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Antepartum Complications Patient Care Quiz
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Antepartum Complications Patient Care Quiz

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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?

    <p>The patient is at risk of neonatal death.</p> Signup and view all the answers

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

    <p>Decreased relaxation of the uterine muscle fibers.</p> Signup and view all the answers

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

    <p>Increased risk of chorioamnionitis</p> Signup and view all the answers

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

    <p>Maternal fever</p> Signup and view all the answers

    How can rupture of membranes (ROM) be confirmed?

    <p>Ferning is evident</p> Signup and view all the answers

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

    <p>Preventing infection</p> Signup and view all the answers

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

    <p>Pregnancy-Induced Hypertension (PIH)</p> Signup and view all the answers

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

    <p>Increased risk of respiratory distress syndrome</p> 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?

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

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

    <p>Provide emotional support and an honest assessment of the situation</p> Signup and view all the answers

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

    <p>Maternal renal failure from shock</p> Signup and view all the answers

    Which neonatal complication is mentioned in the text?

    <p>Neonatal hypoxia and prematurity</p> Signup and view all the answers

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

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

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