MCN II Lecture: Ultimate Midterms Reviewer - Pregnancy Complications
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Questions and Answers

What is the purpose of collecting specimen for urine HCG in a patient presenting with signs and symptoms of a possible molar pregnancy?

  • To detect the presence of Human chorionic gonadotropin (HCG) in the urine (correct)
  • To assess for abdominal girth changes
  • To confirm the presence of an ectopic pregnancy
  • To rule out the possibility of pelvic inflammatory disease

    • Which of the following interventions is aimed at preventing the recurrence of hydatidiform mole?

  • Prophylactic chemotherapy (correct)
  • Administration of prophylactic antibiotics
  • Use of anti-inflammatory medications
  • Surgical removal of the involved ovary

    • Which medication targets the formation of trophoblastic cells and is used in the management of hydatidiform mole?

  • Mifepristone
  • Oxytocin
  • Dactinomycin
  • Methotrexate (correct)

    • What is the common site for implantation in an ectopic pregnancy?

    <p>Fallopian tube</p> Signup and view all the answers

    Which of the following is a risk factor for ectopic pregnancy?

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

    What medication is used to block progesterone and discontinue the development of the fetus in the management of ectopic pregnancy?

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

    Which of the following is a key component in the management of incompetent cervix?

    <p>McDonald's cervical cerclage</p> Signup and view all the answers

    What is the main risk factor for the development of placenta previa?

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

    What is the primary purpose of monitoring the patient's input and output in the case of vaginal bleeding?

    <p>To determine if the patient is experiencing dehydration</p> Signup and view all the answers

    What is the primary purpose of ensuring the patient exhibits moist mucous membranes, good skin turgor, and adequate blood refill?

    <p>To determine good circulation of blood and that the patient is hydrated</p> Signup and view all the answers

    What is the primary purpose of providing emotional support to the patient in the case of vaginal bleeding?

    <p>To help the patient cope with the traumatic experience of having a procedure done</p> Signup and view all the answers

    What is the main purpose of IV hydration in the case of vaginal bleeding?

    <p>To maintain the patient's fluid balance and prevent dehydration due to the blood loss</p> Signup and view all the answers

    What is the primary cause of a hydatidiform mole?

    <p>Abnormal proliferation of trophoblast tissue</p> Signup and view all the answers

    Which of the following is NOT a typical sign or symptom of a hydatidiform mole?

    <p>Presence of fetal heart tones</p> Signup and view all the answers

    What is the preferred management for a hydatidiform mole?

    <p>Dilatation and evacuation</p> Signup and view all the answers

    Which of the following statements regarding hydatidiform moles is NOT true?

    <p>They are associated with fetal heart tones</p> Signup and view all the answers

    Which of the following procedures involves scraping the abnormal tissue from the uterine wall?

    <p>Dilatation and curettage</p> Signup and view all the answers

    Which of the following is a risk factor for developing a hydatidiform mole?

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

    What is the primary cause of the visual disturbances experienced in eclampsia?

    <p>Increased intracranial pressure due to cerebral edema</p> Signup and view all the answers

    What is the purpose of the indwelling Foley catheter in the nursing management of eclampsia?

    <p>To monitor urine output and fluid balance accurately</p> Signup and view all the answers

    What is the significance of the ankle clonus observed in eclampsia?

    <p>It indicates increased muscle tone and hyperreflexia</p> Signup and view all the answers

    What is the primary cause of the severe headache experienced in eclampsia?

    <p>Increased intracranial pressure due to cerebral edema</p> Signup and view all the answers

    What is the primary goal of the low-salt, low-fat diet recommended for patients with eclampsia?

    <p>To prevent further fluid retention and edema</p> Signup and view all the answers

    What is the primary reason for the poor fetal prognosis in eclampsia?

    <p>Placental abruption and fetal hypoxia</p> Signup and view all the answers

    What is the primary risk factor for abruptio placenta?

    <p>High parity</p> Signup and view all the answers

    Which grade of abruptio placenta indicates extreme separation with fetal demise?

    <p>Grade 3</p> Signup and view all the answers

    What is the mnemonic used to remember the signs of maternal shock in abruptio placenta?

    <p>Hypo tachy tachy</p> Signup and view all the answers

    Which of the following is NOT a management option for abruptio placenta?

    <p>Vaginal examination</p> Signup and view all the answers

    What is the primary difference between placenta previa and abruptio placenta?

    <p>Placenta previa is painless, while abruptio placenta causes severe pain</p> Signup and view all the answers

    What is the primary concern in severe cases of abruptio placenta that may require a hysterectomy?

    <p>Disseminated intravascular coagulation (DIC)</p> Signup and view all the answers

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