OB - Maternity Exam 3
A 39-year-antique primigravida female is available in for her first prenatal go to. She believes
that she is approximately eight weeks pregnant, although she has had irregular menstrual
periods all her existence. She has a history of smoking about one percent of cigarettes a
day. Her lab consequences are within ordinary limits . What diagnostic method would be
useful at this time? - ANS-Nonstress test (NST).
A placenta accreta can result in: - ANS-Excess vaginal bleeding.
A pregnant female's Biophysical Profile (BPP) score is eight. She asks the nurse to explain
the effects. How need to the nurse respond presently? - ANS-The take a look at
consequences are within ordinary limits.
A girl has come to the health facility for preconception counselling due to the fact she desires
to begin seeking to get pregnant. Which nutritional steerage have to she expect to get hold
of? - ANS-Make certain you include ok folic acid for your food plan.
After the shipping of a LGA baby, the nurse notes the mom has vivid red blood continuously
trickling from her vagina. Her fundus is firm and placed in the midline. The nurse concludes
that which of the subsequent is the most likely motive of the bleeding? - ANS-A perineal
laceration.
Anna's hemoglobin & hematocrit have reduced considering that her prenatal go to that
occurred 2 months in the past. Her midwife started out her on iron complement. What
coaching might Anna want concerning the iron supplementation? - ANS-Make positive to
drink water and devour a high fiber weight loss program to assist with constipation that the
iron may additionally reason.
April is a G3P2 and has been in degree 2 of her labor for 3 hours. Her Certified Nurse
Midwife (CNM) has determined that she can need to have a cesarean segment because of
fetal misery and maternal exhaustion. What are a number of the dangers of the surgical
treatment you anticipate her to talk about with April? - ANS-Possible infection, bleeding and
an increased postpartum recuperation time.
Baby boy Michael is an toddler of a diabetic mother. He is more likely to revel in
hypoglycemia than other babies because: - ANS-His metabolism is a great deal better.
Becky a G3P2 is 28 weeks gestation. She had a cesarean phase with her son due to his
breech role three years in the past. She is discussing a likely TOLAC and VBAC together
with her health practitioner. A TOLAC may be defined as: - ANS-A trial of labor after
cesarean section.
Becky is attempting the TOLAC. During augmentation of exertions with IV Pitocin she will
become faded & diaphoretic and reports intense lower stomach pain. Fetal misery shown as
a extended deceleration is cited on the reveal. The nurse need to suspect a/an: -
ANS-Rupture of the uterus.
Disseminated intravascular coagulation (DIC) is a completely critical hassle of being
pregnant. You suspect your affected person is experiencing it, your precedence nursing
interventions will consist of the subsequent besides: - ANS-Decrease her IV charge of
Lactated Ringers to 50ml/hr to avoid fluid overload.
A 39-year-antique primigravida female is available in for her first prenatal go to. She believes
that she is approximately eight weeks pregnant, although she has had irregular menstrual
periods all her existence. She has a history of smoking about one percent of cigarettes a
day. Her lab consequences are within ordinary limits . What diagnostic method would be
useful at this time? - ANS-Nonstress test (NST).
A placenta accreta can result in: - ANS-Excess vaginal bleeding.
A pregnant female's Biophysical Profile (BPP) score is eight. She asks the nurse to explain
the effects. How need to the nurse respond presently? - ANS-The take a look at
consequences are within ordinary limits.
A girl has come to the health facility for preconception counselling due to the fact she desires
to begin seeking to get pregnant. Which nutritional steerage have to she expect to get hold
of? - ANS-Make certain you include ok folic acid for your food plan.
After the shipping of a LGA baby, the nurse notes the mom has vivid red blood continuously
trickling from her vagina. Her fundus is firm and placed in the midline. The nurse concludes
that which of the subsequent is the most likely motive of the bleeding? - ANS-A perineal
laceration.
Anna's hemoglobin & hematocrit have reduced considering that her prenatal go to that
occurred 2 months in the past. Her midwife started out her on iron complement. What
coaching might Anna want concerning the iron supplementation? - ANS-Make positive to
drink water and devour a high fiber weight loss program to assist with constipation that the
iron may additionally reason.
April is a G3P2 and has been in degree 2 of her labor for 3 hours. Her Certified Nurse
Midwife (CNM) has determined that she can need to have a cesarean segment because of
fetal misery and maternal exhaustion. What are a number of the dangers of the surgical
treatment you anticipate her to talk about with April? - ANS-Possible infection, bleeding and
an increased postpartum recuperation time.
Baby boy Michael is an toddler of a diabetic mother. He is more likely to revel in
hypoglycemia than other babies because: - ANS-His metabolism is a great deal better.
Becky a G3P2 is 28 weeks gestation. She had a cesarean phase with her son due to his
breech role three years in the past. She is discussing a likely TOLAC and VBAC together
with her health practitioner. A TOLAC may be defined as: - ANS-A trial of labor after
cesarean section.
Becky is attempting the TOLAC. During augmentation of exertions with IV Pitocin she will
become faded & diaphoretic and reports intense lower stomach pain. Fetal misery shown as
a extended deceleration is cited on the reveal. The nurse need to suspect a/an: -
ANS-Rupture of the uterus.
Disseminated intravascular coagulation (DIC) is a completely critical hassle of being
pregnant. You suspect your affected person is experiencing it, your precedence nursing
interventions will consist of the subsequent besides: - ANS-Decrease her IV charge of
Lactated Ringers to 50ml/hr to avoid fluid overload.
