maternity final QUESTIONS AND ANSWERS| GRADED A

maternity final QUESTIONS AND ANSWERS| GRADED A placenta abruptio Correct Answer: Abruptio placentae is the premature separation of a normally implanted placenta after the 20th week of gestation prior to birth, which leads to hemorrhage. Placenta abruptio color Correct Answer: Dark red and painful Mild blood loss Correct Answer: less than 50 ml moderate blood loss Correct Answer: severe blood loss Correct Answer: 1500 partial abruptio placentae Correct Answer: Premature separation of the placenta after 20 weeks giving painful bleeding but not a complete retroplacental clotd treatement for placenta abruptions Correct Answer: Treatment of abruptio placentae is designed to assess, control, and restore the amount of blood lost; DIC (disseminated intravascular coagulation) Correct Answer: Acquired coagulation disorder which results from the intraascular activation of both the coagulation and fibrinolytic system (thrombin and plasmin) causing simultaneous thrombosis and hemorrhage Mortality is 50-85% treatment of DIC Correct Answer: heparin to treat clotting, Amicar to stabilize bleeding, electrolyte replacement, blood transfusions, oxygen placenta previa Correct Answer: is the abnormal implantation of the placenta in the lower portion of the uterus Preeclampsia definition Correct Answer: the onset of hypertension with proteinuria after 20 weeks, not transient. It is a vasospastic systemic disorder, with a range from mild to severe. Pre-eclampsia indicator is PROTEIN IN URINE over 1+ signs of preeclampsia Correct Answer: vertigo, headache, dedema of hands/face, proteinuria changes in vision upper abdominal pain decreased urine output decreased platelets impaired liver function shortness of breath preeclampsia treatment Correct Answer: antihypertensives IV magnesium sulfate (to prevent seizure) definitive is delivery of fetus preeclampsia risk factors Correct Answer: • Nulliparity • Multiple gestation • Advanced maternal age • Chronic HTN • Renal disease • History of preeclampsia Preeclampsia and eclampsia Correct Answer: caused by onset of acute high blood pressure Mittelschmerz Correct Answer: abdominal pain that occurs midway between the menstrual periods at ovulation contraceptive Correct Answer: agent that prevents conception Smoking and contraception Correct Answer: Smoking increases risk of DVT/Stroke/MI and Estrogen also increases risk COC users who smoked were at increased risk for cardiovascular diseases, especially myocardial infarction, compared with those who did not smoke. Studies also showed an increased risk for myocardial infarction with increasing number of cigarettes smoked per day Smoking is considered at VTE risk factor Age is also a VTE risk factor Women who smoke 15 cigarettes/day and =35 year of age should not be on CHC: This is an absolute contraindication (MEC=4) Women who are =35 and smoke 15 are also at increased risk for VTE, and this is a relative contraindication to CHC use (MEC=3) Even for women 35, smoking increases VTE risk For women 35 who smoke, benefit does not outweigh risk r/t VTE Progesterone-only methods can be taken by women of any age, regardless of smoking status- no increased risk of thromboembolic events (MEC= 1, for all!). Which of the following patients would not be good for oral contraceptive Correct Answer: The 28-year-old smoking patient -Smoking can increase their chances for blood clots when taking birth control pills orally and age A nurse is caring for a client who is considering several options of contraceptive, which should the nurse identify as being the most reliable Correct Answer: IUD You have a diabetic mom she is controlling it with diet and exercise what should the nurse anticipate that the prescriber to provide which of the following medication. Correct Answer: Metformin would most likely be given for the patient with diabetes You have a mom that is 40 weeks and is still closed thick and high ( not thining out cervix is not elongated or moving up ) but the provider decides to prescribed dinoprostone jell and the nurse provides what type of teaching Correct Answer: Is used for softening of the cervix Prostaglandins Correct Answer: soften the cervix A nurse is caring for a client with a positive birth test the nurse is teaching the client of common discomforts of the first trimester of pregnancy as well as warning signs of the potential danger the nurse should instruct the client to call the clinique if she experiences which on of theses signs Correct Answer: Facial edema - is a sign of preeclampsia A nurse is in an antepartum unit which one should she see first Correct Answer: Patient with Light color blood and painless bleeding -its a sign of placenta previa A nurse in a prenatal clinic..... May 4 2016 Correct Answer: February 11th 2017 spontaneous abortion (miscarriage) Correct Answer: the unintended termination of a pregnancy before the 20 weeks - heavy red bleeding can be a sign of hemorrhage and a fetal ultrasound is done to distinguish where the placenta is placed to help identify the type of bleeding hemorrhage Correct Answer: Zoloft (sertraline) Correct Answer: Antidepressant - does cross over into the breast milk and does make the baby sleepy and mother will need to outway the benefits newborn delivery stepsp Correct Answer: airway dry skin what would be considered a normal newborn muscle control Correct Answer: crossing eyes A primagravida woman: Correct Answer: is pregnant for the first time. Mag Sulfate Action Correct Answer: Reduce striated muscle contractions/ blocks peripheral neuromuscular transmission Mag Sulfate Sid effects Correct Answer: decreased urine output decreased respirations decreased pulmonary edema mag sulfate antidote Correct Answer: calcium gluconate