Podcast
Questions and Answers
A pregnant woman at 30 weeks gestation reports sudden, painless vaginal bleeding. What is the priority nursing intervention?
A pregnant woman at 30 weeks gestation reports sudden, painless vaginal bleeding. What is the priority nursing intervention?
- Initiating continuous fetal monitoring and assessing maternal vital signs. (correct)
- Preparing the patient for immediate cesarean section.
- Administering oxygen via nasal cannula at 2 liters per minute.
- Performing a vaginal examination to assess cervical dilation.
Which instruction is most important for a nurse to give a woman who is 1 day postpartum and has a third-degree perineal laceration?
Which instruction is most important for a nurse to give a woman who is 1 day postpartum and has a third-degree perineal laceration?
- Apply ice packs to the perineum for the first 24 hours only.
- Begin Kegel exercises to strengthen the pelvic floor.
- Use a sitz bath after each bowel movement. (correct)
- Increase your intake of iron-rich foods.
A client undergoing fertility treatment is prescribed clomiphene citrate (Clomid). What information should the nurse provide regarding its common side effects?
A client undergoing fertility treatment is prescribed clomiphene citrate (Clomid). What information should the nurse provide regarding its common side effects?
- Clomiphene frequently leads to multiple gestations, but this poses no additional risk.
- Clomiphene commonly causes weight gain and increased appetite.
- Visual disturbances, hot flashes, and mood swings can occur during the treatment. (correct)
- Ovarian hyperstimulation syndrome is an expected and harmless side effect.
A primiparous woman in active labor reports severe back pain. What nursing intervention would be most helpful in alleviating this discomfort?
A primiparous woman in active labor reports severe back pain. What nursing intervention would be most helpful in alleviating this discomfort?
During a routine prenatal visit at 36 weeks gestation, a client's blood pressure is 160/100 mmHg. She also reports a headache and blurred vision. Which complication is most likely?
During a routine prenatal visit at 36 weeks gestation, a client's blood pressure is 160/100 mmHg. She also reports a headache and blurred vision. Which complication is most likely?
A nurse is teaching a new mother about recognizing signs of postpartum depression. Which statement by the mother indicates a need for further teaching?
A nurse is teaching a new mother about recognizing signs of postpartum depression. Which statement by the mother indicates a need for further teaching?
A patient in labor requests an epidural for pain relief. What is the nurse's priority action after the epidural is administered?
A patient in labor requests an epidural for pain relief. What is the nurse's priority action after the epidural is administered?
A client with a history of recurrent urinary tract infections (UTIs) asks the nurse for advice on prevention. Which recommendation is most appropriate?
A client with a history of recurrent urinary tract infections (UTIs) asks the nurse for advice on prevention. Which recommendation is most appropriate?
What is the primary purpose of Leopold maneuvers during a prenatal assessment?
What is the primary purpose of Leopold maneuvers during a prenatal assessment?
A woman is prescribed oral contraceptives. What should the nurse emphasize regarding missed pills?
A woman is prescribed oral contraceptives. What should the nurse emphasize regarding missed pills?
A postpartum patient reports heavy lochia rubra with large clots 2 days after delivery. Which action should the nurse take first?
A postpartum patient reports heavy lochia rubra with large clots 2 days after delivery. Which action should the nurse take first?
What is the most important factor to assess when evaluating fetal well-being during labor?
What is the most important factor to assess when evaluating fetal well-being during labor?
During a pelvic exam, the nurse notices the patient has several small, painful ulcers on her vulva. Which sexually transmitted infection (STI) is most likely the cause?
During a pelvic exam, the nurse notices the patient has several small, painful ulcers on her vulva. Which sexually transmitted infection (STI) is most likely the cause?
A client is considering hormone replacement therapy (HRT) for menopausal symptoms. What potential risks should the nurse discuss?
A client is considering hormone replacement therapy (HRT) for menopausal symptoms. What potential risks should the nurse discuss?
A pregnant woman is diagnosed with gestational diabetes. What dietary modification is most important for the nurse to recommend?
A pregnant woman is diagnosed with gestational diabetes. What dietary modification is most important for the nurse to recommend?
A woman reports experiencing hot flashes and night sweats. Which lifestyle modification can the nurse suggest to help alleviate these symptoms?
A woman reports experiencing hot flashes and night sweats. Which lifestyle modification can the nurse suggest to help alleviate these symptoms?
A nurse is caring for a patient after a dilation and curettage (D&C). What post-operative instruction is most important?
A nurse is caring for a patient after a dilation and curettage (D&C). What post-operative instruction is most important?
A breastfeeding mother is concerned that her baby is not getting enough milk. What is the most appropriate nursing intervention?
A breastfeeding mother is concerned that her baby is not getting enough milk. What is the most appropriate nursing intervention?
A woman is scheduled for a Pap smear. What should the nurse instruct the patient to avoid for 24-48 hours before the test?
A woman is scheduled for a Pap smear. What should the nurse instruct the patient to avoid for 24-48 hours before the test?
A nurse is educating a group of women about risk factors for cervical cancer. Which factor is most strongly associated with an increased risk?
A nurse is educating a group of women about risk factors for cervical cancer. Which factor is most strongly associated with an increased risk?
Flashcards
Obstetrics and Gynecology Nursing
Obstetrics and Gynecology Nursing
Specialized nursing care focused on women's reproductive health throughout their lives, including prenatal, intrapartum, and postpartum care, as well as gynecological conditions.
Prenatal Care
Prenatal Care
Monitoring the well-being of the mother and fetus through regular check-ups, screenings, and education on nutrition and childbirth.
Prenatal Check-up Components
Prenatal Check-up Components
Regular assessments during prenatal care which include vital signs, weight gain monitoring, and fetal development tracking.
Prenatal Screening Tests
Prenatal Screening Tests
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Labor and Delivery Nursing
Labor and Delivery Nursing
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Labor Monitoring
Labor Monitoring
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Postpartum Care
Postpartum Care
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Postpartum Assessment
Postpartum Assessment
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Postpartum Complication Monitoring
Postpartum Complication Monitoring
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Gynecological Examinations
Gynecological Examinations
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Gynecological Exam Components
Gynecological Exam Components
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Women's Reproductive Health
Women's Reproductive Health
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Reproductive Health Cancer Care
Reproductive Health Cancer Care
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Study Notes
- Obstetrics and Gynecology Nursing involves specialized care for women throughout their reproductive lives
- Encompasses prenatal, intrapartum, and postpartum care, and the management of gynecological conditions
Prenatal Care
- Aims to monitor the health of both the mother and the developing fetus
- Regular check-ups assess vital signs, weight gain, and fetal development
- Screening tests detect potential complications like gestational diabetes and preeclampsia
- Education on nutrition, exercise, and childbirth preparation is provided
- Helps reduce the risk of maternal and fetal morbidity and mortality
Labor and Delivery
- Focuses on providing support and monitoring during childbirth
- Monitoring includes assessing uterine contractions, fetal heart rate, and maternal vital signs
- Pain management techniques, like epidural analgesia, are administered
- Nurses assist with vaginal deliveries and cesarean sections
- Emotional support is provided to the laboring woman and her family
- Nurses must be prepared to handle obstetric emergencies like postpartum hemorrhage and fetal distress
Postpartum Care
- Postpartum care involves monitoring the mother's recovery after childbirth
- Includes assessing vital signs, uterine involution, and lochia (postpartum vaginal discharge)
- Pain management is provided for perineal discomfort or cesarean incision pain
- Education on breastfeeding, infant care, and postpartum depression is offered
- Nurses monitor for complications like postpartum hemorrhage, infection, and thromboembolism
- Postpartum care also addresses the emotional and psychological needs of the new mother
Gynecological Examinations
- Performed to assess the health of the female reproductive system
- May include a pelvic exam, Pap smear, and STI testing
- Nurses assist with these examinations, giving support and education to the patient
- Specimens are collected and prepared for laboratory analysis
- Important for early detection of cervical cancer, STIs, and other reproductive health issues
Women's Reproductive Health
- Encompasses a broad range of issues, including menstruation, contraception, fertility, and menopause
- Nurses play a vital role in educating women about these topics and providing counseling and support
- They administer medications, like contraceptives, and give information on their proper use and potential side effects
- Nurses also assist with fertility treatments and provide support to women undergoing these procedures
- They educate women about menopause and hormone replacement therapy
- Reproductive health care also includes screening and management of breast and gynecological cancers
- Nurses often advocate for women's reproductive rights and access to care
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