VATI Remediation Maternal newborn || Questions with complete solutions

Uterine Fibroids (Leiomyomas) correct answers -Grow during preg. due to increased estrogen. shrink during menopause, unless HRT - Can ↑ risk of post partum hemorrhage, miscarriage, preterm birth - will need multiple ultrasounds throughout to minitor Tx: Myomectomy (remove fibroids) Hysterectomy Ablation (hot fluid) hydatidiform mole (molar pregnancy) correct answers o Benign neoplasm that can turn malignant; starts like any other normal pregnancy o Grape-like clusters of fluid filled cysts Slough off causing dark brown discharge o May/may not have a fetus involved, usually fetus is not involved s/s are the - uterus enlarges way too fast; - absence of fetal heart tones; - bleeding (sometimes will have vesicles); - confirmed with an ultrasound -increased urinary output Preterm labor treatment correct answers Betamethasone Glucocorticoid to promote fetal lung maturation renal agenesis correct answers Absence of fetal kidneys causing oligohydramnios: a volume of amniotic fluid less than 300 mL during the third trimester of pregnancy and occurs when there is a renal system dysfunction or obstructive uropathy. Cause of Late Decelerations correct answers a nonreassuring FHR pattern resulting from fetal HYPOXEMIA due to INSUFFICIENT PLACENTAL PROFUSION. The nurse should reposition the client, initiate oxygen, increase the infusion rate of IV fluid to enhance placental perfusion. Severe Pre-Eclampsia (HELLP) correct answers H- emolysis E- levated L- iver function tests L- ow P- latelet count Best way to determine fluid and elctrolyte balance is by DAILY WTs Treatment for placenta previa correct answers not a lot of bleeding? then bed rest