High-Risk Pregnancy & Labor
This complication occurs when a fertilized ovum implants outside the uterine cavity, most commonly in the fallopian tube. One classic symptom is unilateral lower abdominal pain plus possible shoulder pain.
What is ectopic pregnancy?
These contractions become regular, increase in strength, cause cervical change, and don’t go away with walking or hydration.
What are true labor contractions?
Late postpartum hemorrhage most commonly occurs from 24 hours to 6 weeks after birth and is often caused by this retained tissue.
What is retained placental fragments?
Because of their curiosity and climbing skills, this age group requires locked cabinets, outlet covers, stair gates, and supervision around water.
Who are toddlers (1–3 years)?
When discussing sexuality and reproduction, nurses should use this type of language and attitude to encourage questions.
What is clear, nonjudgmental, age-appropriate, and culturally sensitive communication?
This emergency involves premature separation of a normally implanted placenta from the uterine wall. The client often has painful, rigid abdomen and dark red vaginal bleeding.
What is placental abruption?
These contractions are irregular, don’t cause cervical change, and may improve with rest or fluids.
What are false labor contractions?
This breast infection usually occurs in a breastfeeding parent and presents with fever, localized redness, warmth, and breast pain.
What is mastitis?
Most children can walk independently around this age, and many can say a few single words.
What is about 12 months (1 year)?
Teaching point: Males should perform this exam monthly, best done after a warm shower when the scrotal skin is relaxed.
What is a testicular self-exam?
In this type of placenta previa, the placenta partially covers the internal cervical os.
What is partial placenta previa?
This type of labor is characterized by weak, infrequent contractions that are not effective at dilating the cervix.
What is hypotonic labor?
This newborn has dry, cracking, peeling skin, long nails, and little vernix or lanugo and is born after 42 weeks’ gestation.
What is a postterm infant?
This type of language refers to what a child understands.
What is receptive language?
This acute condition involves inflammation of the prostate, often with fever, perineal pain, and painful urination.
What is acute prostatitis?
This pregnancy condition is persistent, severe nausea and vomiting that leads to weight loss, dehydration, and electrolyte imbalance.
What is hyperemesis gravidarum?
This dysfunctional labor pattern includes strong, painful, frequent contractions with little cervical change and increases risk of fetal distress and uterine rupture.
What is hypertonic labor?
Teaching for new parents: Babies should always be placed in this position for sleep to reduce the risk of SIDS.
What is on their back (supine)?
This childhood disorder involves persistent violation of rules and the rights of others (lying, stealing, aggression, truancy).
What is conduct disorder?
Medications for this condition (like phosphodiesterase-5 inhibitors) should not be taken with nitrates because of risk of severe hypotension.
What is erectile dysfunction?
This IV medication is given to patients with severe preeclampsia to prevent seizures. The nurse must monitor reflexes, respirations, and urine output.
What is magnesium sulfate?
This scoring system evaluates cervical readiness for induction (dilation, effacement, station, consistency, position). A higher score indicates this medication for induction will be more effective and safer.
What is the Bishop score and oxytocin (Pitocin)?
Teaching point: Car seats for newborns must be placed in this position and location in the vehicle.
What is rear-facing in the back seat?
This most common type of cerebral palsy features stiff muscles, increased tone, and awkward movements due to hypertonicity.
What is spastic cerebral palsy?
Name two of these four common STIs and one key symptom or complication for each: gonorrhea, chlamydia, syphilis, herpes.
Any of the following:
Gonorrhea – purulent discharge, dysuria, PID risk
Chlamydia – often asymptomatic, can cause infertility
Syphilis – painless chancre, later systemic stages
Herpes – painful vesicular lesions, recurrent