Perinatal Nursing Practice
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Questions and Answers

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?

    <p>Suggests a leakage of cerebrospinal fluid into the amniotic fluid</p> Signup and view all the answers

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

    <p>Anxiety and low self-esteem</p> Signup and view all the answers

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

    <p>Support engagement in hobbies and maintaining contact with friends and family</p> Signup and view all the answers

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

    <p>It disrupts the patient's normal routine</p> Signup and view all the answers

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

    <p>Feeling vulnerable and protective of the fetus</p> 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?

    <p>To assist in making informed decisions and managing stress</p> Signup and view all the answers

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

    <p>Engage the patient in open communication about the diagnosis</p> Signup and view all the answers

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

    <p>By promoting family health development</p> Signup and view all the answers

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

    <p>Addressing physical, emotional, spiritual, and psychosocial needs</p> Signup and view all the answers

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

    <p>By helping them achieve their optimal well-being</p> Signup and view all the answers

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

    <p>They share the intimacy of childbirth with childbearing persons and their families</p> Signup and view all the answers

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

    <p>They promote fairness with childbearing persons and their families</p> 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?

    <p>10 g</p> Signup and view all the answers

    How does magnesium sulfate work in the body?

    <p>Decreases neuromuscular irritability</p> Signup and view all the answers

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

    <p>It shows improved perfusion of the kidneys</p> Signup and view all the answers

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

    <p>Increased blood pressure</p> Signup and view all the answers

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

    <p>Respiratory distress and vomiting</p> Signup and view all the answers

    What is the recommended antidote for magnesium sulfate toxicity?

    <p>Calcium gluconate</p> Signup and view all the answers

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

    <p>Rapid assessment of uterine activity, cervical status, and fetal status</p> Signup and view all the answers

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

    <p>To assess resolution of pre-eclampsia or eclampsia symptoms</p> Signup and view all the answers

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

    <p>Onset of diuresis indicating resolution of the disease process</p> Signup and view all the answers

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

    <p>Increased focus on monitoring vital signs and diuresis</p> Signup and view all the answers

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

    <p>Up to 48 hours while steroid treatment is given</p> Signup and view all the answers

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

    <p>Complications of HELLP syndrome</p> Signup and view all the answers

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