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Introduction to Maternity and Pediatric Nursing ch.5

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An infant infected with cytomegalovirus may have what serious problems? - 1. Mental retardation 2. Seizures 3. Blindness 4. Deafness 5. Dental abnormalities 6. Petechiae What are the 10 danger signs in pregnancy? - 1. Sudden gush of fluid from the vagina 2. Vaginal bleeding 3. Abdominal pain 4. Persistent vomiting 5. Epigastric pain 6. Edema of face and hands 7. Severe, persistent headache 8. Blurred vision of dizziness 9. Chills with fever greater than 100.4 10. Painful urination and reduced urine output What 3 responsibilities does a nurse have during the assessment of fetal health? - 1. Preparing the patient properly 2. Explaining the reason for the test 3. Clarifying and interpreting the results What is a ultrasound used for during pregnancy? - 1. Confirm pregnancy 2. Identify the site of implantation 3. Verify fetal viability or death 4. Identify multifetal pregnancies 5. Diagnose some fetal structural abnormalities What should a nurse have the pregnant woman do before an ultrasound? - Drink 1-2 quarts of water When using a kick count, when should the woman be evaluated? - 1. Fewer than 3 fetal kicks in an hour 2. Fewer than 10 kicks or cessation of fetal movement for 12 hours How does hyperemesis gravidarum differ from morning sickness? - 1. Persistent nausea and vomiting 2. Significant weight loss (>5% of prepregnant weight) 3. Dehydration 4. Electrolyte and acid-base imbalance 5. Ketonuria What is the medical treatment for hyperemesis gravidarum? - To correct dehydration and electrolyte or acid-base imbalances with oral or IV fluids threatened abortion - cramping and backache with light spotting; cervix is closed and no tissue is passed Inevitable abortion - increased bleeding, cramping; cervix dilates incomplete abortion - bleeding, cramping, dilation of cervix, passage of tissue complete abortion - passage of all products of conception, cervix closes, bleeding stops missed abortion - fetus dies in utero but is not expelled; uterine growth stops; sepsis can occur recurrent abortion - two or more consecutive spontaneous abortions (habitual abortion), usually caused by incompetent cervix or progesterone levels inadequate to maintain pregnancy

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Introduction to Maternity and Pediatric
Nursing ch.5
An infant infected with cytomegalovirus may have what serious problems? - 1. Mental
retardation
2. Seizures
3. Blindness
4. Deafness
5. Dental abnormalities
6. Petechiae

What are the 10 danger signs in pregnancy? - 1. Sudden gush of fluid from the vagina
2. Vaginal bleeding
3. Abdominal pain
4. Persistent vomiting
5. Epigastric pain
6. Edema of face and hands
7. Severe, persistent headache
8. Blurred vision of dizziness
9. Chills with fever greater than 100.4
10. Painful urination and reduced urine output

What 3 responsibilities does a nurse have during the assessment of fetal health? - 1.
Preparing the patient properly
2. Explaining the reason for the test
3. Clarifying and interpreting the results

What is a ultrasound used for during pregnancy? - 1. Confirm pregnancy
2. Identify the site of implantation
3. Verify fetal viability or death
4. Identify multifetal pregnancies
5. Diagnose some fetal structural abnormalities

What should a nurse have the pregnant woman do before an ultrasound? - Drink 1-2
quarts of water

When using a kick count, when should the woman be evaluated? - 1. Fewer than 3 fetal
kicks in an hour
2. Fewer than 10 kicks or cessation of fetal movement for 12 hours

How does hyperemesis gravidarum differ from morning sickness? - 1. Persistent
nausea and vomiting
2. Significant weight loss (>5% of prepregnant weight)

, 3. Dehydration
4. Electrolyte and acid-base imbalance
5. Ketonuria

What is the medical treatment for hyperemesis gravidarum? - To correct dehydration
and electrolyte or acid-base imbalances with oral or IV fluids

threatened abortion - cramping and backache with light spotting; cervix is closed and no
tissue is passed

Inevitable abortion - increased bleeding, cramping; cervix dilates

incomplete abortion - bleeding, cramping, dilation of cervix, passage of tissue

complete abortion - passage of all products of conception, cervix closes, bleeding stops

missed abortion - fetus dies in utero but is not expelled; uterine growth stops; sepsis
can occur

recurrent abortion - two or more consecutive spontaneous abortions (habitual abortion),
usually caused by incompetent cervix or progesterone levels inadequate to maintain
pregnancy

therapeutic abortion - intentional termination of pregnancy to preserve the health of the
mother

elective abortion - intentional termination of pregnancy for reasons other than the health
of the mother

The two types of induced abortions are? - 1. Therapeutic
2. Elective

The 6 types of spontaneous abortions are? - 1. Threatened
2. Inevitable
3. Incomplete
4. Complete
5. Missed
6. Recurrent

Which types of abortion use a D&C? - 1. Incomplete
2. Missed

When is a D&C used? - During the 1st or early 2nd trimesters

_______________ occurs when the fertilized ovum implants outside of the uterine
cavity - Ectopic pregnancy
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