Maternal & Child Health Nursing: Pregnancy Complications
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Questions and Answers

What is a potential complication of pregnancy that can occur at any point during pregnancy, indicating a loosening of the placenta that might interfere with fetal nourishment?

  • Thromboembolism
  • Ectopic pregnancy
  • Hypertension
  • Bleeding during pregnancy (correct)

    • What is a potential cause of spontaneous miscarriage?

  • Morning sickness
  • Uterine cancer
  • Chromosomal abnormalities (correct)
  • Insufficient folic acid intake

    • What percentage of pregnancies result in spontaneous miscarriage?

  • 10% to 20%
  • 30% to 40%
  • 5% to 10%
  • 15% to 30% (correct)

    • What is a sign of bleeding during pregnancy?

    <p>Confusion and pallor</p> Signup and view all the answers

    What question should the nurse ask the patient to assess bleeding during pregnancy?

    <p>How long did the bleeding episode last?</p> Signup and view all the answers

    What is a potential consequence of bleeding during pregnancy?

    <p>Fetal bradycardia</p> Signup and view all the answers

    What is the primary symptom of cervical insufficiency?

    <p>Pink-stained vaginal discharge</p> Signup and view all the answers

    What is the purpose of cervical cerclage in pregnant women?

    <p>To support the cervix and prevent premature dilation</p> Signup and view all the answers

    What is the most common cause of painless bleeding in the 3rd trimester?

    <p>Placenta previa</p> Signup and view all the answers

    What is the treatment for higher risk neoplasia?

    <p>Multiple chemotherapeutic agents</p> Signup and view all the answers

    Why is bed rest recommended after cervical cerclage?

    <p>To reduce the risk of pregnancy loss</p> Signup and view all the answers

    At what gestational age are sutures usually removed in a transabdominal cervical cerclage?

    <p>Weeks 36 to 37</p> Signup and view all the answers

    What is a common complication of miscarriage that usually occurs in incomplete miscarriage or with coagulation defect?

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

    What is the recommended action if a patient experiences heavy bleeding after a complete miscarriage?

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

    What is the primary purpose of massaging the uterine fundus in the management of miscarriage?

    <p>To help the uterus contract and reduce bleeding</p> Signup and view all the answers

    What should the patient be educated about regarding prescribed medications?

    <p>The indication of the prescribed medications</p> Signup and view all the answers

    What is a possible cause of recurrent pregnancy loss?

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

    What is usually observed within a few days of the passage of the products of conception in complete miscarriage?

    <p>Bleeding that slows within 2 hours then ceases</p> Signup and view all the answers

    What is a common sign of gestational trophoblastic disease during early assessment?

    <p>Uterus expanding faster than usual</p> Signup and view all the answers

    What is the result of the chorion failing to develop into a full-term placenta in gestational trophoblastic disease?

    <p>Degeneration into a fluid-filled vesicle</p> Signup and view all the answers

    What is a risk factor for gestational trophoblastic disease?

    <p>Asian heritage</p> Signup and view all the answers

    What is the purpose of methotrexate in the treatment of placenta accreta?

    <p>To promote placental absorption</p> Signup and view all the answers

    What is the term for a benign neoplasm of the chorion in gestational trophoblastic disease?

    <p>Hydatidiform mole</p> Signup and view all the answers

    Why may the placenta need to be left in place during treatment?

    <p>To allow for spontaneous absorption in 2 or 3 months</p> Signup and view all the answers

    When is a CS birth advised?

    <p>When the placental edge is less than 1 cm from the cervical os or covering the cervical os</p> Signup and view all the answers

    What is the primary goal of frequent monitoring of fetal heart sounds?

    <p>To detect fetal distress</p> Signup and view all the answers

    What is the primary indication for administering IV fluids in a patient with placenta previa?

    <p>To replace lost blood volume</p> Signup and view all the answers

    Under what condition may birth not be recommended?

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

    What is the primary purpose of administering betamethasone?

    <p>To promote fetal lung maturity</p> Signup and view all the answers

    What is a characteristic of uterine palpation in a patient with postpartum hemorrhage?

    <p>The uterus feels tense and rigid</p> Signup and view all the answers

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