Violence Against Women and Chronic Conditions
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Questions and Answers

A patient at 26 weeks gestation is diagnosed with gestational diabetes. Which timeframe is typically used for the initial screening for gestational diabetes in otherwise low-risk pregnancies?

  • 24-28 weeks gestation (correct)
  • 32-36 weeks gestation
  • 20-24 weeks gestation
  • 12-16 weeks gestation
  • A pregnant woman is diagnosed with Rubella during her first trimester. Which potential fetal effect is most closely associated with maternal Rubella infection during this period?

  • Polydactyly
  • Gastroschisis
  • Cleft palate
  • Congenital cataracts (correct)
  • A pregnant patient at 36 weeks' gestation screens positive for Group B Streptococcus (GBS). Which of the following neonatal complications is most closely associated with GBS infection?

  • Transient tachypnea of the newborn
  • Sepsis (correct)
  • Physiologic jaundice
  • Patent ductus arteriosus
  • A pregnant woman with known iron deficiency anemia presents with fatigue, shortness of breath, and a craving for ice. Besides iron supplementation, what dietary recommendation would best improve her iron absorption?

    <p>Consume iron supplements with a source of vitamin C. (A)</p> Signup and view all the answers

    A patient presents with painless, bright red vaginal bleeding at 32 weeks gestation. Ultrasound reveals that the placenta is covering the entire cervical os. What condition is most likely?

    <p>Placenta previa (C)</p> Signup and view all the answers

    A pregnant patient at 28 weeks gestation is diagnosed with preeclampsia. Which of the following signs/symptoms would indicate that preeclampsia is progressing toward eclampsia?

    <p>Headache and blurred vision (B)</p> Signup and view all the answers

    A patient is diagnosed with HELLP syndrome. What does HELLP syndrome stand for?

    <p>Hemolysis, Elevated Liver enzymes, Low Platelets (A)</p> Signup and view all the answers

    A pregnant woman at 39 weeks' gestation is diagnosed with oligohydramnios. What potential fetal risk associated with oligohydramnios is the greatest concern?

    <p>Cord compression and hypoxia (C)</p> Signup and view all the answers

    During labor, a nurse observes a sudden and sustained decrease in fetal heart rate with variable decelerations. The umbilical cord is palpated during a vaginal examination. What is the priority nursing intervention?

    <p>Elevate the presenting part and call for assistance. (C)</p> Signup and view all the answers

    A patient is undergoing induction of labor. What would be the best Bishop score if induction of labor needs to occur?

    <p>6 or higher (C)</p> Signup and view all the answers

    Flashcards

    Intimate Partner Violence

    Signs and symptoms indicating abuse in a relationship.

    Gestational Diabetes Screening

    Testing for diabetes in pregnant women at 24-28 weeks or high-risk early.

    Complication of Hyperglycemia

    High blood sugar leading to issues like macrosomia and ketoacidosis.

    Group B Streptococcus (GBS) Screening

    Screen for GBS between 35-37 weeks to prevent neonatal complications.

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    Ectopic Pregnancy Signs

    One-sided pain and referred shoulder pain indicating pregnancy outside uterus.

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    Placenta Previa Symptoms

    Painless bright red bleeding in later pregnancy; can require C-section.

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    Preeclampsia Definition

    Condition defined by high blood pressure and proteinuria post 20 weeks of pregnancy.

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    Amniotic Fluid Disorders

    Includes Oligohydramnios (low fluid) and Polyhydramnios (high fluid) impacting pregnancy.

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    Cord Prolapse

    Emergency situation if the umbilical cord slips ahead of the baby during labor.

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    Bishop Score

    A scoring system used to assess cervical readiness for labor induction.

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    Study Notes

    Violence Against Women

    • Signs and symptoms of intimate partner violence are noted for screening
    • Appropriate screening techniques (SAVE Model, Abuse Assessment Screening) are part of the exam prep

    Chronic Conditions

    • Diabetes and Testing:
      • Gestational diabetes risk factors, screening (24-28 weeks, high-risk early testing)
      • Abnormal glucose tolerance results
      • Complications include macrosomia, hypoglycemia, congenital anomalies, ketoacidosis, and difficult labor
      • Dietary management is crucial: meal planning, exercise, and medication if necessary
    • Infections:
      • Rubella: Transmission and fetal effects (congenital cataracts, cardiac defects, hearing loss)
      • Cytomegalovirus (CMV): Transmission and fetal risks (hearing loss, intellectual disability)
      • Group B Streptococcus (GBS): Screening (35-37 weeks), and resultant neonatal complications (sepsis, pneumonia, meningitis)
      • HIV: Transmission, labor considerations (avoiding invasive procedures, viral load determines delivery method)
    • Cardiac Conditions in Pregnancy:
      • Increased cardiac output exacerbating conditions
      • Monitoring for decompensation (shortness of breath (SOB), chest pain, rapid respirations)
    • Anemia in Pregnancy:
      • Iron deficiency anemia risk factors, symptoms (fatigue, tachycardia, pica), treatment (iron supplements, vitamin C intake)

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    Description

    This quiz covers crucial topics related to violence against women, including intimate partner violence screening techniques and their signs. Additionally, it delves into chronic conditions such as diabetes and infections during pregnancy, detailing essential screening methods and potential complications. Prepare for comprehensive assessments in women's health.

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