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Questions and Answers

Which of the following can potentially lead to pregnancy loss due to abnormal fetal growth?

  • Ingestion of alcohol during early pregnancy (correct)
  • Excessive weight gain during pregnancy
  • Diagnosis of gestational diabetes
  • Chronic hypertension in the mother
  • What percentage of pregnancies may result in spontaneous miscarriage?

  • 5% to 10%
  • 30% to 40%
  • 40% to 50%
  • 15% to 30% (correct)
  • What is a necessary condition for a fetus to be considered viable?

  • The fetus must be able to survive if born at that time. (correct)
  • The fetus must be in the third trimester.
  • The fetus must have reached 40 weeks of gestation.
  • The fetus must weigh at least 1 kilogram.
  • Which of the following infections is known to readily cross the placenta and may contribute to pregnancy complications?

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

    What happens to progesterone production if the fetus fails to grow due to an infection?

    <p>It decreases.</p> Signup and view all the answers

    What is the medical term used for any interruption of a pregnancy before the fetus is viable?

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

    Which of the following conditions can be a more common cause of spontaneous miscarriage?

    <p>Urinary tract infections</p> Signup and view all the answers

    What emotional response is commonly associated with vaginal bleeding during pregnancy?

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

    What symptom might indicate severe shock in a woman with suspected ectopic pregnancy?

    <p>Rapid, thready pulse</p> Signup and view all the answers

    What imaging technique can visualize a ruptured fallopian tube in suspected ectopic pregnancy?

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

    What does falling levels of hCG or serum progesterone suggest in the context of ectopic pregnancy?

    <p>The pregnancy has ended</p> Signup and view all the answers

    What sign indicates peritoneal irritation associated with ectopic pregnancy?

    <p>Bluish hue at the umbilicus</p> Signup and view all the answers

    Why might women with a history of ectopic pregnancy have a higher chance of future occurrences?

    <p>Scarring from previous infections like salpingitis</p> Signup and view all the answers

    What is typically the status of temperature in a woman experiencing an ectopic pregnancy?

    <p>Usually normal</p> Signup and view all the answers

    What role do oral contraceptives have regarding ectopic pregnancy according to the content?

    <p>They reduce the incidence of ectopic pregnancies</p> Signup and view all the answers

    Which symptom may a woman experience that is typical of early pregnancy but can also occur in ectopic pregnancy?

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

    What is the primary function of platelets in the context of clotting?

    <p>To form a seal over bleeding points</p> Signup and view all the answers

    Which condition is most closely associated with the development of DIC?

    <p>Acute promyelocytic leukemia</p> Signup and view all the answers

    What is the early symptom of DIC?

    <p>Easy bruising or bleeding</p> Signup and view all the answers

    What causes tissue hypoxia in DIC?

    <p>Obstruction of blood flow</p> Signup and view all the answers

    Which of the following is not a common cause of DIC?

    <p>Irritable bowel syndrome</p> Signup and view all the answers

    What is the consequence of the widespread activation of the coagulation system in DIC?

    <p>Consumption of clotting factors and platelets</p> Signup and view all the answers

    Which of the following represents a critical pathological feature of DIC?

    <p>Extensive thrombus formation in the microvascular system</p> Signup and view all the answers

    What role does thrombin play in clot formation during DIC?

    <p>Activates fibrinolysin to digest excess fibrin threads</p> Signup and view all the answers

    What aspect of a patient's condition should the nurse closely monitor due to potential mobility issues?

    <p>Gait and stability during ambulation</p> Signup and view all the answers

    Which symptom is likely due to impaired sensation in patients with pernicious anemia?

    <p>Mouth and tongue soreness</p> Signup and view all the answers

    What can be a consequence of placenta previa if it is diagnosed as total?

    <p>The birth must occur via cesarean section.</p> Signup and view all the answers

    What is essential for patients with pernicious anemia even when symptoms have resolved?

    <p>Monthly vitamin B12 injections or daily oral supplements</p> Signup and view all the answers

    What is a common symptom presented by patients with abruptio placentae?

    <p>Uterine contractions and fetal distress</p> Signup and view all the answers

    What is a major risk associated with gastric atrophy in patients with pernicious anemia?

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

    Which analysis is used to evaluate fetal lung maturity if bleeding occurs after 37 weeks of gestation?

    <p>Lecithin/sphingomyelin ratio</p> Signup and view all the answers

    Why may more postpartum hemorrhage occur in women with a history of placenta previa?

    <p>The placental site is poorly positioned.</p> Signup and view all the answers

    What should patients with impaired sensation be instructed to avoid?

    <p>Excessive heat and cold</p> Signup and view all the answers

    What should be done if a fetus shows signs of distress in the context of placenta previa?

    <p>Prepare for potential emergency birth.</p> Signup and view all the answers

    What might physical and occupational therapy referrals assist patients with?

    <p>Obtaining assistive devices and instruction in their use</p> Signup and view all the answers

    What consequence may occur due to anemia in patients if not treated?

    <p>Heart failure associated with severe anemia</p> Signup and view all the answers

    What is a key characteristic of bleeding associated with abruptio placentae?

    <p>It is typically bright red and sudden.</p> Signup and view all the answers

    What type of infections during pregnancy is a significant contributor to maternal and fetal morbidity?

    <p>Viral infections</p> Signup and view all the answers

    What factor can increase the risk of placental abruption in subsequent pregnancies?

    <p>History of placental abruption in a previous pregnancy</p> Signup and view all the answers

    What is the primary purpose of prescribing drugs for fetal lung maturity if the fetus is less than 34 weeks gestation?

    <p>To prepare fetal lungs for breathing post-birth.</p> Signup and view all the answers

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