Maternal & Child Health Nursing: Pregnancy Complications

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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?

Confusion and pallor (D) Signup and view all the answers

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

How long did the bleeding episode last? (B) Signup and view all the answers

What is a potential consequence of bleeding during pregnancy?

Fetal bradycardia (A) Signup and view all the answers

What is the primary symptom of cervical insufficiency?

Pink-stained vaginal discharge (C) Signup and view all the answers

What is the purpose of cervical cerclage in pregnant women?

To support the cervix and prevent premature dilation (C) Signup and view all the answers

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

Placenta previa (A) Signup and view all the answers

What is the treatment for higher risk neoplasia?

Multiple chemotherapeutic agents (A) Signup and view all the answers

Why is bed rest recommended after cervical cerclage?

To reduce the risk of pregnancy loss (B) Signup and view all the answers

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

Weeks 36 to 37 (D) Signup and view all the answers

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

Hemorrhage (A) Signup and view all the answers

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

Report heavy bleeding (C) Signup and view all the answers

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

To help the uterus contract and reduce bleeding (A) Signup and view all the answers

What should the patient be educated about regarding prescribed medications?

The indication of the prescribed medications (B) Signup and view all the answers

What is a possible cause of recurrent pregnancy loss?

All of the above (D) 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?

Bleeding that slows within 2 hours then ceases (D) Signup and view all the answers

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

Uterus expanding faster than usual (D) 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?

Degeneration into a fluid-filled vesicle (A) Signup and view all the answers

What is a risk factor for gestational trophoblastic disease?

Asian heritage (B) Signup and view all the answers

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

To promote placental absorption (A) Signup and view all the answers

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

Hydatidiform mole (A) Signup and view all the answers

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

To allow for spontaneous absorption in 2 or 3 months (B) Signup and view all the answers

When is a CS birth advised?

When the placental edge is less than 1 cm from the cervical os or covering the cervical os (B) Signup and view all the answers

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

To detect fetal distress (C) Signup and view all the answers

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

To replace lost blood volume (B) Signup and view all the answers

Under what condition may birth not be recommended?

When the bleeding has stopped (D) Signup and view all the answers

What is the primary purpose of administering betamethasone?

To promote fetal lung maturity (A) Signup and view all the answers

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

The uterus feels tense and rigid (A) Signup and view all the answers

Bleeding during pregnancy

A loosening of the placenta potentially interfering with fetal nourishment.

Spontaneous miscarriage

Pregnancy loss before 20 weeks gestation.