MCN II Lecture: Ultimate Midterms Reviewer

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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?

Fallopian tube (D) Signup and view all the answers

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

Smoking (B) 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?

Mifepristone (B) Signup and view all the answers

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

McDonald's cervical cerclage (A) Signup and view all the answers

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

All of the above (D) 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?

To determine if the patient is experiencing dehydration (A) 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?

To determine good circulation of blood and that the patient is hydrated (C) Signup and view all the answers

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

To help the patient cope with the traumatic experience of having a procedure done (A) Signup and view all the answers

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

To maintain the patient's fluid balance and prevent dehydration due to the blood loss (B) Signup and view all the answers

What is the primary cause of a hydatidiform mole?

Abnormal proliferation of trophoblast tissue (C) Signup and view all the answers

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

Presence of fetal heart tones (C) Signup and view all the answers

What is the preferred management for a hydatidiform mole?

Dilatation and evacuation (C) Signup and view all the answers

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

They are associated with fetal heart tones (C) Signup and view all the answers

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

Dilatation and curettage (D) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

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

Increased intracranial pressure due to cerebral edema (D) Signup and view all the answers

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

To monitor urine output and fluid balance accurately (C) Signup and view all the answers

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

It indicates increased muscle tone and hyperreflexia (D) Signup and view all the answers

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

Increased intracranial pressure due to cerebral edema (B) Signup and view all the answers

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

To prevent further fluid retention and edema (B) Signup and view all the answers

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

Placental abruption and fetal hypoxia (B) Signup and view all the answers

What is the primary risk factor for abruptio placenta?

High parity (D) Signup and view all the answers

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

Grade 3 (B) Signup and view all the answers

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

Hypo tachy tachy (B) Signup and view all the answers

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

Vaginal examination (B) Signup and view all the answers

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

Placenta previa is painless, while abruptio placenta causes severe pain (A) Signup and view all the answers

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

Disseminated intravascular coagulation (DIC) (A) Signup and view all the answers

Urine HCG Test Purpose

To detect the presence of Human Chorionic Gonadotropin (HCG) in the urine, confirming pregnancy.

Preventing Hydatidiform Mole Recurrence

Prophylactic chemotherapy aims to prevent the recurrence of hydatidiform mole.