QUESTIONS AND ANSWERS 100% CORRECT
◍ What are common conditions that can lead to a high-risk
pregnancy? Answer: Hypertension, diabetes, stress, or drug use.
◍ What is a spontaneous abortion? Answer: The loss of a pregnancy
before 20 weeks gestation, often due to fetal genetic abnormalities or
maternal conditions.
◍ What is the hallmark sign of a threatened spontaneous abortion?
Answer: Vaginal bleeding without cervical dilation or passage of fetal
tissue.
◍ What is the difference between inevitable and incomplete
spontaneous abortion? Answer: Inevitable abortion involves strong
cramping and passage of tissue, while incomplete abortion retains
some products of conception.
◍ What is a complete spontaneous abortion? Answer: When all
products of conception are passed completely.
◍ What is a missed abortion? Answer: When the fetus is retained in
utero without signs of life, often diagnosed via ultrasound.
,◍ What is habitual abortion? Answer: The occurrence of three or
more consecutive spontaneous abortions.
◍ What is the nursing management for spontaneous abortion?
Answer: Monitoring vaginal bleeding, pain levels, and providing
emotional support and education.
◍ What is an ectopic pregnancy? Answer: Implantation of the ovum
outside the uterus, often in the fallopian tube.
◍ What are common signs of ectopic pregnancy? Answer: Abdominal
pain with spotting within 6 to 8 weeks after missed menses.
◍ What is the therapeutic management for ectopic pregnancy?
Answer: Medical treatment with methotrexate or surgical intervention
if rupture occurs.
◍ What is gestational trophoblastic disease? Answer: A condition
characterized by abnormal growth of trophoblastic tissue, including
hydatidiform mole and choriocarcinoma.
◍ What is a hydatidiform mole? Answer: A pregnancy with positive
test results but no fetal tissue, characterized by fluid-filled blisters.
◍ What is cervical insufficiency? Answer: Premature dilation of the
cervix, possibly due to cervical damage or hormonal factors.
,◍ What are risk factors for cervical insufficiency? Answer: Short
cervix, history of cervical trauma, or multiple pregnancies.
◍ What is placenta previa? Answer: A condition where the placenta
implants over the cervical os, leading to potential bleeding.
◍ What are the signs of placenta previa? Answer: Painless, bright red
vaginal bleeding in the second or third trimester.
◍ What is placental abruption? Answer: Separation of the placenta
from the uterine wall, compromising fetal blood supply.
◍ What are common causes of placental abruption? Answer:
Hypertension or diabetes.
◍ What nursing assessments are important for high-risk pregnancies?
Answer: Monitoring vital signs, fetal heart rate, and signs of bleeding
or complications.
◍ What is the role of emotional support in managing high-risk
pregnancies? Answer: To help the patient cope with stress and grief,
especially in cases of loss.
◍ What is the importance of education in high-risk pregnancy
management? Answer: To inform patients about their condition,
treatment options, and signs to report.
, ◍ What is the treatment for cervical insufficiency? Answer: Bed rest,
pelvic rest, and possibly cervical cerclage.
◍ What is the follow-up care for gestational trophoblastic disease?
Answer: Monitoring serial hCG levels and providing long-term
follow-up care.
◍ What are common signs and symptoms of bleeding disorders in
pregnancy? Answer: Bruising, initially blood clots followed by
hemorrhage, bleeding, difficult breathing, and petechiae.
◍ What are the risk factors for placental abruption? Answer: Bleeding
(dark red), knife-like pain, uterine tenderness, contractions, decreased
fetal movement, and fetal heart rate decelerations.
◍ What laboratory tests are used to assess placental abruption?
Answer: CBC, fibrinogen levels, PT/aPTT, type and cross-match,
nonstress test, and biophysical profile.
◍ What is the nursing management for a patient with placental
abruption? Answer: Left lateral position, strict bed rest, oxygen
therapy, vital signs monitoring, fundal height assessment, and
continuous fetal monitoring.
◍ What is hyperemesis gravidarum? Answer: A severe form of nausea
and vomiting during pregnancy that usually resolves by week 20.