Health Across the Lifespan, 11th Edition (Davidson, 2020),
Chapter 1- / All Chapters with Answers
and Rationals
What 3 conditions make a high risk pregnancy - ANSWER: Pregnancy that causes jeopardy to mother
or fetus
Condition had before pregnancy or from pregnancy
Higher morbidity and mortality rate
Nine common pregnancy complications - ANSWER: Bleeding
Hyperemesis gravidarum
Gestational hypertension
HELLP syndrome
Gestational diabetes
Blood incompatibility
Amniotic fluid imbalance
Multiple gestation
Premature rupture of membranes
Four conditions associated with early bleeding during pregnancy - ANSWER: Spontaneous abortion
Ectopic pregnancy
Gestational trophoblastic disease
Cervical insufficiency
This is a is the loss of a pregnancy without outside intervention before 20 weeks' gestation - ANSWER:
Spontaneous abortion
What is the cause of spontaneous abortions - ANSWER: Unknown and varies
What is likely the cause of a spontaneous abortion during the first trimester - ANSWER: Fetal genetic
abnormalities
What is likely the cause of a spontaneous abortion during the second trimester - ANSWER: Maternal
conditions
Four nursing assessments that must be done if a spontaneous abortion is likely to happen or has
happened - ANSWER: Vaginal bleeding
Cramping or contractions
Cervical dilation
Vitals and pain
Six types of spontaneous abortions - ANSWER: Threatened
Inevitable
Incomplete
Complete
Missed
Habitual
This type of spontaneous abortion is vaginal bleeding that occurs in the first 20 weeks of pregnancy.
The bleeding is sometimes accompanied by abdominal cramps. These symptoms indicate that a
miscarriage is possible - ANSWER: Threatened abortion
, This is when the cervix is dilated prematurely and indicates that a miscarriage is ......
If products of conception are still present in the uterus, bleeding may occur sometimes days later -
ANSWER: Inevitable abortion
This is is an abortion that has only been partially successful. The pregnancy has ended— no fetus will
develop, but your body has only expelled part of the tissue and products of pregnancy.
Often accompanied by heavy bleeding, severe abdominal or back pain, fever lasting more than 24
hours, and foul smelling vaginal discharge - ANSWER: Incomplete abortion
This type of spontaneous abortion usually needs no further treatment, medically or surgically.
With other spontaneous abortions, treatment may include misoprostol as an alternative to surgery or
performance of suction dilation and curettage. - ANSWER: Complete abortion
This type of spontaneous abortion occurs if a pregnancy, in which the fetus that is not growing
normally or dies, continues. The fetus should have miscarried but hasn't. - ANSWER: Missed abortion
This type of spontaneous abortion is the miscarriage of 3 or more consecutive pregnancies. The
abortion of 3 or more miscarriages (spontaneous abortions) with no intervening pregnancies -
ANSWER: Habitual abortion
This is ovum implantation outside the uterus, sometimes caused from obstruction to or slowing
passage of ovum through tube to uterus - ANSWER: Ectopic pregnancy
What four medications are given during / after an ectopic pregnancy - ANSWER: Methotrexate
Prostaglandins
Misoprostol
Actinomycin
Rh Immunoglobulin
What is the hallmark sign of an ectopic pregnancy (2) - ANSWER: Abdominal pain
Spotting within 6 to 8 weeks after missed menses
How is an ectopic pregnancy diagnosed - ANSWER: Transvaginal ultrasound
Ultrasound pelvis
Serum beta hCG
What are the two types of gestational trophoblastic disease - ANSWER: Hydatidiform mole
Choriocarcinoma
What are the causes of hydatidiform mole and choriocarcinomas - ANSWER: Unknown
What are the two therapeutic managements of gestational trophoblastic disease or hydatidiform
moles and choriocarcinomas - ANSWER: Evacuation of uterine contents D and C
Long term follow up and monitoring of serial hCG levels
What are the clinical manifestations of gestational trophoblastic disease - ANSWER: Same as
spontaneous abortion at 12 weeks
High hCG levels
This is growth of an abnormal fertilized egg or an overgrowth of tissue from the placenta. Women
appear to be pregnant, but the uterus enlarges much more rapidly than in a normal pregnancy. -
ANSWER: Hydatidiform mole
This is a fast-growing cancer that occurs in a woman's uterus (womb). The abnormal cells start in the
tissue that would normally become the placenta. - ANSWER: Choriocarcinoma
This is when the cervix prematurely dilates - ANSWER: Cervical insufficiency