Week7: Quiz Chapter 7 N306 Study
Guide.
A pregnant woman comes in and is in PTL. The nurse describes how she is going to give her
Corticosteroids. The patient asks why. What is the best response? - Answer Corticosteroids
(Betamethasone) are for fetal lung maturity to speed up the process of lung surfactant in the
fetus
What are risk factors for perinatal loss? (miscarriage, spontaneous abortion, and early
pregnancy loss) - Answer Increased parity, increased maternal and paternal age, diabetes,
drug use, environmental toxins, autoimmune diseases, infections, uterine or cervical
abnormalities
What would assessment findings of early pregnancy complications be? - Answer Uterine
bleeding first, then cramping, abdominal pain in a few hours to several days later
If a woman is having an ectopic pregnancy and her tube has not burst, what medication would
you give her? - Answer Methotrexate
If fallopian tube is ruptured --> Go to OR
What are predisposing factors in ectopic pregnancies? - Answer Pelvic Inflammatory disease,
Previous ectopic pregnancies, Endometriosis, STDs, cigarette smoking, *exposure to the drug
diethylstilbestrol (DES) during mothers pregnancy*, increased age
What is an early sign of ectopic pregnancy? - Answer Referred shoulder pain due to bleeding
in the perineum
What is an acute sign of ectopic pregnancy? - Answer *blueish discoloration around the
umbilicus*
What is involved in the Biophysical? - Answer Fetal Movement, Breathing, movement, fluid
index, NST
The nurse suspects preeclampsia. Which of the following is found in the assessment? - Answer
Generalized edema, hypertension, proteinuria, decreased patellar reflexes, epigastric pain,
blurred vision
, A woman comes in and you see in her chart that she has active herpes lesions. What would you
plan for? - Answer C-section
You are helping a nurse input an order and see fFN, which indicated preterm labor for which
patient? - Answer 29 week lower uterine cramping radiating to the back
All of the following are complications for mothers with GD, except - Answer Preterm labor
*Shoulder dystocia is a complication*
A nurse is admitting a client and suspects preterm labor. The nurse anticipates dr will order
which of the following - Answer Antibiotics, Betamethasone, Mag sulfate, Tocolytics
What increases insulin in pregnancies? - Answer HPL
Discharge teaching for ectopic pregnancy afterwards - Answer Monitor for severe abdominal
pain, excessive bleeding, and S/S of infection such as fever
Teach about high iron diet
What would you find on an assessment of a woman with gestational trophoblastic disease? -
Answer Vaginal bleeding --> scant to perfuse, *brownish in color (prune juice)*
Enlargement of the uterus out of proportion to the duration of the pregnancy
*vaginal discharge of grape-like vesicles*
Spontaneous abortion - Answer Before 20 weeks of gestation
What signs and symptoms would you expect in a spontaneous abortion? - Answer bleeding,
cramping, abdominal pain, decreased symptoms of pregnancy
Causes of spontaneous abortion - Answer drug and alcohol abuse, smoking, overweight,
uncontrolled diabetes
#1 priority in hyperemesis gravidarum - Answer dehydration and electrolyte imbalance
Priority: IV fluids, NPO, wet-dry diet, Zofran/Reglan
IV: electrolyte imbalance (KCl if hypokalemic), vitamins and minerals
S/S if premature cervical dilation - Answer pinkish show, discharge, increased pelvic pressure,
back pain, followed by rupture of membrane, Cus and birth
Guide.
A pregnant woman comes in and is in PTL. The nurse describes how she is going to give her
Corticosteroids. The patient asks why. What is the best response? - Answer Corticosteroids
(Betamethasone) are for fetal lung maturity to speed up the process of lung surfactant in the
fetus
What are risk factors for perinatal loss? (miscarriage, spontaneous abortion, and early
pregnancy loss) - Answer Increased parity, increased maternal and paternal age, diabetes,
drug use, environmental toxins, autoimmune diseases, infections, uterine or cervical
abnormalities
What would assessment findings of early pregnancy complications be? - Answer Uterine
bleeding first, then cramping, abdominal pain in a few hours to several days later
If a woman is having an ectopic pregnancy and her tube has not burst, what medication would
you give her? - Answer Methotrexate
If fallopian tube is ruptured --> Go to OR
What are predisposing factors in ectopic pregnancies? - Answer Pelvic Inflammatory disease,
Previous ectopic pregnancies, Endometriosis, STDs, cigarette smoking, *exposure to the drug
diethylstilbestrol (DES) during mothers pregnancy*, increased age
What is an early sign of ectopic pregnancy? - Answer Referred shoulder pain due to bleeding
in the perineum
What is an acute sign of ectopic pregnancy? - Answer *blueish discoloration around the
umbilicus*
What is involved in the Biophysical? - Answer Fetal Movement, Breathing, movement, fluid
index, NST
The nurse suspects preeclampsia. Which of the following is found in the assessment? - Answer
Generalized edema, hypertension, proteinuria, decreased patellar reflexes, epigastric pain,
blurred vision
, A woman comes in and you see in her chart that she has active herpes lesions. What would you
plan for? - Answer C-section
You are helping a nurse input an order and see fFN, which indicated preterm labor for which
patient? - Answer 29 week lower uterine cramping radiating to the back
All of the following are complications for mothers with GD, except - Answer Preterm labor
*Shoulder dystocia is a complication*
A nurse is admitting a client and suspects preterm labor. The nurse anticipates dr will order
which of the following - Answer Antibiotics, Betamethasone, Mag sulfate, Tocolytics
What increases insulin in pregnancies? - Answer HPL
Discharge teaching for ectopic pregnancy afterwards - Answer Monitor for severe abdominal
pain, excessive bleeding, and S/S of infection such as fever
Teach about high iron diet
What would you find on an assessment of a woman with gestational trophoblastic disease? -
Answer Vaginal bleeding --> scant to perfuse, *brownish in color (prune juice)*
Enlargement of the uterus out of proportion to the duration of the pregnancy
*vaginal discharge of grape-like vesicles*
Spontaneous abortion - Answer Before 20 weeks of gestation
What signs and symptoms would you expect in a spontaneous abortion? - Answer bleeding,
cramping, abdominal pain, decreased symptoms of pregnancy
Causes of spontaneous abortion - Answer drug and alcohol abuse, smoking, overweight,
uncontrolled diabetes
#1 priority in hyperemesis gravidarum - Answer dehydration and electrolyte imbalance
Priority: IV fluids, NPO, wet-dry diet, Zofran/Reglan
IV: electrolyte imbalance (KCl if hypokalemic), vitamins and minerals
S/S if premature cervical dilation - Answer pinkish show, discharge, increased pelvic pressure,
back pain, followed by rupture of membrane, Cus and birth
