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NUR1210: Care of Mother and Child - Module 2
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NUR1210: Care of Mother and Child - Module 2

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Questions and Answers

What condition is characterized by the heart attempting to circulate decreased blood volume during hypovolemic shock?

  • Normal pulse rate
  • Irregular pulse rate
  • Decreased pulse rate
  • Increased pulse rate (correct)
  • Which of the following is NOT a type of bleeding disorder during pregnancy?

  • Hydatidiform mole
  • Ectopic pregnancy
  • Cervical cancer (correct)
  • Placenta previa
  • What complication involves the placenta detaching prematurely from the uterus?

  • Ectopic pregnancy
  • Hydatidiform mole
  • Abortion
  • Abruptio placenta (correct)
  • Which term describes the condition when there is an abnormal growth of placental tissue?

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

    In the context of hypovolemic shock, which sign indicates a critical assessment parameter that healthcare providers should monitor?

    <p>Increased pulse rate</p> Signup and view all the answers

    What is the general significance of vaginal bleeding during pregnancy?

    <p>It is always abnormal and can be serious.</p> Signup and view all the answers

    Which condition may cause a woman to experience decreased urine output during pregnancy?

    <p>Inadequate blood entering the kidneys.</p> Signup and view all the answers

    What physiological response occurs in the body during cold, clammy skin?

    <p>Vasoconstriction to maintain blood volume.</p> Signup and view all the answers

    Which condition is described as the expulsion of the fetus before 20-24 weeks of gestation?

    <p>Abortion.</p> Signup and view all the answers

    What does increased respiratory rate during pregnancy primarily facilitate?

    <p>Enhanced gas exchange for better oxygenation.</p> Signup and view all the answers

    What can potentially result from a loose placenta during pregnancy?

    <p>Cutting off nourishment to the fetus.</p> Signup and view all the answers

    What is a potential effect of decreased blood volume on the central nervous system?

    <p>Lowered level of consciousness and dizziness.</p> Signup and view all the answers

    What degree of vaginal bleeding during pregnancy is classified as potentially serious?

    <p>Any degree of bleeding.</p> Signup and view all the answers

    Study Notes

    Bleeding During Pregnancy

    • Vaginal bleeding is always abnormal during pregnancy and can occur at any time, potentially signaling serious complications.
    • Serious conditions often associated with bleeding include the detachment of the placenta, depriving the fetus of nourishment.
    • Causes of bleeding may originate from an undilated cervix and intact membranes that can retain blood within the uterus.

    Types of Bleeding Conditions

    • Abortion: Expulsion of the fetus before 20-24 weeks.
    • Hydatidiform Mole: Abnormal tissue growth in the uterus that may cause bleeding.
    • Ectopic Pregnancy: Implantation of the embryo outside the uterus, often leading to hemorrhage.
    • Premature Dilatation of Cervix: Incompetent cervix leads to premature labor and risk of bleeding.
    • Placenta Previa: Placenta covers the cervix, causing bleeding as the pregnancy progresses.
    • Abruptio Placenta: Detachment of the placenta from the uterus before delivery, resulting in bleeding.
    • Disseminated Intravascular Coagulation (DIC): Serious disorder affecting blood clotting, leading to bleeding during pregnancy.

    Signs and Symptoms of Hypovolemic Shock

    • Increased Pulse Rate: Compensatory response as the heart tries to circulate decreased blood volume.
    • Decreased Blood Pressure: Occurs due to reduced blood volume and lower peripheral resistance.
    • Increased Respiratory Rate: Body's response to enhance gas exchange for better oxygenation.
    • Cold, Clammy Skin: Result of vasoconstriction attempting to maintain blood volume in vital organs.
    • Decreased Urine Output: Indicates inadequate blood circulation to the kidneys because of volumetric loss.
    • Decreased Level of Consciousness: Potential indication of reduced blood flow to the brain resulting from hypovolemia.

    Nursing Process for High Risk Pregnant Clients

    • Ongoing evaluations are necessary for pregnant women experiencing any degree of bleeding to assess for significant blood loss.
    • Prompt assessment and monitoring of vital signs like pulse, blood pressure, and respiratory rate are critical in managing hypovolemic shock.
    • Interventions should address underlying causes of bleeding and maintaining maternal and fetal well-being.

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    Description

    This quiz focuses on the care of mothers and children at risk or facing problems, including acute and chronic conditions. It emphasizes understanding hypovolemic shock and its implications in nursing practice. Test your knowledge on critical nursing concepts related to maternal and child healthcare.

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