Surgical, gynecological & maternal-fetal nursing

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Questions and Answers

A patient is scheduled for a hysterectomy due to uterine fibroids. Which preoperative nursing intervention is most important?

  • Administering a Fleet enema to cleanse the bowel.
  • Shaving the patient's abdomen from the xiphoid process to the pubic area.
  • Teaching the patient how to perform deep breathing and coughing exercises.
  • Ensuring the patient understands the surgical procedure and has signed the informed consent. (correct)

During the first stage of labor, a patient reports severe back pain. What nursing intervention would be most appropriate?

  • Encouraging the patient to remain in a supine position to facilitate fetal descent.
  • Preparing the patient for an immediate cesarean section.
  • Administering intravenous pain medication immediately.
  • Applying counterpressure to the patient's lower back during contractions. (correct)

A postpartum patient reports heavy vaginal bleeding and dizziness. What is the priority nursing action?

  • Offering the patient a high-iron meal to replenish blood loss.
  • Documenting the findings and notifying the healthcare provider immediately. (correct)
  • Administering a stool softener to prevent constipation.
  • Encouraging the patient to ambulate to improve circulation.

A patient is recovering from abdominal surgery. Which nursing intervention is most effective in preventing postoperative complications?

<p>Encouraging the patient to splint the incision while coughing and deep breathing. (C)</p> Signup and view all the answers

A pregnant patient is diagnosed with gestational diabetes. What dietary modification is most appropriate?

<p>Consuming frequent, small meals that are high in complex carbohydrates and fiber. (C)</p> Signup and view all the answers

A patient is being discharged after treatment for pelvic inflammatory disease (PID). What is the most important instruction to include in the discharge teaching?

<p>Completing the entire course of antibiotics, even if symptoms improve. (C)</p> Signup and view all the answers

Which assessment finding would be most concerning in a patient who is 24 hours post-cesarean section?

<p>Temperature of 100.4°F (38°C). (A)</p> Signup and view all the answers

A nurse is caring for a patient with preeclampsia. What is the most critical assessment to monitor?

<p>Deep tendon reflexes and blood pressure. (B)</p> Signup and view all the answers

A patient undergoing medical treatment for an ectopic pregnancy asks the nurse about future fertility. What is the most appropriate response?

<p>&quot;Your future fertility depends on the extent of the damage to the fallopian tube and any other existing fertility issues. Further evaluation may be needed.&quot; (D)</p> Signup and view all the answers

Which nursing intervention is most important when caring for a patient receiving oxytocin for labor induction?

<p>Monitoring fetal heart rate and uterine contractions continuously. (B)</p> Signup and view all the answers

Flashcards

Gynecological disorders

Conditions affecting the female reproductive system.

Nursing interventions during labor

Monitoring maternal and fetal well-being, pain relief, and assisting with delivery.

Patient care management

Coordinating and overseeing all aspects of a patient's care for optimal outcomes.

Preoperative care

Preparing patients for surgery, providing education, and ensuring informed consent.

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Postoperative care

Monitoring for complications, managing pain, and promoting healing after surgery.

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Maternal-fetal health

The health and well-being of both the mother and the developing fetus during pregnancy.

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Obstetric and gynecological nursing

Care of women during pregnancy, childbirth, and postpartum, plus women's health issues.

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Medical-surgical nursing

Care of adult patients with various medical conditions or recovering from surgery.

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Study Notes

  • Medical-surgical nursing focuses on the care of adult patients with a wide variety of medical conditions or those recovering from surgery.
  • Obstetric and gynecological nursing deals with the care of women during pregnancy, childbirth, the postpartum period, and women's health issues.
  • Gynecological disorders are conditions affecting the female reproductive system.
  • Nursing interventions during labor include monitoring maternal and fetal well-being, providing pain relief, and assisting with delivery.
  • Patient care management involves coordinating and overseeing all aspects of a patient's care to ensure optimal outcomes.
  • Preoperative care includes preparing patients for surgery, providing education, and ensuring informed consent.
  • Postoperative care focuses on monitoring patients for complications, managing pain, and promoting healing after surgery.
  • Maternal-fetal health encompasses the health and well-being of both the mother and the developing fetus during pregnancy.

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