Podcast
Questions and Answers
Which factor is NOT listed as a maternal cause for spontaneous abortion?
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?
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?
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?
What is a commonly recommended procedure to determine the etiology of habitual abortion?
Which of these environmental hazards is associated with increased risk of spontaneous abortion?
Which of these environmental hazards is associated with increased risk of spontaneous abortion?
What is the primary nursing intervention for a patient experiencing shock?
What is the primary nursing intervention for a patient experiencing shock?
Which sign is commonly associated with a hydatidiform mole?
Which sign is commonly associated with a hydatidiform mole?
What potential emotional responses should be anticipated in patients undergoing treatment for gestational trophoblastic disease?
What potential emotional responses should be anticipated in patients undergoing treatment for gestational trophoblastic disease?
In which position should a patient be placed while receiving treatment for shock?
In which position should a patient be placed while receiving treatment for shock?
What is a common early sign of pregnancy that can also indicate gestational trophoblastic disease?
What is a common early sign of pregnancy that can also indicate gestational trophoblastic disease?
What does Cullen's sign indicate in the context of gestational trophoblastic disease?
What does Cullen's sign indicate in the context of gestational trophoblastic disease?
Which of the following conditions is NOT a form of persistent gestational trophoblastic disease?
Which of the following conditions is NOT a form of persistent gestational trophoblastic disease?
What type of neoplasm is a hydatidiform mole considered to be?
What type of neoplasm is a hydatidiform mole considered to be?
What is the consequence of a chorion that fails to develop into a full-term placenta?
What is the consequence of a chorion that fails to develop into a full-term placenta?
Which of the following is a common symptom associated with molar pregnancies?
Which of the following is a common symptom associated with molar pregnancies?
What does Kehr's sign indicate in a clinical assessment?
What does Kehr's sign indicate in a clinical assessment?
What is the recommended treatment for a ruptured ectopic pregnancy?
What is the recommended treatment for a ruptured ectopic pregnancy?
Which symptom is commonly associated with excessive HCG levels in molar pregnancies?
Which symptom is commonly associated with excessive HCG levels in molar pregnancies?
What does a positive pregnancy test indicate in the context of abnormal uterine conditions?
What does a positive pregnancy test indicate in the context of abnormal uterine conditions?
What intervention is NOT typically performed for managing profound shock after a rupture?
What intervention is NOT typically performed for managing profound shock after a rupture?
Which of the following assessment findings would NOT be indicative of a molar pregnancy?
Which of the following assessment findings would NOT be indicative of a molar pregnancy?
Which procedure is performed for temporary cervical support during pregnancy?
Which procedure is performed for temporary cervical support during pregnancy?
What is indicated by a relax cervical os during a pelvic examination?
What is indicated by a relax cervical os during a pelvic examination?
Which of the following risk factors is associated with a congenital defect of the cervix?
Which of the following risk factors is associated with a congenital defect of the cervix?
What is the primary focus of nursing care after a cerclage procedure?
What is the primary focus of nursing care after a cerclage procedure?
What type of abortion is defined as the termination of pregnancy before the age of viability?
What type of abortion is defined as the termination of pregnancy before the age of viability?
Which post-operative instruction is essential for a patient after a cerclage procedure?
Which post-operative instruction is essential for a patient after a cerclage procedure?
In which stage of pregnancy is the cerclage procedure typically performed?
In which stage of pregnancy is the cerclage procedure typically performed?
What is a common assessment finding for a patient with cervical incompetence?
What is a common assessment finding for a patient with cervical incompetence?
What is the most serious complication that can occur during the early treatment phase of choriocarcinoma?
What is the most serious complication that can occur during the early treatment phase of choriocarcinoma?
What medical procedure is indicated for patients over 45 years old who desire no future pregnancies and have elevated chorionic gonadotropin levels?
What medical procedure is indicated for patients over 45 years old who desire no future pregnancies and have elevated chorionic gonadotropin levels?
What is emphasized to patients after undergoing treatment for choriocarcinoma regarding future pregnancies?
What is emphasized to patients after undergoing treatment for choriocarcinoma regarding future pregnancies?
Which chromosomal complement is associated with 70% of abnormal concepts in the discussed conditions?
Which chromosomal complement is associated with 70% of abnormal concepts in the discussed conditions?
Following treatment for choriocarcinoma, what is a primary physiological need to be maintained?
Following treatment for choriocarcinoma, what is a primary physiological need to be maintained?
What condition is characterized by a mechanical defect in the cervix, leading to premature expulsion in mid-trimester pregnancies?
What condition is characterized by a mechanical defect in the cervix, leading to premature expulsion in mid-trimester pregnancies?
Which treatment might be necessary if spontaneous evacuation does not occur along with increased chorionic gonadotropin levels?
Which treatment might be necessary if spontaneous evacuation does not occur along with increased chorionic gonadotropin levels?
What psychological aspect do healthcare providers need to address when caring for patients with abnormal pregnancies?
What psychological aspect do healthcare providers need to address when caring for patients with abnormal pregnancies?
What is a key nursing action when monitoring patients post-treatment for potential complications?
What is a key nursing action when monitoring patients post-treatment for potential complications?
Which method is commonly used for evacuation in cases of choriocarcinoma without spontaneous evacuation?
Which method is commonly used for evacuation in cases of choriocarcinoma without spontaneous evacuation?
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.
