MPN CH 5 Nursing Care of Women With Complications
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Questions and Answers

Which of the following is a purpose of the contraction stress test (CST)?

  • To determine fetal oxygenation (correct)
  • To assess fetal heart rate reactivity
  • To diagnose fetal conditions
  • To evaluate fetal lung maturity

    • What does a normal or negative CST result indicate?

  • The fetus has a healthy heart rate
  • The fetus has mature lungs
  • The fetus is well oxygenated
  • The fetus can tolerate labor (correct)

    • What is the purpose of the percutaneous umbilical blood sampling procedure?

  • To evaluate fetal lung maturity
  • To assess fetal heart rate reactivity
  • To diagnose fetal conditions
  • To obtain a fetal blood sample (correct)

    • What does a 2:1 ratio of lecithin/sphingomyelin indicate?

    <p>Fetal lung maturity</p> Signup and view all the answers

    Which of the following is a characteristic of hyperemesis gravidarum?

    <p>Persistent nausea and vomiting with inability to retain food and fluids</p> Signup and view all the answers

    What is a potential complication of hyperemesis gravidarum?

    <p>Dehydration</p> Signup and view all the answers

    How is hyperemesis gravidarum different from morning sickness?

    <p>Hyperemesis gravidarum causes dehydration</p> Signup and view all the answers

    What is the treatment for hyperemesis gravidarum?

    <p>Intravenous fluids</p> Signup and view all the answers

    Which of the following is a danger sign that should be taught to every pregnant woman and reinforced at each prenatal visit?

    <p>Late prenatal care</p> Signup and view all the answers

    What is a high-risk pregnancy?

    <p>A pregnancy with complications due to the pregnancy itself</p> Signup and view all the answers

    What is the purpose of early and consistent assessment for risk factors during prenatal visits?

    <p>To ensure a positive outcome for the mother and fetus</p> Signup and view all the answers

    What are some techniques used to assess the status of the fetus during pregnancy?

    <p>Ultrasound examination and fetal heart activity detection</p> Signup and view all the answers

    Which of the following is a noninvasive method for assessing fetal structures including the placenta?

    <p>MRI</p> Signup and view all the answers

    Which of the following indicates the need for evaluation during pregnancy?

    <p>Less than 3 kicks in 30 minutes</p> Signup and view all the answers

    Which of the following is a marker for trisomies 18 and 21 during pregnancy?

    <p>Cell-free DNA testing</p> Signup and view all the answers

    Which of the following is used to assess fetal lung maturity during late pregnancy?

    <p>Amniocentesis</p> Signup and view all the answers

    Which term refers to the condition in which the cervix becomes weak and opens prematurely, leading to the risk of preterm birth?

    <p>Incompetent cervix</p> Signup and view all the answers

    What is the term for a condition characterized by high blood pressure and signs of damage to other organ systems, such as the liver and kidneys, during pregnancy?

    <p>Preeclampsia</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Erythroblastosis fetalis</p> Signup and view all the answers

    What is the term for the condition in which a woman develops high blood sugar levels during pregnancy?

    <p>Gestational diabetes mellitus</p> Signup and view all the answers

    Which of the following is true about abortion?

    <p>Abortion is the intentional termination of a pregnancy before the age of viability.</p> Signup and view all the answers

    What is the purpose of a cerclage procedure?

    <p>To suture an incompetent cervix to prevent it from opening prematurely.</p> Signup and view all the answers

    Which procedure is used for early pregnancy termination up to 12 weeks gestation?

    <p>Vacuum aspiration</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent the development of antibodies that might harm the fetus during a subsequent pregnancy.</p> Signup and view all the answers

    Which of the following is a guideline for self-care at home after curettage?

    <p>Take temperature every 8 hours for 3 days</p> Signup and view all the answers

    What is a sign of infection after curettage?

    <p>Temperature of 38°C [100.4°F] or higher</p> Signup and view all the answers

    When can a woman resume sexual activity after curettage?

    <p>After the bleeding has stopped</p> Signup and view all the answers

    What is one emotional distress caused by spontaneous abortion?

    <p>Grieving for what might have been</p> Signup and view all the answers

    What can help a family work through the grief of any pregnancy loss?

    <p>Acknowledging the grief</p> Signup and view all the answers

    What does Nursing Care Plan 5.1 provide for families experiencing early pregnancy loss?

    <p>Interventions for emotional distress</p> Signup and view all the answers

    Which term refers to a condition characterized by high blood pressure and signs of damage to other organ systems, such as the liver and kidneys, during pregnancy?

    <p>Eclampsia</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Isoimmunization</p> Signup and view all the answers

    What is the purpose of a cerclage procedure?

    <p>To prevent preterm labor</p> Signup and view all the answers

    What is the term for a condition characterized by excessive amniotic fluid during pregnancy?

    <p>Hydramnios</p> Signup and view all the answers

    Which of the following is a noninvasive method for assessing fetal structures including the placenta?

    <p>Doppler ultrasound</p> Signup and view all the answers

    What is the purpose of the vibroacoustic stimulation test (VST)?

    <p>To stimulate the fetus with sound</p> Signup and view all the answers

    What is the purpose of the kick count test?

    <p>To evaluate fetal movement</p> Signup and view all the answers

    What is the purpose of the AFP testing?

    <p>To identify high levels of AFP associated with open defects</p> Signup and view all the answers

    Which of the following is a procedure used in early pregnancy termination?

    <p>Vacuum aspiration</p> Signup and view all the answers

    What is the term for the termination of a pregnancy before the age of viability?

    <p>Miscarriage</p> Signup and view all the answers

    What is the term for suturing an incompetent cervix that opens when the growing fetus presses against it?

    <p>Cerclage</p> Signup and view all the answers

    What is the term for the termination of pregnancy after 20 weeks of gestation?

    <p>Preterm labor</p> Signup and view all the answers

    Which of the following is a potential complication of hyperemesis gravidarum?

    <p>Preterm birth</p> Signup and view all the answers

    What is a potential danger sign that should be taught to every pregnant woman?

    <p>Reduced urine output</p> Signup and view all the answers

    What is the term for the condition in which the cervix becomes weak and opens prematurely, leading to the risk of preterm birth?

    <p>Cervical insufficiency</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent Rh isoimmunization</p> Signup and view all the answers

    Which of the following is a purpose of the contraction stress test (CST)?

    <p>To identify reduced fetal oxygenation in conditions associated with poor placental function</p> Signup and view all the answers

    What is the purpose of the percutaneous umbilical blood sampling procedure?

    <p>To obtain a fetal blood sample for diagnosing fetal conditions</p> Signup and view all the answers

    Which of the following is a noninvasive method for assessing fetal structures including the placenta?

    <p>Ultrasound</p> Signup and view all the answers

    What does a 2:1 ratio of lecithin/sphingomyelin indicate?

    <p>Fetal lung maturity</p> Signup and view all the answers

    Which of the following is a characteristic of a high-risk pregnancy?

    <p>It is defined as a pregnancy in which the health of the mother or fetus is in jeopardy.</p> Signup and view all the answers

    What is the purpose of amniocentesis?

    <p>To collect a sample of amniotic fluid for laboratory examination and fetal assessment.</p> Signup and view all the answers

    What is the purpose of an ultrasound examination during pregnancy?

    <p>To visualize structures within the body using high-frequency sound waves.</p> Signup and view all the answers

    What is the normal range for amniotic fluid volume?

    <p>From 5-19 cm.</p> Signup and view all the answers

    Which of the following is a guideline for self-care at home after curettage?

    <p>Report increased bleeding</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent Rh isoimmunization</p> Signup and view all the answers

    What is a potential complication of hyperemesis gravidarum?

    <p>Low birth weight</p> Signup and view all the answers

    What does a 2:1 ratio of lecithin/sphingomyelin indicate?

    <p>Fetal lung maturity</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Rh isoimmunization</p> Signup and view all the answers

    What is one emotional distress caused by spontaneous abortion?

    <p>Feeling grief</p> Signup and view all the answers

    Which of the following is a potential danger sign that should be taught to every pregnant woman?

    <p>Vaginal bleeding</p> Signup and view all the answers

    Which procedure is used to obtain a sample of amniotic fluid for analysis of fetal cells?

    <p>Amniocentesis</p> Signup and view all the answers

    What is the purpose of the kick count test?

    <p>To evaluate fetal movement</p> Signup and view all the answers

    What is the purpose of amniocentesis?

    <p>To collect a sample of amniotic fluid for laboratory examination</p> Signup and view all the answers

    What is a potential complication of hyperemesis gravidarum?

    <p>Dehydration</p> Signup and view all the answers

    Which procedure carries a higher risk of spontaneous abortion compared to amniocentesis?

    <p>Chorionic villus sampling</p> Signup and view all the answers

    Which test uses high-frequency sound waves to assess blood flow through the placenta and umbilical cord vessels?

    <p>Doppler ultrasound</p> Signup and view all the answers

    What is the purpose of the contraction stress test (CST)?

    <p>To assess the ability of the fetus to tolerate the stress of contractions</p> Signup and view all the answers

    Which of the following is a characteristic of hyperemesis gravidarum?

    <p>Excessive nausea and vomiting that significantly interferes with food intake and fluid balance</p> Signup and view all the answers

    What is the purpose of amniocentesis?

    <p>To diagnose genetic abnormalities</p> Signup and view all the answers

    Which of the following is a potential complication of hyperemesis gravidarum?

    <p>Fetal growth restriction</p> Signup and view all the answers

    What is the purpose of the contraction stress test (CST)?

    <p>To evaluate fetal well-being</p> Signup and view all the answers

    Which of the following tests is used to evaluate whether a fetus is likely to have respiratory complications in adapting to extrauterine life?

    <p>Tests of fetal lung maturity</p> Signup and view all the answers

    What does a 2:1 ratio of lecithin/sphingomyelin indicate?

    <p>Fetal lung maturity</p> Signup and view all the answers

    What is the purpose of the percutaneous umbilical blood sampling procedure?

    <p>To diagnose fetal conditions</p> Signup and view all the answers

    What is the purpose of the contraction stress test (CST)?

    <p>To evaluate fetal oxygenation</p> Signup and view all the answers

    What is the term for the intentional termination of a pregnancy before the age of viability?

    <p>Abortion</p> Signup and view all the answers

    What is the term for the procedure that involves dilation of the cervix followed by gentle scraping of the uterine walls to remove products of conception?

    <p>Dilation and evacuation</p> Signup and view all the answers

    Which of the following is a potential cause of recurrent pregnancy loss?

    <p>Anatomical factors</p> Signup and view all the answers

    What is the purpose of counseling parents after a pregnancy loss, even if the mother elects to terminate the pregnancy?

    <p>To provide emotional support</p> Signup and view all the answers

    Which term refers to a condition characterized by excessive amniotic fluid during pregnancy?

    <p>Hydramnios</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Erythroblastosis fetalis</p> Signup and view all the answers

    What is the term for the condition in which the cervix becomes weak and opens prematurely, leading to the risk of preterm birth?

    <p>Incompetent cervix</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent erythroblastosis fetalis</p> Signup and view all the answers

    Which of the following is a guideline for self-care at home after curettage?

    <p>Take temperature every 12 hours for 3 days</p> Signup and view all the answers

    What is a potential emotional distress caused by spontaneous abortion?

    <p>Feeling grief for what might have been</p> Signup and view all the answers

    What is a potential danger sign that should be taught to every pregnant woman?

    <p>Increased bleeding</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent Rh incompatibility</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Rh incompatibility</p> Signup and view all the answers

    What does Nursing Care Plan 5.1 provide for families experiencing early pregnancy loss?

    <p>Emotional care</p> Signup and view all the answers

    Which of the following tests is used to determine fetal age accurately?

    <p>Biparietal diameter</p> Signup and view all the answers

    What is the purpose of the kick count test?

    <p>Assess fetal movement</p> Signup and view all the answers

    Which procedure carries a higher risk of spontaneous abortion compared to amniocentesis?

    <p>Chorionic villus sampling</p> Signup and view all the answers

    What is the purpose of the NST (non-stress test)?

    <p>Identify fetal compromise</p> Signup and view all the answers

    Which of the following is a potential cause of high-risk pregnancies?

    <p>All of the above</p> Signup and view all the answers

    Which procedure is used to collect a sample of amniotic fluid for laboratory examination and fetal assessment?

    <p>Amniocentesis</p> Signup and view all the answers

    Which of the following is a potential complication of insufficient amniotic fluid during pregnancy?

    <p>Fetal distress during labor</p> Signup and view all the answers

    What is the purpose of an ultrasound examination during early pregnancy?

    <p>To confirm pregnancy</p> Signup and view all the answers

    Which of the following is a purpose of the contraction stress test (CST)?

    <p>To identify reduced fetal oxygenation in conditions associated with poor placental function</p> Signup and view all the answers

    Which of the following is a potential danger sign that should be taught to every pregnant woman?

    <p>Persistent vomiting</p> Signup and view all the answers

    What does a 2:1 ratio of lecithin/sphingomyelin indicate?

    <p>Fetal lung maturity</p> Signup and view all the answers

    What is the purpose of amniocentesis?

    <p>To obtain a sample of amniotic fluid for analysis of fetal cells</p> Signup and view all the answers

    Which of the following is a potential cause of recurrent pregnancy loss?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of a cerclage procedure?

    <p>To suture an incompetent cervix</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent the development of antibodies that might harm the fetus during a subsequent pregnancy</p> Signup and view all the answers

    What is a potential emotional distress caused by spontaneous abortion?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential complication of hyperemesis gravidarum?

    <p>Decreased fetal movement</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Rh incompatibility</p> Signup and view all the answers

    What is the purpose of Rh0(D) immune globulin given after any abortion?

    <p>To prevent Rh incompatibility</p> Signup and view all the answers

    What is the purpose of an ultrasound examination during pregnancy?

    <p>To assess fetal growth and development</p> Signup and view all the answers

    What is the term for the condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus?

    <p>Erythroblastosis fetalis</p> Signup and view all the answers

    What is the term for the condition in which a woman develops high blood sugar levels during pregnancy?

    <p>Gestational diabetes mellitus</p> Signup and view all the answers

    What is the term for the condition characterized by excessive amniotic fluid during pregnancy?

    <p>Hydramnios</p> Signup and view all the answers

    What is the term for the condition in which the cervix becomes weak and opens prematurely, leading to the risk of preterm birth?

    <p>Incompetent cervix</p> Signup and view all the answers

    Which of the following is a guideline for self-care at home after curettage?

    <p>Take temperature every 8 hours for 3 days</p> Signup and view all the answers

    What is the purpose of an oral iron supplement after curettage?

    <p>To replenish iron stores</p> Signup and view all the answers

    When can a woman typically resume sexual activity after curettage?

    <p>After the bleeding has stopped</p> Signup and view all the answers

    What is a potential sign of infection after curettage?

    <p>All of the above</p> Signup and view all the answers

    What is an emotional response that women and their families may experience after spontaneous abortion?

    <p>Grief</p> Signup and view all the answers

    How long may the grief after spontaneous abortion last?

    <p>Longer than expected</p> Signup and view all the answers

    True or false: Most women have complications during pregnancy.

    <p>False</p> Signup and view all the answers

    True or false: Complications during pregnancy can be prevented or made less severe through prenatal care.

    <p>True</p> Signup and view all the answers

    True or false: Teratogen is the term for a substance that can cause birth defects.

    <p>True</p> Signup and view all the answers

    True or false: Macrosomia is a condition in which the mother's immune system produces antibodies that attack and destroy red blood cells in the fetus.

    <p>False</p> Signup and view all the answers

    True or false: Biparietal diameter of the fetus at 36 weeks is 8.7 cm.

    <p>False</p> Signup and view all the answers

    True or false: Doppler ultrasound is used to determine chromosome abnormalities.

    <p>False</p> Signup and view all the answers

    True or false: Amniocentesis is recommended before 15 weeks gestation.

    <p>False</p> Signup and view all the answers

    True or false: NST (non-stress test) assesses fetal lung maturity.

    <p>False</p> Signup and view all the answers

    Hyperemesis gravidarum is easily managed during pregnancy.

    <p>False</p> Signup and view all the answers

    Hyperemesis gravidarum can result in restricted fetal growth.

    <p>True</p> Signup and view all the answers

    Thiamine is administered before intravenous dextrose to prevent Wernicke's syndrome.

    <p>True</p> Signup and view all the answers

    Bleeding disorders of early pregnancy can result in fetal hypoxia.

    <p>True</p> Signup and view all the answers

    True or false: The contraction stress test (CST) measures the response of the fetal heart rate to mild uterine contractions.

    <p>True</p> Signup and view all the answers

    True or false: Late decelerations after a contraction during the CST can indicate that the fetus may not tolerate labor.

    <p>True</p> Signup and view all the answers

    True or false: Fetal breathing movements occur before the cessation of fetal body movements.

    <p>False</p> Signup and view all the answers

    True or false: The foam stability index, also known as the 'shake test', is used to determine fetal lung maturity.

    <p>True</p> Signup and view all the answers

    True or false: Women who have no prenatal care or begin care late in pregnancy may have complications that are severe because the problems were not identified early.

    <p>True</p> Signup and view all the answers

    True or false: A high-risk pregnancy is defined as one in which the health of the mother or fetus is in jeopardy.

    <p>True</p> Signup and view all the answers

    True or false: Early and consistent assessment for risk factors during prenatal visits is essential for a positive outcome for the mother and the fetus.

    <p>True</p> Signup and view all the answers

    True or false: Amniocentesis is a fetal diagnostic test that involves inserting a needle into the amniotic cavity to collect a sample of amniotic fluid for laboratory examination and fetal assessment.

    <p>True</p> Signup and view all the answers

    True or false: Termination of pregnancy after 20 weeks of gestation is called preterm labor?

    <p>False</p> Signup and view all the answers

    True or false: Rh0(D) immune globulin is given to Rh-negative women after any abortion to prevent the development of antibodies that might harm the fetus during a subsequent pregnancy?

    <p>True</p> Signup and view all the answers

    True or false: Vacuum aspiration is a procedure used in early pregnancy termination that involves cervical dilation with metal rods followed by controlled suction to remove all products of conception?

    <p>True</p> Signup and view all the answers

    True or false: Mifepristone followed by misoprostol is an oral medication that may be taken up to 70 days gestation and is often used for first-trimester or early second-trimester abortions?

    <p>True</p> Signup and view all the answers

    True or false: Most women are discharged directly from the recovery unit to their home after curettage?

    <p>True</p> Signup and view all the answers

    True or false: Women should use tampons after curettage to prevent infection?

    <p>False</p> Signup and view all the answers

    True or false: Women should take their temperature every 8 hours for 3 days after curettage?

    <p>True</p> Signup and view all the answers

    True or false: Signs of infection after curettage include a temperature of 38°C or higher and foul odor or brownish color of vaginal drainage?

    <p>True</p> Signup and view all the answers

    True or false: Women should resume sexual activity as recommended by the health care provider after curettage?

    <p>True</p> Signup and view all the answers

    True or false: Pregnancy can occur before the first menstrual period returns after the abortion procedure?

    <p>True</p> Signup and view all the answers

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