Genetics, Conception & Fetal Dev. (Ch. 3)
A pregnant patient is taking an ACE inhibitor. This medication increases the risk of fetal renal defects.
What is a teratogenic exposure that requires switching medications?
A 30‑week patient reports persistent headache and epigastric pain. These findings suggest a hypertensive pregnancy disorder.
What is preeclampsia requiring immediate evaluation?
A patient in labor exhibits variable decelerations. The nurse’s first action is to reposition the mother.
What is relieving cord compression?
A postpartum uterus is boggy, midline, and above the umbilicus. The first nursing action is fundal massage.
What is uterine atony?
A newborn with jitteriness and a blood glucose of 34 mg/dL needs immediate feeding.
What is neonatal hypoglycemia?
A patient with painful periods and infertility likely has endometrial tissue outside the uterus.
What is endometriosis?
An ultrasound shows oligohydramnios. This finding suggests possible fetal renal impairment.
What is decreased fetal urine output?
A patient’s NST is nonreactive. The next step is performing an ultrasound‑based assessment.
What is a biophysical profile?
A patient receiving oxytocin has contractions every 1 minute with palpable resting tone. The oxytocin should be stopped immediately.
What is tachysystole?
A postpartum patient chills and shakes within one hour of delivery. This is a normal physiological response.
What is postpartum chill?
A newborn is grunting and flaring. The nurse should notify NICU immediately.
What is respiratory distress?
A patient with pelvic pain, fever, and cervical motion tenderness requires immediate antibiotics.
What is pelvic inflammatory disease?
A patient at 12 weeks asks why genetic screening is done so early. Early testing improves the ability to detect chromosomal abnormalities.
What is first-trimester screening?
A patient with hyperemesis gravidarum has ketones in her urine. This indicates dehydration and fat breakdown.
What is the need for IV fluid and electrolyte replacement?
A laboring mother is 8 cm dilated and screaming, “I can’t do this!” This emotional sign indicates transition phase.
What is the end of the first stage of labor?
A C‑section patient reports calf pain and warmth. This requires provider notification
What is suspected DVT?
A late‑preterm infant has difficulty coordinating suck, swallow, and breathe. The nurse uses paced feeding and frequent rest breaks.
What is immature feeding readiness?
A woman with a history of smoking and HPV is overdue for screening. She is at increased risk for cervical cancer.
What is the need for a Pap + HPV co-test?
A fetus at 26 weeks is expected to survive because a crucial lung substance is now forming.
What is surfactant?
A client has painless vaginal bleeding at 32 weeks. A key nursing priority is avoiding vaginal exams.
What is placenta previa?
Late decelerations persist despite repositioning and IV fluids. The next nursing action is to apply oxygen and notify the provider.
What is concern for uteroplacental insufficiency?
A postpartum patient with saturated pads every 15 minutes and a firm uterus likely has retained placental fragments.
What is secondary postpartum hemorrhage?
A newborn of a diabetic mother is large for gestational age. The priority is continuous glucose monitoring.
What is risk for hypoglycemia?
A patient reports urinary frequency and burning. A clean‑catch urine sample is needed.
What is suspected UTI?
A mother tests positive for a genetic condition that follows an autosomal recessive pattern. Both parents must carry the gene for the fetus to be affected.
What is a 25% chance of the fetus inheriting the disorder?
A 36‑week patient exposed to Zika virus needs additional fetal monitoring to assess for microcephaly.
What is serial ultrasound monitoring?
A patient suddenly reports tearing abdominal pain and loss of fetal station during labor. This requires an emergency cesarean.
What is a suspected uterine rupture?
A postpartum patient with mood swings, difficulty sleeping, and crying spells beyond two weeks may require evaluation.
What is postpartum depression?
A newborn with jitteriness, high‑pitched cry, and poor sleep likely needs a NAS scoring tool.
What is neonatal abstinence syndrome?
A woman presents with unilateral pelvic pain and shoulder pain. This requires emergency evaluation.
What is a ruptured ectopic pregnancy?