NSG222 - Exam 3 Study Guide Questions and Answers
1. Cause of sponta- - Varied and unknown
neous abortion - First trimester commonly due to fetal genetic abnormalities
- Second trimester more likely related to maternal conditions
2. Nursing assessment Vitals, pain level
for spontaneous Bleeding - amount, color, and characteristics
abortion Cramping/contractions
Understanding
3. Causes of ectopic -PID
pregnancy - Chlamydia/gonorrhea infections
4. Risk factors for ec- Previous tubal surgery
topic pregnancy Infertility
PID
Previous induced/spontaneous abortion
Use of IUD
Uterine fibroids
Sterilization
Smoking (which alters tubal motility)
Multiple sexual partners
Progestin-only oral contraceptives
Douching
Exposure to diethylstilbestrol (DES)
5. Hallmark sign for ec- Abdominal pain with spotting within 6 to 8 weeks after missed menses
topic pregnancy
6. Gestational Tro- Incomplete pregnancy / pseudo pregnancy where there is development of
phoblastic Disease tissue with no fetus
(GTD)
7.
, NSG222 - Exam 3 Study Guide Questions and Answers
Nursing interven- Education
tions for GTD Do not carry to term
Help with induction/evacuation
8. Nursing assess- Clinical manifestations similar to spontaneous abortion at 12 weeks
ments for GTD Ultrasound visualization
High hCG levels
9. GTD monitoring hCG levels due to metastases
Do not get pregnant again for another year (high risk for pregnancy)
High risk for molar pregnancy, want levels to go down
10. Causes of cervical in- Unknown
sufficiency Cervical damage
Less collagen/elastin
Structural cervical weakness
11. Nursing manage- Cervical cerclage (closure of cervix)
ment of cervical in- Bed/pelvic rest
sufficiency Trendelenburg position (feet higher than head)
Emotional support
12. Treatments for cer- Magnesium sulfate
vical insufficiency Progesterone supplementation
13. Nursing manage- Monitoring of maternal-fetal status
ment of placental Vaginal bleeding; pad count
previa 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)
1. Cause of sponta- - Varied and unknown
neous abortion - First trimester commonly due to fetal genetic abnormalities
- Second trimester more likely related to maternal conditions
2. Nursing assessment Vitals, pain level
for spontaneous Bleeding - amount, color, and characteristics
abortion Cramping/contractions
Understanding
3. Causes of ectopic -PID
pregnancy - Chlamydia/gonorrhea infections
4. Risk factors for ec- Previous tubal surgery
topic pregnancy Infertility
PID
Previous induced/spontaneous abortion
Use of IUD
Uterine fibroids
Sterilization
Smoking (which alters tubal motility)
Multiple sexual partners
Progestin-only oral contraceptives
Douching
Exposure to diethylstilbestrol (DES)
5. Hallmark sign for ec- Abdominal pain with spotting within 6 to 8 weeks after missed menses
topic pregnancy
6. Gestational Tro- Incomplete pregnancy / pseudo pregnancy where there is development of
phoblastic Disease tissue with no fetus
(GTD)
7.
, NSG222 - Exam 3 Study Guide Questions and Answers
Nursing interven- Education
tions for GTD Do not carry to term
Help with induction/evacuation
8. Nursing assess- Clinical manifestations similar to spontaneous abortion at 12 weeks
ments for GTD Ultrasound visualization
High hCG levels
9. GTD monitoring hCG levels due to metastases
Do not get pregnant again for another year (high risk for pregnancy)
High risk for molar pregnancy, want levels to go down
10. Causes of cervical in- Unknown
sufficiency Cervical damage
Less collagen/elastin
Structural cervical weakness
11. Nursing manage- Cervical cerclage (closure of cervix)
ment of cervical in- Bed/pelvic rest
sufficiency Trendelenburg position (feet higher than head)
Emotional support
12. Treatments for cer- Magnesium sulfate
vical insufficiency Progesterone supplementation
13. Nursing manage- Monitoring of maternal-fetal status
ment of placental Vaginal bleeding; pad count
previa 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)
