1
NSG222
NSG222/ NSG 222 EXAM 3: FAMILY NURSING - OB REVIEW|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTION)(NEW 2025/ 2026 UPDATE)
1. Causes of cervical insufficiency: Unknown
Cervical damage
Less collagen/elastin
Structural cervical weakness
2. Nursing management of cervical insufficiency: Cervical cerclage
(closure of cervix)
Bed/pelvic rest
Trendelenburg position (feet higher than head)
Emotional support
3. Treatments for cervical insufficiency: Magnesium sulfate
Progesterone supplementation
4. Nursing management of placental previa: Monitoring of maternal-
fetal status Vaginal bleeding; pad count
NSG222
, 2
NSG222
Avoidance of vaginal exams
FHR
Education: fetal movement counts, effects of prolonged bed rest; S/S
to report Prep for C-section
Give for Rh immunoglobulin or tocolytic (anticontraction)
5. Therapeutic management of placental abruption: Assess,
control, and restore blood loss
Provide positive outcome for Mom & baby
Anticoagulation to prevent DIC (disseminated intravascular
coagulation)
6. Nursing assessment of placental abruption: Risk factors
Bleeding (dark red)
Pain (knife-like), uterine tenderness, contractions
Fetal movement and activity (decreased)
FHR (distressed/absent)
Labs: CBC, fibrinogen levels, PT/aPTT, type and cross-match,
nonstress test, biophysical profile
7. Hypertensive disorders of pregnancy: Chronic
NSG222
, 3
NSG222
Gestational
Pre-eclampsia/Eclampsia/HELLP
Chronic w/superimposed pre-eclampsia
8. Chronic hypertension: Hypertension that exists prior to pregnancy
or that develops before 20 weeks' gestation with blood pressure
readings greater than
140/90 mm Hg
9. Gestational hypertension: A new-onset blood pressure elevation
(140/90 mm Hg) identified after 20 weeks' gestation without
proteinuria; blood pressure returns to normal by 12 weeks'
postpartum
10. Preeclampsia/eclampsia and HELLP: Most common
hypertensive disorder
Develops with proteinuria after 20 weeks' gestation
Multisystem disease process, has at least one of the following:
proteinuria, elevated creatinine, liver involvement, epigastric or
abdominal pain, neurologic complications, hematologic complications,
and uteroplacental dysfunction
NSG222
NSG222
NSG222/ NSG 222 EXAM 3: FAMILY NURSING - OB REVIEW|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTION)(NEW 2025/ 2026 UPDATE)
1. Causes of cervical insufficiency: Unknown
Cervical damage
Less collagen/elastin
Structural cervical weakness
2. Nursing management of cervical insufficiency: Cervical cerclage
(closure of cervix)
Bed/pelvic rest
Trendelenburg position (feet higher than head)
Emotional support
3. Treatments for cervical insufficiency: Magnesium sulfate
Progesterone supplementation
4. Nursing management of placental previa: Monitoring of maternal-
fetal status Vaginal bleeding; pad count
NSG222
, 2
NSG222
Avoidance of vaginal exams
FHR
Education: fetal movement counts, effects of prolonged bed rest; S/S
to report Prep for C-section
Give for Rh immunoglobulin or tocolytic (anticontraction)
5. Therapeutic management of placental abruption: Assess,
control, and restore blood loss
Provide positive outcome for Mom & baby
Anticoagulation to prevent DIC (disseminated intravascular
coagulation)
6. Nursing assessment of placental abruption: Risk factors
Bleeding (dark red)
Pain (knife-like), uterine tenderness, contractions
Fetal movement and activity (decreased)
FHR (distressed/absent)
Labs: CBC, fibrinogen levels, PT/aPTT, type and cross-match,
nonstress test, biophysical profile
7. Hypertensive disorders of pregnancy: Chronic
NSG222
, 3
NSG222
Gestational
Pre-eclampsia/Eclampsia/HELLP
Chronic w/superimposed pre-eclampsia
8. Chronic hypertension: Hypertension that exists prior to pregnancy
or that develops before 20 weeks' gestation with blood pressure
readings greater than
140/90 mm Hg
9. Gestational hypertension: A new-onset blood pressure elevation
(140/90 mm Hg) identified after 20 weeks' gestation without
proteinuria; blood pressure returns to normal by 12 weeks'
postpartum
10. Preeclampsia/eclampsia and HELLP: Most common
hypertensive disorder
Develops with proteinuria after 20 weeks' gestation
Multisystem disease process, has at least one of the following:
proteinuria, elevated creatinine, liver involvement, epigastric or
abdominal pain, neurologic complications, hematologic complications,
and uteroplacental dysfunction
NSG222
