30 Questions
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?
Bleeding during pregnancy
What is a potential cause of spontaneous miscarriage?
Chromosomal abnormalities
What percentage of pregnancies result in spontaneous miscarriage?
15% to 30%
What is a sign of bleeding during pregnancy?
Confusion and pallor
What question should the nurse ask the patient to assess bleeding during pregnancy?
How long did the bleeding episode last?
What is a potential consequence of bleeding during pregnancy?
Fetal bradycardia
What is the primary symptom of cervical insufficiency?
Pink-stained vaginal discharge
What is the purpose of cervical cerclage in pregnant women?
To support the cervix and prevent premature dilation
What is the most common cause of painless bleeding in the 3rd trimester?
Placenta previa
What is the treatment for higher risk neoplasia?
Multiple chemotherapeutic agents
Why is bed rest recommended after cervical cerclage?
To reduce the risk of pregnancy loss
At what gestational age are sutures usually removed in a transabdominal cervical cerclage?
Weeks 36 to 37
What is a common complication of miscarriage that usually occurs in incomplete miscarriage or with coagulation defect?
Hemorrhage
What is the recommended action if a patient experiences heavy bleeding after a complete miscarriage?
Report heavy bleeding
What is the primary purpose of massaging the uterine fundus in the management of miscarriage?
To help the uterus contract and reduce bleeding
What should the patient be educated about regarding prescribed medications?
The indication of the prescribed medications
What is a possible cause of recurrent pregnancy loss?
All of the above
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
What is a common sign of gestational trophoblastic disease during early assessment?
Uterus expanding faster than usual
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
What is a risk factor for gestational trophoblastic disease?
Asian heritage
What is the purpose of methotrexate in the treatment of placenta accreta?
To promote placental absorption
What is the term for a benign neoplasm of the chorion in gestational trophoblastic disease?
Hydatidiform mole
Why may the placenta need to be left in place during treatment?
To allow for spontaneous absorption in 2 or 3 months
When is a CS birth advised?
When the placental edge is less than 1 cm from the cervical os or covering the cervical os
What is the primary goal of frequent monitoring of fetal heart sounds?
To detect fetal distress
What is the primary indication for administering IV fluids in a patient with placenta previa?
To replace lost blood volume
Under what condition may birth not be recommended?
When the bleeding has stopped
What is the primary purpose of administering betamethasone?
To promote fetal lung maturity
What is a characteristic of uterine palpation in a patient with postpartum hemorrhage?
The uterus feels tense and rigid
Test your knowledge on nursing care for sudden pregnancy complications, including thromboembolism, hemorrhage, infection, hypertension, ectopic pregnancy, and bleeding during pregnancy. Learn about the signs and symptoms of these conditions and how to provide adequate care.
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