Galen College of Nursing OB Exam 2 Study Guide | Maternal-Newborn Review

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OB Exam 2 Galen College of Nursing || with Complete
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Solutions.
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Whatgisgthegmostgcommongmedicalgcomplicationgofgpregnancy?gcorrectganswersgHypertensiong
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WhatgisgPIH?gcorrectganswersgPregnancyginducedghypertensiong
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HowgisgPIHgdiagnosed?gcorrectganswersg140/90gtwogtimesg6ghoursgapartg
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Whatgisggestationalghypertension?gcorrectganswersgOnsetgafterg20gweeksgofggestationgwithoutg
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proteinuria,greturngofgnormalgB/Pgingpostpartum
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WhatgisgPre-
eclampsia?gcorrectganswersgonsetgafterg20gweeksgofggestationgwithgproteinuria,g
multisystemgvasopastic,greducedgorgangprofusion,gclassifiedgasgmilegorgsevereg
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RiskgfactorsgforgPIHgcorrectganswersgwomengyoungergthang20gorgoldergthang40,gafricangandgnati
veg
americans,gprimigravidas,gobesity,gmultiplegfetus',gfamilyghistory,gcomorbititiesg(diabetes), g
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chronicghypertension,gchronicgrenalgdisease
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Agconcentrationgofg_________gmg/dlgorggreatergingatgleastg___grandomgurinegspecimensgisg
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proteinuria.gcorrectganswersg30;2
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Edemagisgnotgusedgasgagmarkergofgwhat?gcorrectganswersgpreeclampsiag
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Whatgisgpathologicgedema?gcorrectganswersggeneralizedgaccumulationgofgfluidgingthegface,ghands
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orgabdomengthatgisgnotgresponsivegtog12ghoursgofgbedgrest,grapidgweightggaingofgmoregthang2gkggi
ng
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1gweek
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Ifgagwomensglastgmenstrualgperiodgisg5/21gwhengisghergestimatedgduegdate?gcorrectganswersg
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Februaryg28th
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WhatgisgLeopoldsgmaneuver?gcorrectganswersgItgisgusedgtogdeterminegthegbaby'sgpositiongandg
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knowgwheregtogplacegthegstethescope.
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Leftgocciputganteriorg=gcorrectganswersgEasyglaborg
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Leftgocciputgposterior=gcorrectganswersgDifficult/painfulglaborg
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Whatgisgconsideredgtachycardiagforgagfetus?gIndicativegofgwhat?gcorrectganswersg>160gbpm,g
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indicativegofgmaternalgorgfetalginfectiongorgfetalghypoxiag(angominousgsign).
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Whatgisgconsideredgfetalgbradycardia?gIndicativegof?gIntervention?gcorrectganswersg<120gbpm,gi
ndicativegofgfetalghypoxiagorgstressgandgmaternalghypotensiongaftergepiduralginitiationg(placegclie
ntgongleftgside,gincreasegfluids,gandgstopgpitocin).g
WHATgISgANgEARLYgDECELERATION?gcorrectganswersgHRgSLOWSgBEFOREgPEAKgOFg
CONTRACTIONgANDgRECOVERSgBYgENDgOFgCONTRACTION.g(BEINGgEARLYgIS g
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GOOD)
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WHATgAREgEARLYgDECELERATIONSgINDICATIVEgOF?gcorrectganswersgHEADg
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COMPRESSIONg(NOTgOMINOUS=NOgINTERVENTIONgREQUIRED).
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WHATgAREgLATEgDECELERATIONS?gcorrectganswersgHRgDECREASESgAFTERgPEAKgO
Fg
CONTRACTIONgANDgRECOVERSgAFTERgCONTRACTIONgENDS.g(BEINGgLATEgI g
S
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BAD).
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WHATgAREgLATEgDECELERATIONSgINDICATIVEgOF?gINTERVENTIONS?gcorrectgansw
ersgFETALgSTRESSgANDgHYPOXIAgORgDEFICIENTgPLACENTALgPERFUSIONg(CHANG
EgMATERNALgPOSITIONgANDgDISCONTINUEgOXYTOCINg(PITOCIN)).g
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WHATgAREgVARIABLEgDECELERATIONS?gcorrectganswersgTRANSIENTgDECREASEgIN
g
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HRgANYgTIMEgDURINGgCONTRACTION.
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WHATgAREgVARIABLEgDECELERATIONSgINDICATIVEgOF?gINTERVENTIONS?gcorrect
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answersgCORDgCOMPRESSIONg(CHANGEgMATERNALgPOSITION-
KNEEgCHEST/ASSgINg
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AIR).gIFgCORDgISgPROTRUDINGgNEVERgTOUCH.
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Whatgisgdecreasedgvariability?gcorrectganswersgAgsmoothgbaseline.gThegbaselinegshouldgvarygbyg
10gtog15gbeatsgeverygminute.gTheglossgofgshortgtermgvariabilitygcangbegominousgwheregasglong g
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termglossg(20gtog40gmins)gisgprobablygnotgsignificantgandgcangindicategagsleepgcycle.
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Whatgisgdecreasedgvariabilitygindicativegof?gcorrectganswersgFetalgsleepgcycle,gdepressantgdrugs,
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hypoxia,gorgCNSganomalies.
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Whatgisgangacme?gcorrectganswersgAgpeakgofgsomethingg
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WhatgaregthegthreegdifferentgratingsgforgAPGARgCRITERIA?gcorrectganswersg0g(POOR),g1,gand
g2g
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(BETTER).gLOWESTgSCOREgISgAg0gANDgHIGHESTgISg10.
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WhatgaregthegdifferentgcriteriagforgAPGARgSCORING?gcorrectganswersgCOLOR,gHR,gREFLEX
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IRRITABILITY,gMUSCLEgTONE,gRESPIRATORYgEFFORT.
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Whatgpregnancygcomplicationsgaregofgconcerngingtheg1stgtrimester?gcorrectganswersgEctopicg
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pregnancy,gabortion,gincompetentgcervix,gandghyperemesisggravidarum)
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Whatgpregnancygcomplicationsgaregofgconcerngingtheg3rdgtrimester?gcorrectganswersgPlacentag
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previa,gabruptiogplacenta,gandghypertensivegdisorders.
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Whatgtreatmentgshouldgbegdonegforgectopicgpregnancy?gcorrectganswersgSurgicalgtreatmentgandg
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IVgFLUID
Whatgisgagcharacteristicgsigngofgplacentagprevia?gcorrectganswersgpainlessgbleedinggaroundgtheg7t
hg
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month
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Whatgisgcharacteristicgofgabruptiogplacentae?gcorrectganswersgTendergabdomengcgpain/bleedingg
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Whatgclassifiesgasgeclampsia?gcorrectganswersgPregnancyginducedghypertensiongaftergagseizure.g
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Whatgpreventativegmeasuresgaregtakengforghypertensivegdisordersgduringgpregnancy?gcorrectg
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answersgNogsodiumgintake,gI&O,gandgelevategextremities.
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Whatgisgdonegforgangincompetentgcervix?gcorrectganswersgPursegstringgprocedureg
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Whatgisgthegtriadgofgsymptomsginghypertensivegdisorders?gcorrectganswersgEdema,gincreasedgBP,
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andgProteinuria
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Whatgshouldgbegwatchedgwithghydramnios?gcorrectganswersg"Toogmuchgamnioticgfluid".gTheregi
sg
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angincreasedgriskgforghemorrhage.
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WhengisgRhogamgreceived?gcorrectganswersg1stgtrimestergorg72ghoursgaftergchildbirthg
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WhatgisgthegtreatmentgforgpregnancyginducedgHTNg(PIH)?gcorrectganswersgBedgRest,gincreasedg
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proteingdiet,gBPgmeds,gmonitorgforgseizures,gandgMgS04gifgneeded.
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Whengdoesgpreeclampsiagusuallygoccur?gcorrectganswersgThirdgtrimesterg
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Whatgaregthegsymptomsgofgmildgpreeclampsia?gcorrectganswersgHypertensiong(sysgincreasegofg3
0g
andgdiastolicgofg15),gEdemag(generalizedg&gperiorbital,ggaing1lb/wkging3rdgT),gandgProteinuri g
a
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(1gm/24ghrs,g1+gprotein).
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WhatgaregthegS&Sgofgseveregpreeclampsia?gcorrectganswersgHypertension,gEdema,gProteinuria,g
Midepigasticgpaingd/tglivergedema,gincreasedgICPg(cerebral),gvisualgchanges,gvomiting,gand g
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oliguria.
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Whatgcausesgpreeclampsiagtogbecomegeclampsia?gcorrectganswersgThegpresencegofgseizures.g
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