Nurs 4750 Exam 2 Questions with Correct
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Terms in this set (509)
persistent, uncontrollable vomiting of UNKNOWN
What is the definition of
etiology- begins in the first weeks of pregnancy and
Hyperemesis Gravidarum?
may CONTINUE THROUGHOUT PREGNANCY
unmarried white women during first pregnancies
multifetal pregnancies
What is Hyperemesis allergy to fetal protein
Gravidarum associated high estrogen & hCG
with? maternal thyroid disfunction
multiple gestation
trophoblastic disease
unmarried white women during first pregnancies,
What is associated with multifetal pregnancies, allergy to fetal protein, high
hyperemesis gravidarum? estrogen and hCG, maternal thyroid dysfunction,
multiple gestation and trophoblastic disease
weight loss of more than 5%, dehydration (elevated
What are the clinical H&H, dry mucous membranes, decreased urine
manifestations of output, with higher specific gravity), ketonuria,
hyperemesis gravidarum? alkalosis, acidosis, elevated liver dysfunction, vitamin
K deficiency
, rule out other causes of N/V, monitor electrolytes,
eliminate strong odors, BRAT diet with frequent meals,
LIQUID between meals, sit upright after meals, ginger,
Nursing Management of
iron supplements, Maintain adequate nutrition and
Hyperemesis gravidarum?
fluid balance, emotional support. Medications like
Benadryl, Pepcid, Priolsec, Metoclopramide
(emptying gastric contents) and Zofran
A type of gestational trophoblastic disease where
What is Hydatidiform mole trophoblasts develop abnormally. The cluster can
pregnancy? grow rapidly and are large enough to fill the uterus to
the size of an advance pregnancy
Complete: no embryonic or fetal parts, maternal
What is the different
DNA/ paternal duplicates
between complete and
Partial: often has embryonic or fetal parts and an
partial Hydatidiform mole
amniotic sac- but not an organized fetus. Maternal
pregnancy?
DNA/ Paternal duplicates (69 chromosomes)
Bleeding: DARK BROWN to hemorrhage
What are the clinical uterine size larger than expected for gestational age
manifestations of Excessive N/V from high hCG
Hydatidiform mole HTN: early development of preeclampsia before 24
pregnancy? weeks gestation--> increased body volume bc the
body believes you are having a fetus
What are the diagnostics Ultrasound: SNOWSTORM PATTERN
for Hydatidiform mole elevated hCG: higher than expected for gestational
pregnancy? age
On a ultrasound test what Partial: will have placenta but no fetus
is the difference between complete: vesicles and the absence of a fetal sac or
partial and complete fetal heart activity
molar pregnancy?
, Evacuation of the trophoblastic tissue
continuous follow-ups to detect malignant changes to
trophoblastic tissue
risk for hemorrhage
management of comorbidities
Nursing Management for IV Oxytocin to contract the uterus after removal
Molar pregnancy? send tissue to lab for evaluation
follow up care 6 weeks post removal for hCG levels; if
still high something was left or carcinoma has
developed
reliable contraception for at least 1 years will be
essential because pregnancy could mask a carcinoma
defect in coagulation that occurs with severe
complications of pregnancy, inappropriate
What is DIC and its coagulation also taking place in the microcirculation
complications? Complications: missed spontaneous abortions,
placental abruption, HTN; preeclampsia, HELLP
syndrome, amniotic fluid embolism
results in excessive bleeding and the formation of tiny
clots in the tiny blood vessels, blocking blood flow to
organs and causing ischemia
What are the results of bleeding to occur from any vulnerable area such as IV
DIC? sites, incisions, gums, or the nose and from expected
sites such as the site of placental attachment during
the postpartum period
D-Dimer is positive also monitor clotting labs
treat the cause
replace blood and blood components
Nursing Management of
apply O2- 10L via facemask
DIC
weight blood loss, monitor for signs of shock
additional IV for additional products
What are the different threatened, inevitable, incomplete, complete, and
types of abortions? missed
Answers 100% Verified
Save
Terms in this set (509)
persistent, uncontrollable vomiting of UNKNOWN
What is the definition of
etiology- begins in the first weeks of pregnancy and
Hyperemesis Gravidarum?
may CONTINUE THROUGHOUT PREGNANCY
unmarried white women during first pregnancies
multifetal pregnancies
What is Hyperemesis allergy to fetal protein
Gravidarum associated high estrogen & hCG
with? maternal thyroid disfunction
multiple gestation
trophoblastic disease
unmarried white women during first pregnancies,
What is associated with multifetal pregnancies, allergy to fetal protein, high
hyperemesis gravidarum? estrogen and hCG, maternal thyroid dysfunction,
multiple gestation and trophoblastic disease
weight loss of more than 5%, dehydration (elevated
What are the clinical H&H, dry mucous membranes, decreased urine
manifestations of output, with higher specific gravity), ketonuria,
hyperemesis gravidarum? alkalosis, acidosis, elevated liver dysfunction, vitamin
K deficiency
, rule out other causes of N/V, monitor electrolytes,
eliminate strong odors, BRAT diet with frequent meals,
LIQUID between meals, sit upright after meals, ginger,
Nursing Management of
iron supplements, Maintain adequate nutrition and
Hyperemesis gravidarum?
fluid balance, emotional support. Medications like
Benadryl, Pepcid, Priolsec, Metoclopramide
(emptying gastric contents) and Zofran
A type of gestational trophoblastic disease where
What is Hydatidiform mole trophoblasts develop abnormally. The cluster can
pregnancy? grow rapidly and are large enough to fill the uterus to
the size of an advance pregnancy
Complete: no embryonic or fetal parts, maternal
What is the different
DNA/ paternal duplicates
between complete and
Partial: often has embryonic or fetal parts and an
partial Hydatidiform mole
amniotic sac- but not an organized fetus. Maternal
pregnancy?
DNA/ Paternal duplicates (69 chromosomes)
Bleeding: DARK BROWN to hemorrhage
What are the clinical uterine size larger than expected for gestational age
manifestations of Excessive N/V from high hCG
Hydatidiform mole HTN: early development of preeclampsia before 24
pregnancy? weeks gestation--> increased body volume bc the
body believes you are having a fetus
What are the diagnostics Ultrasound: SNOWSTORM PATTERN
for Hydatidiform mole elevated hCG: higher than expected for gestational
pregnancy? age
On a ultrasound test what Partial: will have placenta but no fetus
is the difference between complete: vesicles and the absence of a fetal sac or
partial and complete fetal heart activity
molar pregnancy?
, Evacuation of the trophoblastic tissue
continuous follow-ups to detect malignant changes to
trophoblastic tissue
risk for hemorrhage
management of comorbidities
Nursing Management for IV Oxytocin to contract the uterus after removal
Molar pregnancy? send tissue to lab for evaluation
follow up care 6 weeks post removal for hCG levels; if
still high something was left or carcinoma has
developed
reliable contraception for at least 1 years will be
essential because pregnancy could mask a carcinoma
defect in coagulation that occurs with severe
complications of pregnancy, inappropriate
What is DIC and its coagulation also taking place in the microcirculation
complications? Complications: missed spontaneous abortions,
placental abruption, HTN; preeclampsia, HELLP
syndrome, amniotic fluid embolism
results in excessive bleeding and the formation of tiny
clots in the tiny blood vessels, blocking blood flow to
organs and causing ischemia
What are the results of bleeding to occur from any vulnerable area such as IV
DIC? sites, incisions, gums, or the nose and from expected
sites such as the site of placental attachment during
the postpartum period
D-Dimer is positive also monitor clotting labs
treat the cause
replace blood and blood components
Nursing Management of
apply O2- 10L via facemask
DIC
weight blood loss, monitor for signs of shock
additional IV for additional products
What are the different threatened, inevitable, incomplete, complete, and
types of abortions? missed
