QUIZ 2: NURSING CARE OF A FAMILY EXPERIENCING A PREGNANCY COMPLICATION FROM A PREEXISTING OR NEWLY ACQUIRED ILLNESS

Question 1

A suddenly developing pathologic condition in a patient, due to an accidentt or disease, which requires urgent medical or surgical therapeutic intervention.

Answer 1

OBSTETRIC EMERGENCY

Question 2

Hyperdynamic, hypervolemic, maternal circulation
Cardiac output increases by 50%, blood volume by 45% (peak at 32- 34 weeks)
30% loss of fluid may be tolerated without tachycardia

Answer 2

PREGNANCY CHANGES

Question 3

___complicates only 1% of pregnancies but accounts for 5% of maternal deaths.

Answer 3

HIGH-RISK PREGNANCY: CARDIOVASCULAR SYSTEM

Question 4

Occurs in conditions such as mitral stenosis, mitral insufficiency, and aortic coarctation

Answer 4

LEFT-SIDED HEART FAILURE

Question 5

to allow fluid to settle to the bottom of the woman’s lungs and free spaces for gas exchange

Answer 5

Orthopnea

Question 6

sudden waking at night due to shortness of breath

Answer 6

Paroxysmal nocturnal dyspnea

Question 7

Occurs when the output of the right ventricle is less than the blood volume received by the right atrium from the vena cava

Answer 7

RIGHT-SIDED HEART FAILURE

Question 8

Is an endocrine disorder in which the pancreas cannot produce adequate insulin to regulate body glucose levels

Answer 8

A WOMAN WITH DIABETES MELITUS

Question 9

____ during pregnancy-including type 1, type 2, or gestational diabetes-can negatively affect the health of women and their babies.

Answer 9

Diabetes

Question 10

___ is a rare condition in young adults and especially in pregnancy, because women with symptoms of untreated hypothyroidism are often anovulatory and unable to conceive

Answer 10

Hypothyroidism

Question 11

____Is the most common anemia of pregnancy, complicating as many as 15% to 25% of all pregnancies.

Answer 11

Iron- deficiency anemia

Question 12

____ necessary for the normal formation of RBCs in the mother as well as being associated with preventing neural defects in the fetus.

Answer 12

Folic acid, or folacin, one of B vitamins,

Question 13

___ is a recessively inherited hemolytic anemia caused by an abnormal amino acid in the beta chain of hemoglobin

Answer 13

Sickle cell anemia

Question 14

_____ (common cold) tends to be more severe during pregnancy than at other times because during pregnancy, estrogen stimulation normally causes some degree of nasal congestion.

Answer 14

Acute nasopharyngitis

Question 15

____ is caused by a virus, identified as type A, B, or C. The disease spreads in epidemic form and is accompanied by high fever, extreme prostration, aching pains in the back and extremities, and generally a sore, raw throat.

Answer 15

Influenza

Question 16

is the bacterial or viral invasion of lung tissue by pathogens such as S. pneumoniae

Answer 16

Pneumonia

Question 17

____ during pregnancy creates such an acute illness that it is associated with high incidences of spontaneous miscarriage, preterm birth, and intrauterine growth restriction.

Answer 17

SARS

Question 18

____ is a disorder marked by reversible airflow obstruction, airway hyperreactivity, and airway inflammation

Answer 18

Asthma

Question 19

With ____, lung tissue is invaded by Mycobacterium tuberculosis, an acid-fast bacillus.

Answer 19

tuberculosis

Question 20

__ is constriction of the airway associated most often with long-term cigarette smoking

Answer 20

COPD