Placenta
Madison and violet are: SATA
a. Cat fans
b. Coffee addicts
c. Vegetarians
d. Mouth breathers
a. Cat fans
c. Vegetarians
d. Mouth breathers
The nurse is caring for a prenatal client at 38 weeks' gestation whose ultrasound reveals approximately 3000 mL of amniotic fluid. She complains of shortness of breath, and has 2+ pitting edema in her lower extremities. The nurse anticipates preparation for:
a. Intravenous antibiotics.
b. Delivery by cesarean.
c. Amniocentesis.
d. Amnioinfusion.
c. Amniocentesis.
You are caring for a patient with severe preeclampsia, receiving magnesium sulfate. Which of the following would indicate the need to administer the antidote?
a. 7 respirations per minute
b. Hyperexcitable
c. Severe headache
d. Deep tendon reflexes 2+
a. 7 respirations per minute
Bonus: what is the antidote?
Match the fetal heart pattern to the likely cause:
a. Accelerations
b. Variable decelarations
c. Late decorations
d. Early decorations
Placental insufficiency
Okay!
Head compression
Cord compression
a. Accelerations = Okay!
b. Variable decelerations = Cord compression
c. Late decelerations = Placental insufficiency
d. Early decelerations = Head compression
A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to experience a tonic-clonic seizure. Which of the following would the nurse AVOID during the seizure?
a. Placing the patient in a supine position
b. Holding down the patient’s head to prevent injury
c. Staying with the patient and activating the emergency response team
d. Timing the seizure
e. Providing 8 to 10 L of oxygen
a. Placing the patient in a supine position
b. Holding down the patient’s head to prevent injury
Which statement is the most complete and accurate description of medical abortions?
a. They are performed only for maternal health.
b. They can be achieved through surgical procedures or with drugs.
c. They are mostly performed in the second trimester.
d. They can be either elective or therapeutic.
d. They can be either elective or therapeutic.
Bonus: What is the difference between a spontaneous abortion and a stillbirth?
What education does the nurse give to a patient that chooses to suppress lactation?
a. “Run warm water over you breasts to relieve discomfort”
b. “Take strong analgesics for pain”
c. “Drink lots of fluids with electrolytes”
d. “Wear a breast binder for the first 72 hours after giving birth”
d. “Wear a breast binder for the first 72 hours after giving birth”
The nurse would expect which maternal cardiovascular finding during labor?
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure
The nurse would expect which maternal cardiovascular finding during labor?
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure
A patient has a 3 hour glucose tolerance test performed. The results are the following: Fasting 94 mg/dL, 1 hour 210 mg/dL, 2 hour 180 mg/dL, 3 hour 89 mg/dL. Identify which results are abnormal: Select all that apply:
a. Fasting result
b. 1 hour result
c. 2 hour result
d. 3 hour result
b. 1 hour result
c. 2 hour result
You are a nurse working in a community health clinic. You are currently caring for a postpartum patient complaining of redness and pain on her right breast and fevers. What education are you going to ensure the new mom receives?
a. The correct frequency of breastfeeding
b. To avoid breastfeeding when having these symptoms
c. Baby oral care
d. How to use cabbage leaves
a. The correct frequency of breastfeeding
Bonus: What condition are you suspecting? What are the causes?
During a prenatal visit a patient tells you her last menstrual period was November 25, 2016. Based on the Naegele's Rule, when is the estimated due date of her baby?
A. October 1, 2017
B. September 10, 2017
C. August 28, 2016
D. September 1, 2017
During a prenatal visit a patient tells you her last menstrual period was November 25, 2016. Based on the Naegele's Rule, when is the estimated due date of her baby?
A. October 1, 2017
B. September 10, 2017
C. August 28, 2016
D. September 1, 2017
What is the most accurate way to determine gestational age?
To teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor?
a. Bloody show
b. Cervical dilation and effacement
c. Fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes
To teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor?
a. Bloody show
b. Cervical dilation and effacement
c. Fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes
A father and mother are carriers of phenylketonuria (PKU), an autosomal recessive disorder. Their 2-year-old daughter has PKU. The couple tells the nurse that they are planning to have a second baby. Because their daughter has PKU, they are sure that their next baby won't be affected. What response by the nurse is most accurate?
a. Good planning; you need to take advantage of the odds in your favor.
b. I think you'd better check with your doctor first.
c. You are both carriers, so each baby has a 25% chance of being affected.
d. The ultrasound indicates a boy, and boys are not affected by PKU.
c. You are both carriers, so each baby has a 25% chance of being affected.
Bonus: What if one parent had PKU?
A 34-year-old female is currently 16 weeks pregnant. You're collecting the patient's health history. She has the following health history: gravida 5, para 4, BMI 28, hypertension, depression, and family history of Type 2 diabetes. Select below all the risk factors in this scenario that increases this patient’s risk for developing gestational diabetes?
a. 24-years-old
b. 16 weeks pregnant
c. Gravida 5, para 4
d. BMI 28
e. Hypertension and overweight
f. Depression
g. Family history of Type 2 diabetes
d. BMI 28
e. Hypertension and overweight
g. Family history of Type 2 diabetes
Ann is pregnant now and has had 1 miscarriage at 12 weeks, a son born at 36 weeks, a daughter born at 39 weeks, and a son born at 25 weeks that died shortly after delivery.
What is her GTPAL?
a. 41213
b. 51212
c. 53002
d. 51213
Ann is pregnant now and has had 1 miscarriage at 12 weeks, a son born at 36 weeks, a daughter born at 39 weeks, and a son born at 25 weeks that died shortly after delivery.
What is her GTPAL?
a. 41213
b. 51212
c. 53002
d. 51213
Assessment reveals that a woman's cervix is approximately 1 cm in length. The nurse would document this as:
a) 100% effaced
b) 50% effaced
c) 0% effaced
d) 75% effaced
Assessment reveals that a woman's cervix is approximately 1 cm in length. The nurse would document this as:
a) 100% effaced
b) 50% effaced
c) 0% effaced
d) 75% effaced
Which of the following lab values would cause you to suspect HELLP syndrome? SATA
a. ALT of 150
b. AST of 32
c. Platelets of 400,000
d. Blood glucose of 153
e. Hematocrit of 6.8
f. Bilirubin of 1.5
a. ALT of 150
e. Hematocrit of 6.8
f. Bilirubin of 1.5
You are about to initiate a code crimson for a 24 year old patient who was admitted following complaints of prolonged pelvic pain and vaginal bleeding. She admitted herself to the ER following sharp pain that refers to her shoulder. Which of the following conditions would you expect?
a. Placental abruption
b. PCOS
c. Fallopian tube rupture
d. Spontaneous abortion
c. Fallopian tube rupture
What is the typical cause of fallopian tube ruptures?
Which of the following are not normal/expected changes during pregnancy? (SATA)
a. Changes in posture and gait
b. High blood pressure
c. Development of skin hyperpigmentation
d. Craving things like ice or clay
e. Shortness of breath
f. Persistent and uncontrollable nausea and vomiting before 9 weeks
Which of the following are not normal/expected changes during pregnancy? (SATA)
a. Changes in posture and gait
b. High blood pressure
c. Development of skin hyperpigmentation
d. Craving things like ice or clay
e. Shortness of breath
f. Persistent and uncontrollable nausea and vomiting before 9 weeks
What is this hyperpigmentation called?
What are these cravings called?
What differentiates Braxton Hicks contractions from true labor?
a) Braxton Hicks contractions get closer together with activity
b) Braxton Hicks contractions cause "ripening" of the cervix.
c) Braxton Hicks contractions usually decrease in intensity with walking
d) Braxton Hicks contractions do not last long enough to be true labor
What differentiates Braxton Hicks contractions from true labor?
a) Braxton Hicks contractions get closer together with activity
b) Braxton Hicks contractions cause "ripening" of the cervix.
c) Braxton Hicks contractions usually decrease in intensity with walking
d) Braxton Hicks contractions do not last long enough to be true labor