In the beginning
Discuss the psychosocial adaptations pregnant women go through
1st trimester- self focused- fatigue,nausea, tender breasts
2nd trimester- self image, focused on baby and what kind of mother they want to be
3rd trimester- more vulnerable, nesting,
This test is done to confirm pregnancy viability and location of placenta.
What is ultrasound?
A client at 36 weeks of gestation is admitted with a diagnosis of placenta previa. Which of the following signs and symptoms would the nurse expect to find? A) Abdominal pain and tenderness B) Vaginal bleeding C) Severe headache and blurred vision D) Decreased fetal movement
Answer: B Vaginal bleeding
The healthcare provider prescribes magnesium sulfate for a client with severe preeclampsia. The nurse knows that this medication is primarily administered to:
a) Lower blood pressure b) Prevent seizures c) Stimulate uterine contractions d) Promote fetal lung maturity
Answer: b) Prevent seizures
What are the functions of the placenta?
What is Transfer of nutrients and antibodies, gas exchange, waste removal, and secrete hormones?
What is the recommended weight gain for a client with a prepregnancy BMI of 22?
What is 25-35 lbs
Elevated levels of this are associated with neural tube defects, underestimation of gestational age, undiagnosed multiples, and fetal demise?
What is Alpha-Fetoprotein (AFP)?
Pregnant women with gestational diabetes are at risk for this term indicating excessive amniotic fluid volume.
What is polyhydramnios or hydramnios?
A pregnant client at 32 weeks gestation is diagnosed with preeclampsia. Which assessment finding would the nurse expect to observe?
a) Hypotension b) Bradycardia c) Proteinuria d) Increased fetal movement
Answer: c) Proteinuria
Fundal height greater than estimated gestational age
passage of grape like cluster
dark red vaginal bleeding
higher than expected HCG levels
What condition manifests with these signs and symptoms?
What is a molar pregnancy?
Fetal circulation consists of ____ that carry deoxygenated blood to the placenta and _____ that carry oxygenated blood to the fetus.
What are 2 arteries and 1 vein?
A pregnant patient has a nonstress test performed. The results showed the baby had 4 fetal heart rate accelerations of at least 15 beats/min that lasted 15 seconds from start to finish in association with fetal movement during 20 minutes. The results of this would be documented as:
A. "Reactive" Nonstress Test
B. "Nonreactive" Nonstress Test
C. Negative Contraction Stress Test
D. Positive Contraction Stress Test
What is A? Reactive Nonstress test
A client at 28 weeks of gestation with a diagnosis of placenta previa presents to the labor and delivery unit with painless vaginal bleeding. What should the nurse instruct the client to avoid?
A. Sexual intercourse
B. Walking or physical activity
C. Taking iron supplements
D. Drinking caffeinated beverages.
A. Sexual intercourse.
The nurse is assessing a pregnant client with suspected preeclampsia. Which symptom would be of most concern?
a) Mild headache b) Mild lower back pain c) Visual disturbances d) Mild swelling in the ankles
Answer: c) Visual disturbances
Bluish discoloration of vaginal mucosa and cervix caused by vascular congestion
What is Chadwick's sign?
Ethical theories used along with ethical principles to solve ethical dilemmas
What are utilitarian, human rights, and deontolog theories?
Amniocentesis is performed at which point in the pregnancy?
What is 15-20 weeks?
You're performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician?
A. Oozing around the IV site
B. Tender uterus
C. Hard abdomen
D. Vaginal bleeding
A. Oozing around the IV site can indicate the patient is entering into DIC (disseminated intravascular coagulation) because clotting levels have been depleted.
What is absent DTR, slurred speech, decreased LOC, Respirations <12?
Using Nagele's rule, calculate the EDD based on an LMP of 4/31
What is Feb 7?
What is providing primary care during pregnancy, delivery, and Postpartum; annual well woman exams, and performing circumcisions and assisting with c-sections (with proper training)
A patient completes a one hour glucose tolerance test. The patient’s result is 190 mg/dL. As the nurse you know that the next step in the patient’s care is to?
A. Continue monitoring pregnancy, the test is normal
B. Reassess blood glucose in 2 weeks
C. Notify the physician who will order the patient to take a 3 hour glucose tolerance test
D. Provide education to the patient about how to manage gestational diabetes during pregnancy
C.
A test result >140 mg/dL for 1 hour glucose tolerance test requires that the patient take a 3 hour glucose tolerance test. This test will be used to diagnose if the patient has gestational diabetes.
What is methotrexate?
Hyperemesis gravidarum management includes:
replacement of fluids/electrolytes, small frequent bland meals, TPN, medications- Pyridoxine/doxylamine, prilosec, reglan, benadryl, pepcid, zofran pump
Spontaneous abortion with passage of fetal tissue but no membranes is called
What is incomplete abortion?