NRSE 4141 OB Exam 3 Study Guide:
Ch. 9, Human Trafficking Speakers, Ch. 19, 20, 21, 22 (50 questions: multiple choice, select all that apply
and dosage calculations)
Ch. 9 - Violence and Abuse/Human Trafficking Guest Speakers/Workshop
SAVE Model – screening protocol that nurse uses when assessing for violence, know what SAVE stands
for and why types of questions or comments might be deemed appropriate figure 9.2
• Screen
• Ask
• Validate
• Evaluate
Chapter 19
Categories of Abortion (Table 19.1) Know the different categories of abortions
• Threatened abortion. The embryo is already viable. The products of conception are still
intact and the cervix is closed, but there is vaginal bleeding present.
• Inevitable/Imminent abortion. The embryo is dead with the products of conception
either intact or expelled. The cervix is already dilated and there is presence of vaginal
bleeding.
• Complete abortion. All products of conception are expelled and the embryo is dead. The
cervix is dilated, and there is mild bleeding.
• Incomplete abortion. The embryo is dead but some products of conception are still intact.
The cervix is already dilated and there is severe vaginal bleeding.
• Missed abortion. The embryo is already dead while inside the uterus. The products of
conception are still intact and the cervix is closed. There are brown vaginal discharges
present.
• Recurrent/Habitual abortion. Abortion becomes recurrent once the woman has had
3 consecutive miscarriages at the same gestational age.
• Misoprostil – drug of choice for abortions
a. Assessment Findings
b. Diagnosis
c. Therapeutic Management
High Risk Indicators
a) Rh(O) Blood incompatibilities/isoimmunization – what is this?
a. exposure of Rh-negative mother to Rh-positive fetal blood; sensitization;
antibody production; risk increases with each subsequent pregnancy; and
fetus with Rh-positive blood
b. assess blood type and Rh status
b) RhoGAM. What is it? When is it given?
a. Isoimmunization
-Given at 28
weeks HELLP Syndrome
a) What is it?
a. Hemolysis
b. Elevated Liver enzymes (AST, ALT)
, c. Low Platelets (<100,000)
b) Correlates with preeclampsia
c) Labs that identify HELLP (what is elevated or decreased)
Mag Sulfate Administration
a) Dosage for preeclampsia
b) Toxicity – signs/symptoms; expected
assessment/abnormal(s) c) Antidote for toxicity
Misoprostol (Cytotec)
a) Purpose of use in miscarriages or incomplete abortions
ROM – (PPROM and PROM)
a) Identify differences between types
a. PROM- women beyond 37 weeks gestation
b. PPROM- women less than 37 weeks
gestation b) Guidance given if suspected – nursing
education
c) Risks for fetal or maternal infection (signs and symptoms)
Placenta Previa
a) What is it?
a. Condition in which placenta lies very low in the uterus with partial or complete
covering the cervix
b) Assessment/Intervention and what to
avoid
a. Painless, bright red vaginal bleeding
b. NO vaginal exams
c. Prepare for c-section delivery
Hyperemesis Gravidarum
a) What is it?
a. Severe form of nausea and vomiting
b. Symptoms usually resolve by week 20
c. Weight loss >5% of prepregnancy body weight
b) Patient education on minimizing symptoms
Hypertensive Disorders
a) Mild preeclampsia
a. Bed rest, daily BP monitoring, and fetal movement counts
b. Hospitalization; IV magnesium sulfate during labor
b) Severe preeclampsia
a. Hospitalization; oxytocin and magnesium sulfate; preparation for birth
c) Eclampsia
Ch. 9, Human Trafficking Speakers, Ch. 19, 20, 21, 22 (50 questions: multiple choice, select all that apply
and dosage calculations)
Ch. 9 - Violence and Abuse/Human Trafficking Guest Speakers/Workshop
SAVE Model – screening protocol that nurse uses when assessing for violence, know what SAVE stands
for and why types of questions or comments might be deemed appropriate figure 9.2
• Screen
• Ask
• Validate
• Evaluate
Chapter 19
Categories of Abortion (Table 19.1) Know the different categories of abortions
• Threatened abortion. The embryo is already viable. The products of conception are still
intact and the cervix is closed, but there is vaginal bleeding present.
• Inevitable/Imminent abortion. The embryo is dead with the products of conception
either intact or expelled. The cervix is already dilated and there is presence of vaginal
bleeding.
• Complete abortion. All products of conception are expelled and the embryo is dead. The
cervix is dilated, and there is mild bleeding.
• Incomplete abortion. The embryo is dead but some products of conception are still intact.
The cervix is already dilated and there is severe vaginal bleeding.
• Missed abortion. The embryo is already dead while inside the uterus. The products of
conception are still intact and the cervix is closed. There are brown vaginal discharges
present.
• Recurrent/Habitual abortion. Abortion becomes recurrent once the woman has had
3 consecutive miscarriages at the same gestational age.
• Misoprostil – drug of choice for abortions
a. Assessment Findings
b. Diagnosis
c. Therapeutic Management
High Risk Indicators
a) Rh(O) Blood incompatibilities/isoimmunization – what is this?
a. exposure of Rh-negative mother to Rh-positive fetal blood; sensitization;
antibody production; risk increases with each subsequent pregnancy; and
fetus with Rh-positive blood
b. assess blood type and Rh status
b) RhoGAM. What is it? When is it given?
a. Isoimmunization
-Given at 28
weeks HELLP Syndrome
a) What is it?
a. Hemolysis
b. Elevated Liver enzymes (AST, ALT)
, c. Low Platelets (<100,000)
b) Correlates with preeclampsia
c) Labs that identify HELLP (what is elevated or decreased)
Mag Sulfate Administration
a) Dosage for preeclampsia
b) Toxicity – signs/symptoms; expected
assessment/abnormal(s) c) Antidote for toxicity
Misoprostol (Cytotec)
a) Purpose of use in miscarriages or incomplete abortions
ROM – (PPROM and PROM)
a) Identify differences between types
a. PROM- women beyond 37 weeks gestation
b. PPROM- women less than 37 weeks
gestation b) Guidance given if suspected – nursing
education
c) Risks for fetal or maternal infection (signs and symptoms)
Placenta Previa
a) What is it?
a. Condition in which placenta lies very low in the uterus with partial or complete
covering the cervix
b) Assessment/Intervention and what to
avoid
a. Painless, bright red vaginal bleeding
b. NO vaginal exams
c. Prepare for c-section delivery
Hyperemesis Gravidarum
a) What is it?
a. Severe form of nausea and vomiting
b. Symptoms usually resolve by week 20
c. Weight loss >5% of prepregnancy body weight
b) Patient education on minimizing symptoms
Hypertensive Disorders
a) Mild preeclampsia
a. Bed rest, daily BP monitoring, and fetal movement counts
b. Hospitalization; IV magnesium sulfate during labor
b) Severe preeclampsia
a. Hospitalization; oxytocin and magnesium sulfate; preparation for birth
c) Eclampsia
