05 - COMPLICATIONS DURING PREGNANCY: Key Points

Question 1

Persistent nausea and vomiting of pregnancy; often interferes with nutrition and fluid balance

Answer 1

hyperemesis gravidarum

Question 2

Most common reason for early spontaneous abortion

Answer 2

Abnormality of the developing fetus or the placenta

Question 3

The (unintended) loss of the POC before 20 weeks of gestation; miscarriage

Answer 3

spontaneous abortion

Question 4

If a woman has a tubal rupture from an ectopic pregnancy, the nurse should observe for __

Answer 4

shock

Question 5

Tubal Rupture: Intra-abdominal blood loss can be massive, and ____ may be minimal

Answer 5

vaginal blood loss

Question 6

Gestational Trophoblastic Disease: Must have follow-up care for ___

Answer 6

1 year

Question 7

A woman who has gestational trophoblastic disease should have follow-up care to detect possible development of __

Answer 7

choriocarcinoma

Question 8

T/F: It is allowable for a woman with gestational trophoblastic disease, and currently in follow-up care to become pregnant during this time

Answer 8

FALSE

Question 9

The abnormal implantation of the placenta in the lower part of the uterus

Answer 9

placenta previa

Question 10

The premature separation of the placenta that is normally implanted

Answer 10

abruptio placentae

Question 11

3 Manifestations of Preeclampsia

Answer 11

1. Hypertension
2. Edema
3. Proteinuria

Question 12

NST

Answer 12

non-stress test

Question 13

A (positive/negative) NST indicates heart accelerations, and is reassuring of fetal health

Answer 13

positive NST

Question 14

CST

Answer 14

contraction stress test

Question 15

A negative CST indicates ____.

Answer 15

no late decelerations after a uterine contraction

Question 16

A negative CST (indicates/does not indicate) fetal health

Answer 16

indicates

Question 17

Termination of pregnancy before the fetus is viable

Answer 17

abortion

Question 18

Positioning of the mother during bed rest - that helps improve blood flow to the placenta and prevents pressure on the vena cava

Answer 18

on the left side

Question 19

Blood pressure measurement that is considered hypertension in the pregnant patient

Answer 19

140/90 mm Hg

Question 20

A routine, noninvasive ultrasound examination can (3)

Answer 20

1. Confirm pregnancy
2. Detect some anomalies
3. Show the sex of fetus

Question 21

___ can be administered to an Rh-negative mother to prevent blood incompatibilities between the mother and an Rh-positive fetus

Answer 21

RhoGAM (Rh o (D) immune globulin)

Question 22

GDM: The newborn may be excessively large, called ___

Answer 22

macrosomia

Question 23

T/F: GDM occurs during pregnancy and resolves after pregnancy - the mother will not develop DM later in life

Answer 23

FALSE

Question 24

TORCH diseases of pregnancy include:

Answer 24

TO-xoplasmosis
R-ubella
C-ytomegalovirus
H-erpes

Question 25

UTIs are more common during pregnancy because ___

Answer 25

compression and dilation of the ureters result in urine stasis

Question 26

__ __ is more likely to occur if a woman has pyelonephritis

Answer 26

Preterm labor

Question 27

pyelonephritis

Answer 27

kidney infection

Question 28

The fetus of a woman who takes drugs (legal or not), or drinks alcohol is exposed to HIGHER LEVELS of the substance for a LONGER TIME - because the substances ___

Answer 28

become CONCENTRATED in the amniotic fluid, and the fetus INGESTS the fluid

Question 29

The woman experiencing abortion needs the nurse to LISTEN and ACKNOWLEDGE the grief. Open communication techniques such as (4) can accomplish this goal.

Answer 29

1. Provide QUIET presence
2. Expressing SYMPATHY
3. Make OPEN-MINDED statements
4. Providing REFLECTION

Question 30

Priority interventions for pt receiving magnesium sulfate for preeclampsia include (3)

Answer 30

1. monitor uterine MUSCLE TONE
2. monitor URINE OUTPUT
3. monitor RESPIRATORY RATE

Question 31

Pt receiving magnesium sulfate for preeclampsia: Monitor uterine muscle tone to assess for ___

Answer 31

complications or signs of labor

Question 32

Pt receiving magnesium sulfate for preeclampsia: Monitor urine output and respiratory rate to assess for ___

Answer 32

signs of toxicity

Question 33

T/F: The pt receiving magnesium sulfate for preeclampsia is kept NPO

Answer 33

FALSE (pt can have ice chips and sips of water during tx)

Question 34

Hydatidiform mole may cause (4)

Answer 34

1. Hemorrhage
2. Clotting abnormalities
3. Hyptertension
4. Choriocarcinoma (later devel.)

Question 35

Primary difference between Placenta Previa and Abruptio Placentae

Answer 35

presence of PAIN

Question 36

Bleeding, accompanied by ___ is a typical characteristic of abruptio placentae

Answer 36

abdominal or low back pain

Question 37

Manifestations of placenta previa include painless vaginal bleeding that is usually ___

Answer 37

bright red

Question 38

The nurse’s intervention with an abused woman is successful if she has assess the status of the woman and ___

Answer 38

informed her of her safety options