Week 6

Question 1

What is the family-centered approach in maternity care?

Answer 1

It emphasizes normal, healthy pregnancy, early parent-infant attachment, holistic care, and cultural appropriateness.

Question 2

hat questions should be asked to explore cultural expectations in childbearing?

Answer 2

“What do you believe is important for a healthy pregnancy?”

“What actions are important after the baby’s birth?”

Question 3

What are vulnerable populations in perinatal nursing?

Answer 3

Indigenous women, immigrant and refugee women, homeless women, and LGBTQ patients.

Question 4

What are the physiological changes in pregnancy related to the reproductive system?

Answer 4

Increased blood volume, changes in the cervix, and breast tissue enlargement.

Question 5

What is preeclampsia and its primary nursing intervention?

Answer 5

Preeclampsia is hypertension in pregnancy; magnesium sulfate is used to prevent seizures and manage symptoms.

Question 6

What are the signs of magnesium sulfate toxicity?

Answer 6

drowsiness, lethargy, slurred speech, loss of reflexes, and respiratory depression.

Question 7

What is the nursing care for gestational diabetes?

Answer 7

Monitor blood glucose, educate about diet and insulin, and teach self-monitoring and managing hypoglycemia or hyperglycemia.

Question 8

What are risks associated with gestational diabetes for the fetus?

Answer 8

fetal macrosomia, preterm birth, and respiratory distress syndrome.

Question 9

What is placenta previa and its risk to the fetus?

Answer 9

Placenta previa is when the placenta covers the cervix, causing risk of bleeding and uteroplacental insufficiency.

Question 10

What is the appropriate action for a woman with placenta previa?

Answer 10

Bed rest, monitoring bleeding, and preparing for possible blood transfusions or cesarean delivery.

Question 11

How is fluid volume managed in preeclampsia?

Answer 11

Administer magnesium sulfate and monitor for fluid retention or electrolyte imbalances.

Question 12

What are the risks of untreated severe preeclampsia?

Answer 12

Seizures, organ failure, and fetal complications like growth restriction.

Question 13

How does maternal position affect fetal health in cases of placenta previa?

Answer 13

side-lying position helps prevent compression of major blood vessels, improving blood flow.

Question 14

What are common complications of pregnancy?

Answer 14

Placenta previa, abruption placentae, preeclampsia, and gestational diabetes.

Question 15

What tests are used in the prenatal period to monitor pregnancy?

Answer 15

Blood tests, urinalysis, ultrasound, and nonstress tests (NST).

Question 16

What are the effects of elevated maternal glucose levels on the fetus?

Answer 16

Increased risk of macrosomia, hypoglycemia after birth, and birth injuries.

Question 17

What should be monitored in preeclampsia?

Answer 17

Blood pressure, deep tendon reflexes (DTR), clonus, and fetal heart rate.

Question 18

How is HELLP syndrome related to preeclampsia?

Answer 18

HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets) is a severe form of preeclampsia.

Question 19

What are the primary risks associated with preeclampsia?

Answer 19

Risks include maternal seizures, stroke, organ failure, and fetal growth restriction.

Question 20

What is the significance of monitoring fundal height in gestational diabetes?

Answer 20

It helps assess fetal growth, particularly for risks like macrosomia due to elevated maternal blood glucose levels.

Question 21

What are signs of hypoglycemia in a pregnant woman with gestational diabetes?

Answer 21

Symptoms include shakiness, dizziness, confusion, and sweating.

Question 22

What dietary advice should be given to a pregnant woman with gestational diabetes?

Answer 22

A balanced diet that includes whole grains, lean proteins, healthy fats, and regular meal timing to control blood sugar.

Question 23

What is a Biophysical Profile (BPP)?

Answer 23

A BPP is an ultrasound test that evaluates fetal well-being through assessment of fetal movements, heart rate, breathing, and amniotic fluid.

Question 24

What are the signs that placenta previa is progressing to a more severe stage?

Answer 24

Increased bleeding, decreased fetal movement, and signs of shock in the mother.

Question 25

What should be done if a woman with placenta previa experiences heavy bleeding?

Answer 25

Immediate hospitalization, fluid resuscitation, monitoring, and preparation for potential cesarean delivery.

Question 26

How is anemia managed in a pregnant woman with placenta previa?

Answer 26

Increasing iron and protein intake and monitoring blood count levels to prevent further complications.

Question 27

What is a common complication of preeclampsia in terms of fluid volume?

Answer 27

Increased fluid volume retention due to sodium retention and magnesium sulfate administration.

Question 28

What is the nursing intervention for impaired gas exchange in preeclampsia?

Answer 28

Monitor respiratory status, assess for signs of pulmonary edema, and manage oxygen levels to prevent hypoxia.