Week 1 ATI: Engage end of chapter exams Flashcards

(28 cards)

1
Q

A nurse is assessing a client who has a cystocele. Which of the following findings should the nurse expect?

Costovertebral angle (CVA) tenderness

Urinary incontinence

Fecal incontinence

Ovarian cyst formation

A

Urinary incontinence.

Urinary incontinence is a manifestation of a cystocele. A cystocele is a prolapse of the bladder into the anterior wall of the vagina. A cystocele is associated with weakened pelvic floor muscles. With decreased bladder support, the risk for urinary incontinence increases.

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2
Q

manifestations of endometriosis

A

short menstrual cycles.
menstrual periods that last longer.

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3
Q

wet mount microscopy test

A

to diagnose trichomoniasis vaginalis

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4
Q

semen analysis test teachings

A

avoid using lube.
avoid ejaculation 2-7 days before test.
simple and non invasive test for fertility.

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5
Q

Candida albicans

A

organisms that cause vaginal yeast infections.

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6
Q

steps of IVF

A

Gonadotropin therapy injections

Egg retrieval from ovary

Fertilization of the egg and sperm in the laboratory

Embryo transfer

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7
Q

manifestation of Breast Cancer

A

immovable breast mass

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8
Q

adenomyosis

A

a condition in which the normal uterine lining (endometrial tissue) grows into the uterine wall muscle. This condition causes infertility due to uterine dysfunction.

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9
Q

manifestation of AUB (abnormal uterine bleeding)

A

blood clots.
decreased Hemoglobin and Hematocrit levels.

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10
Q

risk factor for premenstrual dysphoric disorder (PMDD)

A

childhood sexual abuse

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11
Q

contraindication of taking COC contraceptives?

A

person who has coronary artery disease.

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12
Q

Carpal tunnel during pregnancy

A

Carpal tunnel manifestations are likely to resolve in the postpartum period. They are a result of hormonal changes and fluid accumulation in the body during pregnancy.

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13
Q

response of autoimmune response during pregnancy

A

Clients who have an autoimmune disorder are likely to experience decreased exacerbations of their autoimmune disorder due to the slightly compromised immune system in pregnancy.

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14
Q

manifestations of preeclampsia that needs attention

A

Facial edema.
blurred vision.
Headache.
SOB.
Right side Abd pain.

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15
Q

expected body changes at 36 weeks of gestation

A

vericose veins.
abd stretchmarks.
abd linea nigra.
face melasma.

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16
Q

unsafe foods for pregnant

A

Raw bean sprouts.
any cheeses.
Unpasteurized cider and juices.
raw foods.

17
Q

Difference between Braxton’s Hicks and True Labor

A

Braxton Hicks contractions are initiated from the anterior abdomen, while true labor contractions are initiated from the back and wrap around to the front of the abdomen.

18
Q

chorionic villus sampling (cvs)

A

screen for genetic anomalies

19
Q

what complications are associated with gestational diabetes?

A

fetal macrosomia.
Fetal demise.
preeclampsia.
polyhydramnios (increase in amniotic fluid).

20
Q

A nurse is discussing the fetal implications of uncontrolled hypertension during pregnancy with a primigravida client. Which of the following
statements by the client indicates that teaching has been effective?

“My baby will have high blood pressure if my blood pressure is high.”

“My baby may have a seizure during pregnancy if my blood pressure is high.”

“My baby may have a stroke during pregnancy if my blood pressure is high.”

“My baby may stop growing earlier than expected if my blood pressure is high.”

A

“My baby may stop growing earlier than expected if my blood pressure is high.”

Maternal hypertension may lead to poor placental perfusion, which can result in fetal growth restriction, fetal hypoxia, and fetal death.

21
Q

methotrexate

A

used in the management of ectopic pregnancies

22
Q

classifications of placenta abruption

A

class 0: no manifestations except a clot on the placenta found at birth.

class 1: zero to small amount of vaginal bleeding, slight uterine tenderness, stable vital signs, no manifestation of fetal distress

class 2: zero to moderate amount of vaginal bleeding, significant uterine tenderness with tetanic contractions, change in vital signs, fetal distress, changes in clotting profile alteration.

class 3: zero to heavy vaginal bleeding, tetanic uterus, rigid, board-like abdomen, maternal shock, fetal death, clotting profile alteration.

23
Q

nursing instructions for future pregnancy to a client w/ hx of placental abruption.

A

stop smoking.

Submucosal myomas may have to be removed prior to new pregnancy.

there is increase risk for abruption in the future.

control your HTN.

24
Q

symptoms of spontaneous abortion

A

uterine cramping.
vaginal bleeding.
foul smelling vaginal discharge.

25
when is Cerclage needed to be performed?
used for cervical insufficiency not placenta previa.
26
what is the treatment option for an unstable patient with ectopic pregnancy?
surgery only
27
risk factors of cervical insufficiency
Previous cervical laceration. A LEEP procedure
28
effective breastfeeding
audible swallowing, easy latching, and contentment of the newborn after feeding.