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NURA 404 EXAM 2 - QUESTIONS AND 100% CORRECT ANSWERS
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NURA 404 EXAM 2 - QUESTIONS AND100% CORRECT ANSWERS
Is fetal movement used to assess fetal well-being?
Yes, decreased fetal movement is associated with a range of poor pregnancy
outcomes
When is an ultrasound performed?
To identify abnormalities
To confirm placental location during amniocentesis
To establish gestational age
In a healthy fetus should the FHR increase or decrease with fetal movement?
Increase
NST results showing at least 2 FHR accelerations from baseline of at least 15 bpm
for at least 15 seconds within a 20 minute period
Reactive NST
What do Nonstress tests indirectly measure?
Uteroplacental function
Test that uses ultrasound and NST to assess various parameters of fetal well-being
that are sensitive to hypoxia
Biophysical profile
loss of pregnancy before 20 weeks gestation
Abortion
What are symptoms of spontaneous abortion?
,Pelvic or abdominal pain
Vaginal bleeding
Passage of clots and tissue
Cramping
Risk factors for spontaneous abortion?
Increased maternal age
Chromosomal abnormalities
Genetic abnormalities
Cervical insufficiency
Uterine fibroids
Diabetes
Severe HTN
cytomegalovirus
Herpes
Bacterial vaginosis
Toxoplasmosis
What should be monitored in a woman experiencing a 1st trimester abortion?
HCG levels to validate all tissue has been expelled
Nursing treatment for spontaneous abortion
Monitor bleeding with pad counts
Assess pain and provide pain mgmt
Emotional support
Misoprostol or prostaglandin
,Patient education for spontaneous abortion
Explain causes to help pt understand and reduce feelings of guilt
Provide support
Refer to support groups
Pregnancy where fertilized ovum plans outside the uterine cavity
ectopic pregnancy
symptoms of ectopic pregnancy
Abdominal pain
Amenorrhea
Vaginal bleeding
Risk factors of ectopic pregnancy
Tubal scarring from PID
previous ectopic pregnancy
Infertility
STIs
Any condition that obstructs or slows the passage of fertilized ovum through the
fallopian tube
Labs to monitor during ectopic pregnancy
hCG levels
Ultrasound to determine implantation site
Client education for ectopic pregnancy
-If taking methotrexate, PT should be educated on risks, benefits, adverse effects,
and potential that surgical treatment may still be required
-stress need for follow up care to monitor hCG levels
, -use contraceptives for 3 months to allow time to heal
-safe sex practices to avoid STIs
Disorder of placental development (hydatidiform mole) and neoplasms of
triphoblast (choriocarcinoma) or progressive trophblastic disease
Gestational trophoblastic disease
What are some common symptoms of gestational trophoblastic disease?
-lesions produce hCG
-amenorrhea
-anemia
-brown spotting/ vaginal bleeding
-no FHR detected
-expulsion of grape-like vesicles
-larger uterine size than expected for pregnancy date
What labs should you monitor with a molar pregnancy?
-send tissue to lab to check if cancerous
- hCG levels checked for 1 year
Why are contraceptives recommend for 12 months after a molar pregnancy?
hCG levels must be checked to ensure no remaining tissue is malignant
After a molar pregnancy what is the patient at risk for?
Cancer— strict adherence to follow up program is required
Placenta that is either wholly or partly attached to the lower uterine segment and
may partly or completely cover the internal cervical opening; leads to bleeding
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