B) Referred shoulder pain present (diaphragmatic irritation)
C) Continued menstrual period
D) Missed menstrual period
E) Rupture

A

A, B, D, E

29
Q

As the nurse, what should you advise the patient to do if they are taking methotrexate to manage their ectopic pregnancy? SATA.
A) Eat foods containing folic acid
B) Avoid intake of foods and vitamins containing folic acid
C) Get sun exposure
D) Avoid sun exposure
E) Avoid sexual intercourse until the b-hCG level is undetectable

A

B, D, E

30
Q

What is hydatidiform mole (Molar Pregnancy)?

A

A gestational trophoblastic disease (GTD)…abnormal fertilization without a viable fetus…cause unknown

31
Q

What are the 2 distinct types of hydatidiform mole?

A

Complete mole: fert. egg has lost/inactivated nucleus
Partial mole: 2 sperm fert. normal ovum

32
Q

TRUE or FALSE:
An RH- mom has an RH+ baby. The mom is forming antibodies to fight off the RH+…the first pregnancy is OK but mom will need to take RHD for next pregnancy (or she can lose that baby).

A

TRUE

33
Q

Placenta previa is:

A

when the placenta is implanted in the lower uterine segment near / over the internal cervical OS…

34
Q

Clinical presentation of placenta previa includes: (4) BPUN

A
  1. bright red BLEEDING
  2. pain ABSENT
  3. uterine = normal
  4. normal fetal HR
35
Q

Major complications of placenta previa include: (3)

A
  • bleeding
  • preterm birth
  • IUGR
36
Q

Placental abruption is:

A

premature separation of placenta

37
Q

Clinical presentation of placental abruption include: (4) VACU

A
  • vaginal bleeding
  • abdominal pain
  • uterine tenderness
  • contractions
38
Q

DIC is:

A

Disseminated intravascular coagulation; diffuse clotting that causes widespread bleeding

39
Q

Pre eclampsia is:

A

With preeclampsia, you might have high blood pressure, high levels of protein in urine that indicate kidney damage (proteinuria), or other signs of organ damage.

40
Q

In a normal nonstress test, what happens?

A

fetal HR accelerates with fetal movement

41
Q

In an abnormal nonstress test, what happens?

A

no fetal HR accelerations

42
Q

What is Oligohydramnios?

A

associated with fetal renal abnormalities (less than 300mL amniotic fluid)

43
Q

What is Polyhydramnios?

A

associated with GI and other malformations (more than 2L of amniotic fluid)

PPN301 Maternal & Child Health (8 decks)

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