Chapter 10 Flashcards
(18 cards)
a patient presents with vaginal bleeding, ruptured membranes, dilated cervix, fever, hypotension, tachycardia, and abdominal cramping. what can you expect this patient to have?
spontaneous abortion
what is a spontaneous abortion?
the loss of a pregnancy before 20 weeks as a result of natural causes
what is the most common sign of a spontaneous abortion?
vaginal bleeding
what data should alert the nurse that the patient is at risk for a spontaneous abortion?
35 yrs of age
a patient has a history of type 1 DM, what is the patient at risk for?
spontaneous abortion
what are the risk factors of a spontaneous abortion?
Chromosomal abnormalities
Maternal illness, type 1 DM
Advanced maternal age
Premature cervical dilation
Chronic maternal infections
Maternal malnutrition
what type of exam should be avoided with a patient that has a spontaneous abortions?
vaginal exam
a nurse is providing education to a patient who recently just had a spontaneous abortion. which of the following statements indicate that patient has a understanding?
I will notify my doctor if I experience bright red bleeding and an elevated temperature
the patient states that she is experiencing a foul smelling lochia. what actions should the nurse take?
advise the patient to notify their hcp
a nurse is providing education to a patient who recently just had a spontaneous abortion. which of the following statements indicate that patient has a understanding?
a small amount of discharge is normal between 1-2 weeks
a nurse is providing education to a patient who recently just had a spontaneous abortion. which of the following statements indicate that patient has a understanding?
I will refrain from anything in the vagina for 2 weeks
what is cervical insufficiency?
premature dilation of cervix
this order should be questioned for a client with cervical insufficiency:
ambulate twice a day
which diagnosis are performed to confirm cervical insufficiency?
ultrasound or cerclage
what therapeutic management techniques are recommended for cervical insufficiency?
bed rest, pelvic rest, avoidance of heavy lifting, hydration, and no intercourse
what are the risk factors of an ectopic pregnancy?
hx of STIs, tubal surgery, IUD, and reproductive technology
what is an ectopic pregnancy?
when a fertilized egg grows outside of the uterus
a patient presents with unilateral cramp like pain in the lower abdominal quadrant. this is a finding of what type of pregnancy?
ectopic pregnancy
