45 Questions
During labor, oxygen consumption increases by what percentage?
15% to 20%
What is the recommended position to prevent supine hypotension during labor?
Side-lying position
What is the approximate blood loss during a vaginal birth?
500 mL
What percentage does the cardiac output increase during pregnancy?
40% to 50%
What happens to the renal blood flow during pregnancy?
Increases by 30%
What happens to the glomerular filtration rate (GFR) during pregnancy?
Increases by 50%
What happens to the maternal heart rate during pregnancy?
Increases by 10 to 15 beats/minute
Which hormone is responsible for the increase in insulin resistance during pregnancy?
Human placental lactogen (hPL)
What is the most common cause of heart failure in pregnant women?
Peripartum cardiomyopathy
Which condition is associated with the shift of the maternal oxyhemoglobin dissociation curve to the right?
Pulmonary edema
What is the most common cause of maternal mortality overall?
Heart disease
Which hormone preserves the function of the corpus luteum during pregnancy?
Human chorionic gonadotropin (HCG)
What is the effect of hormonal influences on the gastrointestinal system during pregnancy?
All of the above
Which condition can diminish blood flow to the placenta and fetus?
All of the above
What is the effect of pregnancy on hematocrit levels?
Hematocrit decreases
Which of the following is a risk factor for developing preeclampsia?
Nulliparity
What is the definition of severe features of preeclampsia?
BP >160/110 with higher levels of proteinuria
What is the recommended management for preeclampsia?
Delivery of the fetus
Which drug is used to prevent seizures and hypertensive crises in preeclampsia?
Magnesium sulfate
What are the nursing interventions for a patient with preeclampsia?
All of the above
What is the effect of magnesium sulfate on the fetus?
Decreased fetal heart rate
What is the triad of symptoms associated with HELLP syndrome?
Hemolysis, elevated liver enzymes, low platelet count
What is the effect of pregnancy on hematocrit levels?
Decreased hematocrit levels
Which condition is associated with tissue hypoxia that results in decreased perfusion during pregnancy?
Hemorrhagic Abruptio placentae
Which condition is the number one cause of maternal mortality in the U.S.?
Preeclampsia-eclampsia
What is the physiological mechanism behind preeclampsia?
Vascular endothelial damage
What are the potential neurological sequelae of preeclampsia?
Seizures
What is the effect of preeclampsia on capillary permeability?
Increased capillary permeability
What is the effect of preeclampsia on renal blood flow?
Decreased renal blood flow
What is the effect of preeclampsia on colloid osmotic pressure?
Decreased colloid osmotic pressure
Which condition is a cause of 10% of maternal deaths in the United States?
Anaphylactoid syndrome of pregnancy
When does anaphylactoid syndrome of pregnancy occur?
All of the above
What is the effect of anaphylactoid syndrome of pregnancy on the maternal venous circulation?
Amniotic fluid enters the maternal venous circulation
Where is the amniotic fluid transported in anaphylactoid syndrome of pregnancy?
Pulmonary vasculature
What does the entry of amniotic fluid into the maternal venous circulation result in?
Pulmonary emboli
Which condition is characterized by sudden onset of dyspnea, cyanosis, and hypotension, followed by cardiopulmonary arrest during pregnancy?
Anaphylactoid syndrome of pregnancy
What is the management for acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) in pregnancy?
Antibiotics and corticosteroids
Which condition is associated with increased risk of pulmonary embolism during the immediate postpartum period?
Trauma
What is the most common cause of accidental injuries during pregnancy?
Motor vehicle crashes
What is the recommended management for tocolytic-associated pulmonary edema?
The recommended management for tocolytic-associated pulmonary edema is to discontinue the tocolytic agent.
Which intervention should be prioritized in the management of trauma in pregnancy?
Control of bleeding
What is the recommended duration of fetal monitoring for women beyond 22 to 24 weeks' gestation after a traumatic event?
4 hours
What is the most common cause of intracranial hemorrhage in pregnancy?
Ruptured cerebral aneurysm
What is the management approach for myasthenia gravis exacerbations during pregnancy?
Perform forceps-assisted delivery
What is the goal of managing seizures in pregnant women with epilepsy?
Minimize maternal seizures
Test your knowledge on respectful obstetric care and consent with this quiz! Learn about important aspects such as allowing a support person at the bedside, promoting breastfeeding and bonding, providing frequent updates, coordinating care, offering grief support, and collaborating with various healthcare professionals for additional maternal stress.
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