Risk Factors in Nursing 101

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Questions and Answers

Which factor is NOT listed as a maternal cause for spontaneous abortion?

Malnutrition

Viral infection

Hormonal imbalance (correct)

Trauma (physical and mental)

What intervention is proposed for an incompetent cervix?

Cerclage operation (correct)

Blood plasma replacement

Hormonal therapy

Antibiotic treatment

Which of the following is NOT a potential cause of spontaneous abortion?

Defective ovum

Systemic diseases in the mother

Low maternal age (correct)

Congenital defects of the reproductive tract

What is a commonly recommended procedure to determine the etiology of habitual abortion?

Blood tests Signup and view all the answers

Which of these environmental hazards is associated with increased risk of spontaneous abortion?

Radiation exposure Signup and view all the answers

What is the primary nursing intervention for a patient experiencing shock?

Infuse D5LRS for plasma administration Signup and view all the answers

Which sign is commonly associated with a hydatidiform mole?

Nausea and vomiting Signup and view all the answers

What potential emotional responses should be anticipated in patients undergoing treatment for gestational trophoblastic disease?

Anticipated grief and guilt Signup and view all the answers

In which position should a patient be placed while receiving treatment for shock?

Modified Trendelenburg position Signup and view all the answers

What is a common early sign of pregnancy that can also indicate gestational trophoblastic disease?

Amenorrhea or abnormal menstrual period Signup and view all the answers

What does Cullen's sign indicate in the context of gestational trophoblastic disease?

Bleeding in the peritoneal cavity Signup and view all the answers

Which of the following conditions is NOT a form of persistent gestational trophoblastic disease?

Ectopic pregnancy Signup and view all the answers

What type of neoplasm is a hydatidiform mole considered to be?

Benign neoplasm of the chorion Signup and view all the answers

What is the consequence of a chorion that fails to develop into a full-term placenta?

It results in fluid-filled vesicles. Signup and view all the answers

Which of the following is a common symptom associated with molar pregnancies?

No fetal signs. Signup and view all the answers

What does Kehr's sign indicate in a clinical assessment?

Sudden abdominal pain radiating to the shoulder. Signup and view all the answers

What is the recommended treatment for a ruptured ectopic pregnancy?

Surgical intervention such as salpingectomy. Signup and view all the answers

Which symptom is commonly associated with excessive HCG levels in molar pregnancies?

Extreme nausea and vomiting. Signup and view all the answers

What does a positive pregnancy test indicate in the context of abnormal uterine conditions?

Likely molar pregnancy or other abnormalities. Signup and view all the answers

What intervention is NOT typically performed for managing profound shock after a rupture?

Prolonged observation without action. Signup and view all the answers

Which of the following assessment findings would NOT be indicative of a molar pregnancy?

Presence of fetal heart tones. Signup and view all the answers

Which procedure is performed for temporary cervical support during pregnancy?

McDonalds procedure Signup and view all the answers

What is indicated by a relax cervical os during a pelvic examination?

Risk of premature delivery Signup and view all the answers

Which of the following risk factors is associated with a congenital defect of the cervix?

Short cervix Signup and view all the answers

What is the primary focus of nursing care after a cerclage procedure?

Psychological support Signup and view all the answers

What type of abortion is defined as the termination of pregnancy before the age of viability?

Therapeutic abortion Signup and view all the answers

Which post-operative instruction is essential for a patient after a cerclage procedure?

Avoid sexual intercourse Signup and view all the answers

In which stage of pregnancy is the cerclage procedure typically performed?

Between 14-16 weeks Signup and view all the answers

What is a common assessment finding for a patient with cervical incompetence?

Painless contractions Signup and view all the answers

What is the most serious complication that can occur during the early treatment phase of choriocarcinoma?

Hemorrhage Signup and view all the answers

What medical procedure is indicated for patients over 45 years old who desire no future pregnancies and have elevated chorionic gonadotropin levels?

Hysterectomy Signup and view all the answers

What is emphasized to patients after undergoing treatment for choriocarcinoma regarding future pregnancies?

There should be no pregnancy for one year. Signup and view all the answers

Which chromosomal complement is associated with 70% of abnormal concepts in the discussed conditions?

XXY Signup and view all the answers

Following treatment for choriocarcinoma, what is a primary physiological need to be maintained?

Fluid and electrolyte balance Signup and view all the answers

What condition is characterized by a mechanical defect in the cervix, leading to premature expulsion in mid-trimester pregnancies?

Incompetent cervix Signup and view all the answers

Which treatment might be necessary if spontaneous evacuation does not occur along with increased chorionic gonadotropin levels?

D&C or hysterectomy Signup and view all the answers

What psychological aspect do healthcare providers need to address when caring for patients with abnormal pregnancies?

Anticipated fear of potential cancer development Signup and view all the answers

What is a key nursing action when monitoring patients post-treatment for potential complications?

Monitor vital signs and blood loss Signup and view all the answers

Which method is commonly used for evacuation in cases of choriocarcinoma without spontaneous evacuation?

D&C Signup and view all the answers

Study Notes

Risk Factors for Cervical Issues

Congenital short cervix increases risk of complications.
Trauma from forceful dilation, curettage, or difficult delivery can damage the cervix.
Cervical lacerations can occur during childbirth.

Assessment Findings

Painless contractions may lead to delivery of a non-viable fetus.
A history of abortion is significant for assessing risk.
Pelvic examination findings may show a relaxed cervical os.

Nursing Implementation for Cervical Insufficiency

Provide psychological support to clients experiencing pregnancy complications.
Care involves monitoring maternal and fetal growth and routine prenatal care.
Cerclage, a suturing procedure, is performed typically between the 14th and 16th weeks of pregnancy.
Shirodkar procedure offers a permanent cervical suturing solution.
McDonald procedure facilitates temporary suturing, removed at term for vaginal delivery preparation.

Understanding Abortion

Defined as the termination of pregnancy before viability, usually prior to 20-24 weeks.
Types include spontaneous abortion and can be influenced by various factors such as trauma and maternal health issues.

Nursing Implementation for Abortion

Continuous assessment for signs of shock is essential.
Implement treatments for shock, including positioning and fluid replacements.
Monitor vital signs, bleeding, and intake/output levels.
Offer both physical and psychological support to the client pre- and post-operation.
Address potential grief, guilt, or fear related to future childbearing capacity.

Gestational Trophoblastic Disease (GTD)

Early signs include amenorrhea, nausea/vomiting, and abnormal menstrual patterns.
Diagnosis may be checked through a positive pregnancy test and assessment of abdominal pressure.
Signs of complications may include profuse vaginal bleeding and potential shock symptoms.

Treatment for GTD

Surgical intervention may be required, including laparoscopy or salpingectomy/salpingostomy.
Methotrexate can be used for malignancy treatment, with HCG monitoring for one year post-treatment.
Avoid pregnancy for a year after treatment, emphasizing the use of contraceptives.

Complications of GTD

Choriocarcinoma is a significant concern, indicating the presence of malignant tissue.
Hemorrhage and uterine perforation are serious risks during early treatment stages.

Nursing Implementation for GTD

Advise bed rest and maintain fluid/electrolyte balance through replacement therapies.
Monitor vital signs, bleeding, and passage of molar tissue.
Prepare for potential D&C hysterectomy if necessary and provide sensory awareness before discharge about follow-up care.

Incompetent Cervix Overview

A condition leading to mechanical defects causing cervical effacement and dilation, resulting in mid-trimester pregnancy loss.
Causes include congenital defects, maternal health conditions, hormonal imbalances, and environmental hazards.

Habitual Abortion Considerations

Assess underlying etiologies contributing to habitual abortions.
Treatment strategies involve addressing medical conditions and potential cerclage for cervical closure.
Blood tests could help discern factors affecting recurrent pregnancy loss.

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Description

This quiz covers risk factors and assessment findings related to cervical issues in nursing. It focuses on conditions such as congenital defects and trauma, as well as assessment techniques for understanding labor complications. Test your knowledge on these critical topics in nursing practice.