Antepartum Complications Patient Care Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the MOST important sign the patient should be instructed to report immediately regarding placenta previa?

Headache

Nausea

Cramping (correct)

Increased fetal movement

What is the MOST important reason the patient may not be given analgesics during labor due to the fetus' prematurity?

Analgesics could interfere with the uterus' ability to contract effectively.

The patient needs to remain on bed rest, so analgesics would make her too drowsy.

The patient's bleeding has not ceased, so analgesics could worsen the bleeding.

The fetus is at risk of respiratory depression from the analgesics. (correct)

Which of the following is the MOST important reason the patient should be monitored for signs of hemorrhage and shock during the postpartum period?

The patient's uterus has diminished ability to contract effectively. (correct)

The patient is at risk of placenta previa complications.

The patient is on bed rest and needs close monitoring.

The patient's newborn is premature and requires close monitoring.

What is the MOST important reason the patient and her family should be encouraged to verbalize their feelings and develop coping strategies?

The patient is at risk of neonatal death. Signup and view all the answers

What is the MOST likely pathophysiological mechanism for the increased uterine tone and irritability mentioned in the text?

Decreased relaxation of the uterine muscle fibers. Signup and view all the answers

What is the risk associated with premature rupture of membranes (PROM)?

Increased risk of chorioamnionitis Signup and view all the answers

Which diagnostic finding may indicate infection in a case of premature rupture of membranes?

Maternal fever Signup and view all the answers

How can rupture of membranes (ROM) be confirmed?

Ferning is evident Signup and view all the answers

What is an essential part of nursing management for a client with premature rupture of membranes (PROM)?

Preventing infection Signup and view all the answers

Which term is used for the life-threatening disorder that usually develops after the 20th week of pregnancy?

Pregnancy-Induced Hypertension (PIH) Signup and view all the answers

What is one possible consequence of PROM in relation to neonatal complications?

Increased risk of respiratory distress syndrome Signup and view all the answers

What is the recommended nursing management for a patient with severe placental separation and no signs of fetal life?

Monitor the patient's vital signs and bleeding every 10-15 minutes Signup and view all the answers

What is the recommended approach if vaginal delivery is elected for a patient with severe placental separation?

Provide emotional support and an honest assessment of the situation Signup and view all the answers

What is a potential complication for postpartum patients in this scenario?

Maternal renal failure from shock Signup and view all the answers

Which neonatal complication is mentioned in the text?

Neonatal hypoxia and prematurity Signup and view all the answers

What is the definition of premature rupture of membranes (PROM) according to the text?

Rupture of the chorion and amnion 1 hour or more before the onset of labor Signup and view all the answers

Study Notes

Placenta Previa

The patient should report any vaginal bleeding immediately.

Fetal Prematurity

The fetus may not be given analgesics during labor due to the risk of respiratory depression.

Postpartum Hemorrhage and Shock

Postpartum hemorrhage and shock can be life-threatening due to blood loss.

Emotional Support and Coping

Encouraging patients to verbalize feelings and develop coping strategies is crucial for emotional well-being and support during pregnancy and childbirth.

Increased Uterine Tone and Irritability

The increase in uterine tone and irritability can be attributed to the release of prostaglandins.

Premature Rupture of Membranes (PROM)

Premature rupture of membranes (PROM) increases the risk of infection and preterm labor.

PROM and Infection

Elevated white blood cell count can indicate infection.

Confirmation of ROM

Rupture of membranes (ROM) can be confirmed by visual inspection of amniotic fluid leakage.

Nursing Management of PROM

Frequent monitoring of fetal heart rate and maternal vital signs is crucial for managing premature rupture of membranes (PROM).

Life-Threatening Disorder in Pregnancy

Preeclampsia is a life-threatening disorder developing usually after the 20th week of pregnancy.

PROM and Neonatal Complications

PROM increases the risk of premature birth, leading to respiratory distress syndrome in newborns.

Management of Severe Placental Separation

In the case of severe placental separation with no signs of fetal life, immediate delivery is recommended.

Vaginal Delivery with Severe Placental Separation

In the case of severe placental separation, vaginal delivery is recommended, but a cesarean section may be necessary depending on the circumstances.

Potential Complications for Postpartum Patients

Postpartum hemorrhage is a potential complication for patients who experience severe placental separation.

Neonatal Complications

Respiratory distress syndrome is a potential complication for newborns born prematurely.

Definition of PROM

Premature rupture of membranes (PROM) is defined as the rupture of the amniotic sac before the onset of labor.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on providing care to a patient with antepartum complications such as placenta previa and postpartum hemorrhage. Learn to identify signs of bleeding, infection, and shock in pregnant patients.