NRS 410 EXAM 2 OB QUESTIONS WITH ANSWERS

NRS 410 EXAM 2 OB QUESTIONS WITH
|\ |\ |\ |\ |\ |\ |\




ANSWERS

what are risk factors for a multifetal pregnancy - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔•Family Hx, ART, advanced maternal age
|\ |\ |\ |\ |\ |\




what are indicators for a multifetal pregnancy - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔•2 or more fetuses detected by palpation,
|\ |\ |\ |\ |\ |\ |\ |\


ultrasound, fundal height, heart sounds; more than one place
|\ |\ |\ |\ |\ |\ |\ |\ |\


FHTs are heard, greater weight gain, severe nauseas/vomiting
|\ |\ |\ |\ |\ |\ |\




what are complications for a multifetal pregnancy - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔•Hyperemesis gradidarum, Preterm birth,
|\ |\ |\ |\ |\


spontaneous abortion, fetal compromise, congenital
|\ |\ |\ |\ |\


abnormalities, PIH, anemia, uterine rupture, dysfunctional labor,
|\ |\ |\ |\ |\ |\ |\


postpartum hemorrhage |\




what are risks that come with multiple gestation? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔•Preterm labor
|\ |\




•IUGR
•Pre-eclampsia
•GDM
•Placental abruption |\




•PROM
•Pyelonephritis
•Postpartum hemorrhage |\

,•Congenital anomalies |\




•Cerebral palsy |\




what prenatal care should come with multiple gestation? -
|\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔•Prenatal visit |\ |\ |\




•VS and weight
|\ |\




•Each fetus' heart rate documented
|\ |\ |\ |\




•Nutrition and weight gain (need 600 calories more)
|\ |\ |\ |\ |\ |\ |\




•Fetal surveillance
|\




•Routine nonstress test |\ |\




•Biophysical profile |\




Serial ultrasounds
|\




Monozygotic (monochorionic, monoamniotic) twins - CORRECT
|\ |\ |\ |\ |\ |\


ANSWERS ✔✔•50% in-utero mortality rate |\ |\ |\ |\




• Cord entanglement
|\ |\




-share all resources |\ |\




Monozygotic (monochorionic, monoamniotic) twins RISKS -
|\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔• Twin to Twin Transfusion Syndrome
|\ |\ |\ |\ |\ |\ |\ |\


(TTTS)
• Premature birth
|\ |\




•Most likely a planned delivery, usually cesarean
|\ |\ |\ |\ |\ |\

,blood shunting between placenta (causes recipient twin to be
|\ |\ |\ |\ |\ |\ |\ |\ |\


larger and maybe develop congestive HF)
|\ |\ |\ |\ |\




Bleeding During Pregnancy: first trimester - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔•Spontaneous abortion |\




•Ectopic pregnancy |\




Bleeding During Pregnancy: second trimester - CORRECT
|\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔•Gestational trophoblastic disease
|\ |\ |\




Bleeding During Pregnancy: third trimester - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔•Placenta previa |\




•Abruptio placentae |\




•Vasa previa
|\




what are other causes of bleeding? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\


recurrent premature dilation of the cervix
|\ |\ |\ |\ |\




-preterm labor |\




-hydatiform mole |\




causes of bleeding: recurrent premature dilation of the cervix -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔•Painless bleeding
|\ |\ |\




•Cervical dilation |\




•Premature expulsion of fetus |\ |\ |\

, causes of bleeding: preterm labor - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔•Bloody vaginal discharge |\ |\




•Uterine contractions that cause cervical dilation and effacement
|\ |\ |\ |\ |\ |\ |\




causes of bleeding: hydatiform mole - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔•Benign proliferative growth of the placental trophoblast
|\ |\ |\ |\ |\ |\




Spontaneous Abortion - CORRECT ANSWERS ✔✔•Pregnancy
|\ |\ |\ |\ |\ |\


terminated before 20 weeks gestation or fetal weight < 500 g
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




•Types of abortions classified by manifestations and if products of
|\ |\ |\ |\ |\ |\ |\ |\ |\


conception are partially or completely retained or expelled: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔•Threatened
|\ |\




•Inevitable (Imminent) |\




•Incomplete
•Complete


Spontaneous Abortion- Management - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\


✔✔•Assess pain, bleeding, LMP, VS, Medical hx. Labs: hCG, CBC,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ultrasound & blood type/Rh |\ |\ |\




•Expectant management with bedrest and supportive care.
|\ |\ |\ |\ |\ |\




•F/U depends on sequalae - possible D & C or D&E
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




•Provide emotional support
|\ |\




•Discharge teaching |\




Threatened Abortion - CORRECT ANSWERS ✔✔• Cervix is not
|\ |\ |\ |\ |\ |\ |\ |\ |\


dilated, and placenta is still attached to the uterine wall.
|\ |\ |\ |\ |\ |\ |\ |\ |\