High Risk Pregnancy Flashcards Preview

LVN SEMESTER III > High Risk Pregnancy > Flashcards

Flashcards in High Risk Pregnancy Deck (56):
1

Hyperemesis gravidarum:

Excess vomiting during pregnancy.

2

Nursing action for hyperemesis gravidarum bordering on severe dehydration:

Start an IV of lactated ringers.

3

Possible outcome for untreated severe hyperemesis gravidarum:

Fetal or maternal demise.

4

Identical twins sharing a placenta and ovum:

Monozygotic twins.

5

Fraternal twins that do not share a placenta or ovum:

Dizygotic twins.

6

Potential risk(s) for multigravida, multiple fetuses pregnancy:

Over distention of the uterus.

Premature delivery.

7

Procedure(s) done for ectopic pregnancy:

Salpingectomy.

Salpingotomy.

8

Ectopic pregnancy:

An ovum fertilized outside the uterus.

9

D&C (dilation and curettage) procedure:

Dilation of the cervix followed by scraping of the uterus.

10

Spontaneous abortion, but not all products were expelled:

Incomplete abortion.

11

Placenta previa:

Placenta transplants in the lower uterine segments.

12

Symptoms of placenta previa:

Painless vaginal bleeding.

13

Abruptio placentae:

Placenta lifts off the uterus.

14

Symptoms of abruptio placentae:

Severe pain.

15

Palpation of abdomen with abruptio placentae:

Rigid, board like between contractions.

16

Patient positioning for abruptio placentae:

Modified side laying left, with wedge under right hip.

17

Medication used to treat preeclampsia:

Magnesium sulfate.

18

Preeclampsia:

Pregnancy induced hypertension.

19

Carriers of toxoplasmosis:

Cat litter boxes.

Raw or uncooked meats.

20

Concern for young, underdeveloped teenage girl in labor:

Head of the fetus will be too big to fit through her true pelvis.

21

Condition when head of the fetus is too big to fit through the true pelvis:

Cephalopelvic disproportion disorder.

22

Gestation where baby is considered preterm:

37 weeks = term.

23

Most significant problem that occurs in preterm babies:

Respiratory distress.

24

Signs and Symptoms of respiratory distress in a preterm newborn:

Grunting.

Flaring.

Retractions.

Cyanosis.

25

Monitoring for a preterm baby to diabetic mother:

Hypoglycemia.

26

Pathological jaundice:

Born with it in the 1st 24 hours of life.

27

Phototherapy:

Fluorescent light converts bilirubin to water so it can be excreted.

28

PIH:

Pregnancy induced hypertension (preeclampsia).

29

Monitoring for PIH:

Edema.

Proteinuria.

Visual disturbances.

Urine output.

Deep tendon reflexes.

30

PPD:

Postpartum depression.

31

Breastfeeding, with sudden high fever and reddened area on the breast:

Mastitis.

32

Medication for treatment of mastitis:

Antibiotics.

33

Timeframe for Rh immuno globulin injection:

72 hours.

34

TORCH:

Toxoplasmosis.

Other infections.

Rubella.

Cytomegalovirus (CMV).

Herpes.

35

Signs and Symptoms of disseminated intravascular coagulation (DIC):

Petechia.

Signs of bleeding.

Blood oozing from every orifice.

36

Common signs of postpartum hemorrhage:

Retained placenta.

Lacerations.

Multiple fetuses.

37

Differences between placenta previa and abruptio placentae:

Pain.

AP - Severe pain and rigid abdomen.

PP - Painless bright red bleeding.

38

Missed spontaneous abortion:

The fetus is still in utero but is no longer alive.

39

Measurement before giving dosage of the stimulant Terbutaline:

Heart rate.

40

Term for >3 consecutive spontaneous abortions:

Habitual spontaneous abortions.

41

HELLP:

H - hemolysis.

EL - elevated liver enzymes.

LP - low platelet count.

42

Toxemia:

Eclampsia.

43

Consequences of toxemia (eclampsia):

Seizures.

44

Additional symptom to monitor for PIH with +1 pitting edema in lower extremities:

Blurred vision.

Headache.

Epigastric pain.

Drowsiness.

45

Can a patient with eclampsia leave the hospital and return home?

No.

46

Physician orders for eclampsia:

Magnesium sulfate.

Bed rest.

47

Test for reports of bright red painless vaginal bleeding at 22-28 weeks gestation:

Ultrasound.

48

Monitor for most post-term neonates:

Hypoglycemia - glucose levels.

49

Priority intervention for 43 week post-term infant with APGAR of 1-4:

Oxygen for airway.

50

Primary question for interpreting pregnancy complaints:

"How many weeks pregnant are you?"

51

Primary risk of mortality in post-term infants:

Hypoxemia.

Lack of oxygen once the placenta has worn out. 40 weeks and it's done.

52

Patient positioning for prolapsed cord protruding from her vagina:

Knee to chest position.

Trendelenburg is contraindicated because gravity can compress the cord.

53

Difficulty for preterm infants related to large body surface area, with decreased brown fat:

Thermal regulation.

54

Characteristics of post term infant's skin:

Less vernix.

Hypoglycemic.

55

Hemolytic anemia occurs when a mother is sensitized to:

Rh factor.

56

Drug classification ordered for admittance during preterm labor:

Toxicolytic.

Stops or slows down labor.