Nursing: Seizure Management in Pregnancy Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most immediate action a nurse should take to ensure the safety of a pregnant woman experiencing a convulsive seizure?

Position the mother on her side to allow secretions to drain (correct)

Put a mouth gag to prevent tongue biting

Check if the woman is having precipitate labor

Apply restraint to prevent falling out of bed

What should the nurse do first when a client with eclampsia experiences a seizure?

Insert a padded tongue blade into the mouth

Place a pillow under the left buttock

Pad the side rails

Maintain a patent airway (correct)

Which action by the nurse caring for a pregnant client experiencing a seizure would be contraindicated?

Restraining the client's limbs (correct)

Positioning the client to side with head flexed forward

Removing the pillow and raising padded side rails

Loosening restrictive clothing

Before administering 15-methyl prostaglandin F2a to a patient, which history should the nurse check?

Asthma Signup and view all the answers

Which of the following is NOT recommended during a seizure in a pregnant woman?

Restraining the limbs Signup and view all the answers

What is the correct initial action for a nurse when a client with eclampsia has a seizure?

Ensuring a safe environment Signup and view all the answers

What is the primary reason for atraumatic delivery of the baby?

To allow atraumatic delivery of the baby Signup and view all the answers

What is the nursing measure to relieve fetal distress due to maternal supine hypotension?

Put the mother on the left side-lying position Signup and view all the answers

Why is a gravidocardiac mother advised to observe bed rest primarily?

Minimize oxygen consumption which can aggravate the condition of the compromised heart of the mother Signup and view all the answers

What is the most likely effect on the fetus if the woman is severely anemic during pregnancy?

Small for gestational age (SGA) baby Signup and view all the answers

Which topic should Nurse April Grace include in a client education program for sickle cell disease?

A high-iron, high-protein diet Signup and view all the answers

What should Nurse Edna do if the patient reports feeling déja vu and seeing spots in their visual field while being assisted to the restroom?

Initiate the emergency response system. Signup and view all the answers

What should Nurse Edna do in preparation for her patient's EEG (electroencephalogram) test?

Keep the patient nothing by mouth. Signup and view all the answers

What is the best course of action for the female teacher with a history of epilepsy who is planning to breastfeed her baby?

Continue on lamotrigine and continue to breastfeed. Signup and view all the answers

Which statement taught by the nursing student about epilepsy should be corrected?

"It is safe to drink alcohol in moderation." Signup and view all the answers

In a pregnant woman with a history of seizures, which intervention would be most appropriate during prenatal care?

Discuss potential risks of seizures during pregnancy and delivery. Signup and view all the answers

What is the recommended management approach for seizures in eclampsia?

Administer high doses of magnesium sulfate. Signup and view all the answers

Study Notes

Eclampsia and Seizures in Pregnancy

During a convulsive seizure in a pregnant woman, the most immediate action to ensure safety is to turn the woman onto her left side in a lateral recumbent position.
When a client with eclampsia experiences a seizure, the nurse should first ensure the woman's safety by clearing the surroundings and protecting her from injury.

Contraindications in Seizure Care

It is contraindicated for the nurse to restrain a pregnant client experiencing a seizure.

Medication Administration

Before administering 15-methyl prostaglandin F2a, the nurse should check the patient's history for asthma or cardiovascular disease.

Seizure Care in Pregnancy

During a seizure in a pregnant woman, it is not recommended to restrict the woman's movement or try to hold her down.
The correct initial action for a nurse when a client with eclampsia has a seizure is to ensure the woman's safety and protect her from injury.

Fetal Distress and Maternal Supine Hypotension

The primary reason for atraumatic delivery of the baby is to prevent fetal distress and maternal injuries.
To relieve fetal distress due to maternal supine hypotension, the nurse should turn the woman onto her left side.

Gravidacardiac Care

A gravidacardiac mother is advised to observe bed rest primarily to reduce cardiac workload and prevent maternal cardiovascular complications.

Anemia in Pregnancy

If a woman is severely anemic during pregnancy, the most likely effect on the fetus is intrauterine growth restriction.

Client Education for Sickle Cell Disease

In a client education program for sickle cell disease, the topic of pain management and crisis prevention should be included.

Seizure Precautions

If a patient reports feeling déja vu and seeing spots in their visual field, the nurse should suspect a seizure and take necessary precautions.
Before an EEG (electroencephalogram) test, the nurse should instruct the patient to avoid caffeine and nicotine.

Epilepsy and Breastfeeding

A female teacher with a history of epilepsy who is planning to breastfeed her baby should be advised to continue taking her anticonvulsant medication as prescribed.

Epilepsy Education

The statement that epilepsy is contagious should be corrected, as epilepsy is not contagious.

Prenatal Care for Women with Seizures

For a pregnant woman with a history of seizures, the most appropriate intervention during prenatal care is to closely monitor her seizure activity and adjust her medication as needed.

Seizure Management in Eclampsia

The recommended management approach for seizures in eclampsia is to administer magnesium sulfate to control seizure activity and prevent future seizures.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on managing seizures in pregnant women. Learn about the immediate actions nurses should take to ensure the safety of both the mother and the baby.