Medications
Methotrexate?
Inhibits cell division and embryo enlargement, Dissolving the Pregnancy
A nurse is assisting with the care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing this condition? SATA
A. Fetal Positioning
B. Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette Smoking
B, C, E
A nurse is assisting with the care for a client who is receiving nifedipine for prevention go preterm labor. The nurse should monitor the client for which of the following manifestations?
A. Blood-tinged sputum
B. Dizziness
C. Pallor
D. Somnolence
B
What is Antiphospholipid Syndrome?
Immune system makes antibodies that attack tissue in the body
Low-lying Placentae Previa?
The exact relationship of the placenta to the internal os has not been determined.
What is diethylstilbestrol and a risk factor for?
Synthetic form of estrogen. Cervical Insufficiency (premature cervical dilatation)
A nurse is assisting with the care for a client who is at 32 weeks of gestation and a has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following medications should the nurse expect the provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine
A
A. Use condom with sexual intercourse
B. Avoid bubble bath solution when taking a tub bath
C. Wipe from the back to front when performing perineal hygiene
D. Keep a daily record of fetal kick counts
D
Macrosomia?
Big Baby
For a Partial Mole genetically derives from..?
Both Maternal and Paternal Genetics
What is the antidote to Magnesium Sulfate?
Calcium gluconate or Calcium Chloride
A nursing is assisting with the care of a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected?
A. Nifedipine
B. Pyridoxine
C. Ferrous Sulfate
D. Calcium Gluconate
Calcium gluconate
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse identify that which of the following are risk factors for the client?
A. Diabetes
B. Multifetal Pregnancy
C. Maternal age greater that 40
D. Gestational trophoblastic disease
E. Oligohydramnios
A, B, D
Laparoscopic salpingectomy?
Removal of the Fallopian tube.
What medication is given late in the 1st trimester of clients with history of early onset preeclampsia?
Daily low dose aspirin
Therapeutic Intention of Nifedipine?
To suppress contractions by inhibiting calcium from entering smooth muscle.
A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates understanding of the teaching?
A. "I will take this pill with my breakfast."
B. "I will take this medication with a glass of milk."
C. "I plan to drink more orange juice while taking this pill."
D. "I plan to add more calcium-rich foods to my diet while taking this medication."
C
A nurse is assisting with the care for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?
A. No alteration in menses
B. Transvaginal ultrasound indicating a fetus in the uterus
C. Blood progesterone greater than the expected reference range
D. Report of severe shoulder pain
D.
Premature rupture of membranes (PROM)?
Spontaneous rupture of the amniotic membranes prior to onset of true labor.
Prophylactic Cervical Cerclage?
Surgical reinforcement of the cervix, best if done 12-14 weeks, removed 36-38 weeks
What does Betamethasone do?
Enhances fetal lung maturity and surfactant production in fetuses between 24 to 34 weeks of gestation
A nurse is assisting with the care for a client who reports manifestations of preterm labor. Which of the following findings are risk factors of this condition? SATA
A. Urinary Tract Infection
B. Multifetal Pregnancy
C. Hydramnios
D. Diabetes Mellitus
E. Uterine Abnormalities
B, D, E
A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following findings is a manifestation of this condition?
A. Hgb 12.2 g/dL
B. Urine ketones present
C. Alanine aminotransferase 20 IU/L
D. Blood glucose 114 mg/dL
B.
Preterm premature rupture of membranes (PPROM)?
Premature spontaneous rupture of membranes after 20 weeks of gestation, before 37 weeks
Kleihauer-Betke Test?
Used to detect fetal Blood in maternal Circulation.