Chapter 6 Nursing Care During Pregnancy
How do you determine the estimated date of delivery?
Subtract three months from the first day of the last menstual period and then add 7 days.
What is pregnancy loss or termination?
Abortion
What is the opening of the closed cervix called?
Dilation
A child is demonstrating involuntary wormlike muscular movements that are minimized during sleep. Which type of cerebral palsy is likely present in this patient?
A. Ataxic
B. Spastic
C. Hypotonic
D. Dyskinetic
D. Dyskinetic
Inflammation of the conjunctiva or "pinkeye"
Conjunctivitis
Name 3 components of prenatal history
-Obstetric
-Menstrual
-Contraceptive
-Medical and surgical
-Women's family
-Partner's family
-Woman and partner's risk factors
-Psychosocial
The bleeding disorders of pregnancy can affect perfusion. Which of the following nursing interventions are appropriate when assessing a patient with blood loss? Select all that apply
A. Monitoring vital signs
B. Noting capillary refill time and peripheral pulses
C. Inspecting perineal pads
D. Administering IV fluids and blood products as ordered by the provider.
All- A, B, C, D
What is the longest stage of birth?
The first stage
What is the last body system to mature in a child?
The nervous system
Nearsightedness
Myopia
What is an amniocentesis?
Performed to diagnose Down syndrome, cystic fibrosis, spinal bifida, and other genetic disorders
What should the nurse consider is occuring with a patient who is 8 weeks pregnant and suddenly experiences severe abdominal pain?
A. Placenta previa
B. Ectopic pregnancy
C. Spontaneous abortion
D. Gestational trophoblastic disease
B. Ectopic pregnancy
What is the peak of contraction called?
Acme
The LPN observes the RN assessing a newborn patient. Which sense does the LPN expect to be fully intact upon birth?
A. Taste
B. Olfaction
C. Visual Acuity
D. Muscle Tone
B. Olfaction
Abnormal alignment of the eyes
What is a normal fetal heartbeat?
110-160 bpm
Name 3 signs or symptoms of gestational diabetes
- Increased thirst
-Feeling hungrier and eating more than usual
-increased urination
-Fatigue
-Frequent infections of the bladder, vagine, and skin
-Blurred vision
Name the 7 P's of labor
-Passage
-Passenger
-Powers
-Position
-Psyche
-Pain management
-Patience
What area of the brain is responsible for sensory coordination, interpretation, and taste?
A. Parietal Lobe
B. Frontal Lobe
C. Thalamus
D. Hypothalamus
A. Parietal Lobe
Malignant tumor of the retina affecting one or both eyes
Retinoblastoma
What is the GTPAL system?
G- the number of pregnancies, regardless of the outcome or number of fetuses (G represents gravida)
T- the number of term infants born at 37 weeks of gestation and beyond
P- the number of preterm infants born after 20 weeks of gestation and before 37 weeks of gestation
A- the number of pregnancies that ended in a spontaneous or therapeutic abortion
L- the number of living children
A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?
A. Placenta previa
B. Hydatidiform mole
C. Abruptio placenta
D. Disseminated intravascular coagulation
B. Hydatidiform mole
Name 2 signs of labor
-Bloody show
-Burst of energy
-Lightening
-Contractions
-Spontaneous rupture of membranes
An infant is admitted with an enlarged head circumference, bulging fontanelles, and sunset eyes. Which neurological condition does the nurse suspect?
A. Microcephaly
B. Intraventricular hemorrhage
C. Reye Syndrome
D. Hydrocephalus
D. Hydrocephalus
Outward deviation of the eye laterally
Exotropia