Perinatal Nursing Practice

At what gestational age is it ideal to perform Chorionic Villus Sampling (CVS)?

10-13 weeks (correct)
18-20 weeks
15-17 weeks
22-24 weeks

Which infection would contraindicate the transcervical approach for Chorionic Villus Sampling (CVS)?

Cervical infection like chlamydia (correct)
Respiratory infection
Urinary tract infection
Skin infection

Why can't Chorionic Villus Sampling (CVS) be used to obtain maternal serum markers?

The fetal DNA is not reflected in the placental tissue
It cannot access the maternal serum (correct)
It is associated with a high risk of infection
The procedure is too invasive

How does a high level of alpha-fetoprotein (AFP) in the amniotic fluid help diagnose an open neural tube defect?

Suggests a leakage of cerebrospinal fluid into the amniotic fluid (A) Signup and view all the answers

What are some common psychological responses exhibited by patients with high-risk pregnancies?

Anxiety and low self-esteem (B) Signup and view all the answers

How can nurses help pregnant patients with high-risk pregnancies maintain their identity outside of the hospital?

Support engagement in hobbies and maintaining contact with friends and family (B) Signup and view all the answers

Why is antepartum hospitalization considered an added stressor for high-risk pregnant patients?

It disrupts the patient's normal routine (A) Signup and view all the answers

What is a common factor contributing to ambivalence in third-trimester patients with high-risk pregnancies?

Feeling vulnerable and protective of the fetus (C) Signup and view all the answers

In a high-risk pregnancy, why is it important for the patient to understand the risks associated with their condition?

To assist in making informed decisions and managing stress (C) Signup and view all the answers

How can nurses assist patients diagnosed with high-risk pregnancies in reducing stress related to the diagnosis?

Engage the patient in open communication about the diagnosis (B) Signup and view all the answers

How do peri nurses demonstrate caring in their relationships with childbearing persons and families?

By promoting family health development (C) Signup and view all the answers

What is a key aspect of authentic presence demonstrated by peri nurses?

Addressing physical, emotional, spiritual, and psychosocial needs (A) Signup and view all the answers

How do peri nurses promote health and well-being in childbearing persons and families?

By helping them achieve their optimal well-being (A) Signup and view all the answers

What do peri nurses do in relation to the dignity of childbirth?

They share the intimacy of childbirth with childbearing persons and their families (D) Signup and view all the answers

In upholding principles of justice, what do peri nurses ensure?

They promote fairness with childbearing persons and their families (C) Signup and view all the answers

What is the maximum recommended intramuscular dose of magnesium sulfate for patients being transported to a tertiary care center?

10 g (B) Signup and view all the answers

How does magnesium sulfate work in the body?

Decreases neuromuscular irritability (A) Signup and view all the answers

Why is diuresis within 24-48 hrs after administering magnesium sulfate seen as an excellent prognostic sign?

It shows improved perfusion of the kidneys (C) Signup and view all the answers

What adverse effect is NOT typically associated with magnesium sulfate administration?

Increased blood pressure (B) Signup and view all the answers

What are the signs of magnesium toxicity that should be assessed in a patient?

Respiratory distress and vomiting (B) Signup and view all the answers

What is the recommended antidote for magnesium sulfate toxicity?

Calcium gluconate (C) Signup and view all the answers

What should be performed after a seizure in a pregnant patient?

Rapid assessment of uterine activity, cervical status, and fetal status (A) Signup and view all the answers

Why is it important to monitor the patient 3-6 days postpartum in hypertensive disease?

To assess resolution of pre-eclampsia or eclampsia symptoms (A) Signup and view all the answers

What should healthcare providers expect 24-48 hours after birth in a patient with hypertensive disease?

Onset of diuresis indicating resolution of the disease process (D) Signup and view all the answers

What is a key difference in nursing care required postpartum for patients with hypertensive disease?

Increased focus on monitoring vital signs and diuresis (D) Signup and view all the answers

What timing may be considered for delaying birth in cases where the fetus's lungs are not matured?

Up to 48 hours while steroid treatment is given (D) Signup and view all the answers

What persists longer as a potential complication of HELLP syndrome postpartum?

Complications of HELLP syndrome (D) Signup and view all the answers