QUESTIONS AND ANSWERS GRADED A+
✔✔Ectopic pregnancy - ✔✔ovum is planted outside the uterus (often in fallopian tube)
✔✔Main symptom of an ectopic pregnancy: - ✔✔unilateral stabbing pain and abdominal
tenderness in LLQ
✔✔Molar pregnancy - ✔✔proliferation and degeneration of trophoblastic villi in the
placenta
✔✔Main symptom of molar pregnancy - ✔✔bleeding that resembles prune juice (dark
brown)
✔✔Placenta previa - ✔✔placenta abnormally implants in the lower segment of the
uterus by the cervix as opposed to near the fundus
✔✔Complete placenta previa - ✔✔cervix is completely covered by the placental
attachment
✔✔incomplete/partial placenta previa - ✔✔cervix is partially covered
✔✔Main symptom of placenta previa: - ✔✔painless, bright red bleeding during 2nd or
3rd trimester
✔✔Placenta previa vs abruptio placenta - ✔✔placenta previa is painless whereas
abruptio placenta is painful
✔✔abruptio placenta - ✔✔premature separation of placenta from uterus
✔✔abruptio placenta has high rate of fetal and maternal: - ✔✔mortality and morbidity
✔✔main symptom of abruptio placenta is: - ✔✔sudden onset of intense localized
uterine pain with dark red vaginal bleeding
✔✔What infection is common for pregnant women? - ✔✔yeast infection
✔✔s/s of yeast infection - ✔✔cottage cheese looking discharge, vulvar redness, white
patches on the vaginal wall
✔✔Incompetent cervix - ✔✔recurrent premature dilation of the cervix
✔✔If woman has incompetent cervix, then what will she get? - ✔✔cervical cerclage
(keep cervix closed)
, ✔✔When is cervical cerclage removed? - ✔✔37 wks gestation or when spontaneous
labor occurs
✔✔Hyperemesis gravidarum - ✔✔excessive n/v past the first 12 wks of pregnancy
✔✔Interventions for hyperemesis gravidarum - ✔✔-IV fluids
-administration of B6
-antiemetic medications (Reglan, Zofran)
✔✔What should a client take with iron supplements? - ✔✔food that is rich in vitamin C
✔✔Foods high in vitamin C - ✔✔orange juice
✔✔What is woman at higher risk for if she has gestational diabetes? - ✔✔diabetes after
pregnancy
✔✔Tests that will be done if mother is diagnosed with gestational diabetes - ✔✔non
stress test, biophyiscal profile
✔✔What will be used to control sugar levels during gestational diabetes - ✔✔insulin
(oral antidiabetics are contraindicated during pregnancy)
✔✔When does test to diagnosed gestational diabetes occur? - ✔✔24-28 wks gestation
✔✔What is done to test for gestational diabetes - ✔✔-start with 1 hour glucose
tolerance test
- if blood sugar from tolerance test is above 130-140, then oral glucose tolerance test is
done.
✔✔True or false: fasting is not required for 1 hour glucose tolerance test - ✔✔true
✔✔How is 1 hour glucose tolerance test done? - ✔✔-woman given 50 grams of oral
glucose and blood sugar is tested 1 hour later
✔✔Does oral glucose tolerance test required fasting? - ✔✔yes. Must fast overnight, no
caffeine or smoking
✔✔Oral glucose tolerance test procedure - ✔✔-test fasting blood sugar
-give 100 grams of glucose
-test blood sugar at 1 hr, 2, hr, and 3 hr.
✔✔What is gestational HTN caused by? - ✔✔vasospasm, which causes poor tissue
perfusion