High Risk Pregnancy ATI Questions With Correct Answers!!

High Risk Pregnancy ATI Questions With Correct Answers!! ______ abortion - pt has bleeding, cramping and expulsion of products of conception. - ANSWER-Complete. Everything done nothing in uterus. .______ abortion: decreased s/s of pregnancy, fetus has died in utero, no expulsion, at risk for DIC. - ANSWER-Missed. No bleeding - just dead fetus .______ abortion: Patient has vaginal bleeding, may have cramping back pain, no cervical dilatation - ANSWER-Threatened ._______ abortion: pt may have bleeding, cramping & expulsion of part of products of conception but not all of it. Tissue remains in uterus, patient is at risk for hemorrhage. - ANSWER-Incomplete ._________ abortion: Cramping and bleeding, cervix is dilated, may have ROM, esp in early pregnancy. - ANSWER-Inevitable - Can't prevent. E.g. dilated cervix at 10 weeks. .______: progression of severe preeclampsia that show sx's of hematologic conditions inv. liver - ANSWER-HELLP syndrome .A 36 wk marathon runner and expectant mother has low lying marginal placenta previa, tell her what? - ANSWER-She needs to go on bed rest, no vaginal exams or intercourse .A hyperreflexia of greater than _+, and possible clonus indicates severe preeclampsia? - ANSWER-3+ also see oliguria of less than 20 ml or 400-500 ml in 24 hours .A magnesium lvl of _-_ implies loss of DTR's - ANSWER-10-12 15= respiratory paralysis .A mother has a BP of 165 and trace protein, should you be concerned? - ANSWER-No .A positive fetal fibronectin test indicates? - ANSWER-Woman may go into labor and needs to be observed for 24 hours .A woman is dx'ed with complete or partial placenta previa, should you give her a vaginal exam? - ANSWER-No, need to know where the placenta is. if her bleeding is profuse and is 36 weeks gestation, mature L/S ratio or PG present, immediate delivery. .An Rh- mother should get Rhogam at how many weeks? - ANSWER-28 weeks and again after the baby is born to save her next baby .Assessment of Gestational Tropoblastic Disease: - ANSWER-U/S reveals no fetus Elevated HCG levels Exaggerated symptoms of Pregnancy Early symptoms of PIH .Betamethasone IM given if viable and 34 wks - ANSWER-Corticosteroid-- increases surfactant production in fetal lungs Peak effect in 48 hrs after giving & lasts 7 days .Bleeding + pain = _________ Placenta - ANSWER-Abruptio .C- Cytomegalovirus - ANSWER-RF Droplet infection S/S: Asymptomatic or mild mononucleosis symptoms .Can a woman with low lying/marginal placenta previa have a vaginal delivery? - ANSWER-Yes, if placental disruption is not pronounced, she has reassuring fetal indicator and if her placenta is greater than 2 cm for os .Cervix is not dilated & the placenta is still attached to the uterine wall, but some bleeding occurs. - ANSWER-Threatened abortion .Do you need to give an Rh- mother, rhogam afte rmiscarriages, TABs, amniocentesis, abdominal trauma, external cephalic version? - ANSWER-YES .Eclampsia is characterized by what? - ANSWER-Grand mal seizure .Eclampsia: Preeclampsia with what? - ANSWER-Preeclampsia (increased BP after 20 weeks with proteinuria) and SEIZURES .Explain Rh isoimmunization - ANSWER-A mother that is Rh- who has her first Rh+ baby will develop antibodies towards that baby. The first baby will be fine. The second baby, if Rh-, will be attacked by the mothers antibodies and lysing of the baby's RBC's will occur .Gestation HTN: increased BP after mid pregnancy (20 weeks), with or without proteinuria? - ANSWER-WITHOUT .Gestational Tropoblastic Disease is defined as: - ANSWER-An abnormal proliferation of the placenta - hydatidiform moles, gestational trophoblastic neoplasia. .H - Herpes simplex Virus - ANSWER-RF: lesions Obtain cultures on women with HSV near term. C/S recommended for mothers with active lesions. .Hold Nifedipine (a CCB) if BP SBP is less than? - ANSWER-80/50 [Sharp MV - SBP85] .How do we control preterm labor pharmacologically? - ANSWER-Bed rest a common therapy IV hydration MgSO4(smooth muscle relaxant..Ca antagonist) IV Terbutaline Nifedipine (CCB) Indocin .How do you know terbutaline is working? - ANSWER-increased HR .How do you tx hyperemesis gravidarium? - ANSWER-IV replacement of fluids and electrolytes. Small frequent meals.