NSG222 exam #3- Questions and Answers
1. causes of ectopic - tubal scarring related to PID (most cases)
pregnancy - chlamydia
- IUD
- prior tubal surgery
- smoking
- douching
2. places where ec- - abdominal cavity
topic pregnancy - fallopian tube
can occur - cervix
- intestines
3. management of ec- - if not ruptured, drug therapy (methotrexate)
topic pregnancy - if ruptured, surgery
- Rh immunoglobin if woman is Rh-
- monitor HCG levels until undetectable
4. hallmark sign of ec- abdominal pain with bleeding within 6 to 8 weeks after missed menses
topic pregnancy
5. causes of miscar- - unknown & highly variable
riage (spontaneous - genetic abnormalities - 1st trimester
abortion) - maternal conditions - 2nd trimester
6. nursing assess- - vaginal bleeding
ment of miscar- - cramping or contractions
riage - vital signs
- pain level
- weeks gestation
- other medical conditions
7. gestational tro- - condition in which trophoblastic tissue is present but the pregnancy is not
phoblastic disease viable
, - increasing HCG levels
- no placenta
- caused by choriocarcinoma
8. nursing manage- - educate patient on treatment (evacuation of uterine contents, chemotherapy)
ment for gestation- - monitor HCG levels for at least 1 year
al trophoblastic dis- - support for grieving patient
ease
9. cervical insufficien- - premature dilation of cervix
cy - occurs in 2nd or 3rd trimester
- cause unknown
10. treatment for cervi- - bed rest
cal insufficiency - pelvic rest
- avoid heavy lifting
- cervical cerclage
11. placenta previa a placenta that is implanted in the lower portion of the uterus, partially or
completely blocking cervical opening
12. risk factors for pla- - prior C-section
centa previa - maternal age >35
- smoking
- diabetes
- short interval between pregnancies
13. nursing manage- - avoid vaginal exams
ment for placenta - monitor FHR
previa - have patient lie on left side
- insert IV to restore fluids
14. placental abruption early separation of normal placenta after 20 weeks gestation
1. causes of ectopic - tubal scarring related to PID (most cases)
pregnancy - chlamydia
- IUD
- prior tubal surgery
- smoking
- douching
2. places where ec- - abdominal cavity
topic pregnancy - fallopian tube
can occur - cervix
- intestines
3. management of ec- - if not ruptured, drug therapy (methotrexate)
topic pregnancy - if ruptured, surgery
- Rh immunoglobin if woman is Rh-
- monitor HCG levels until undetectable
4. hallmark sign of ec- abdominal pain with bleeding within 6 to 8 weeks after missed menses
topic pregnancy
5. causes of miscar- - unknown & highly variable
riage (spontaneous - genetic abnormalities - 1st trimester
abortion) - maternal conditions - 2nd trimester
6. nursing assess- - vaginal bleeding
ment of miscar- - cramping or contractions
riage - vital signs
- pain level
- weeks gestation
- other medical conditions
7. gestational tro- - condition in which trophoblastic tissue is present but the pregnancy is not
phoblastic disease viable
, - increasing HCG levels
- no placenta
- caused by choriocarcinoma
8. nursing manage- - educate patient on treatment (evacuation of uterine contents, chemotherapy)
ment for gestation- - monitor HCG levels for at least 1 year
al trophoblastic dis- - support for grieving patient
ease
9. cervical insufficien- - premature dilation of cervix
cy - occurs in 2nd or 3rd trimester
- cause unknown
10. treatment for cervi- - bed rest
cal insufficiency - pelvic rest
- avoid heavy lifting
- cervical cerclage
11. placenta previa a placenta that is implanted in the lower portion of the uterus, partially or
completely blocking cervical opening
12. risk factors for pla- - prior C-section
centa previa - maternal age >35
- smoking
- diabetes
- short interval between pregnancies
13. nursing manage- - avoid vaginal exams
ment for placenta - monitor FHR
previa - have patient lie on left side
- insert IV to restore fluids
14. placental abruption early separation of normal placenta after 20 weeks gestation
