NUR 106 Mod B Complications of
Pregnancy Review Questions and
Correct Answers
Hyperemesis Gravidarum ✅excessive nausea & vomiting that interferes with the
mothers food intake & fluid balance; prolonged N/V past week 12 of the pregnancy,
causes severe dehydration, weight loss, & ketonuria (electrolyte imbalances)
Medical treatment for Hyperemesis Gravidarum ✅correct dehydration & electrolyte
imbalance with oral or IV fluids; antiemetic drugs such as: Phenergan, Zofran, Reglan,
Remeron
Assessment of Hyperemesis Gravidarum ✅How often does N/V occur; approx how
much emesis?
What is the total amt of food she was able to intake?
Weight loss; how much?
Ask to describe events of the day prior to N/V; triggers?
Nursing Diagnosis for Hyperemesis Gravidarum ✅Risk for fluid volume deficit related
to vomiting
Risk for altered nutrition r/t inability to ingest food
Nursing Strategies for Hyperemesis Gravidarum ✅Avoid triggers--Record I & O--
Record daily weights--Encourage small frequent meals--Eat sitting upright to avoid
gastric reflux--Encourage easily digested carbs, such as crackers & baked potatoes--
Administer IV fluids--Provide emotional support--Monitor lab values (H&H, electrolytes,
urine protein, & urine acetone)
Abortion ✅expulsion of the products of conception (termination of pregnancy) before
fetal viability (less than 20 weeks)
Miscarriage ✅AKA spontaneous abortion; expulsion of products of conception that
occurs naturally before 20 weeks
Viable ✅20 weeks gestation
Cervical cerclage ✅suturing to manage an incompetent cervix
, Placenta ✅a vascular organ that develops inside the uterus of the pregnant patient; it
supplies food & oxygen to the fetus through the umbilical cord--it is expelled after birth
Tocolytic agent ✅anti-contraction meds or labor repressants, which are meds used to
suppress premature labor
Clonus ✅alternate involuntary muscular contraction & relaxation in rapid succession
Chorioamnionitis ✅an infection of the amniotic fluid that can be transferred to the infant
before delivery, which places the infant at risk for a life-threatening condition
Pseudocyesis ✅mental health condition in which there is a false pregnancy, but the
patient really thinks that she is pregnant & has the symptoms that go along with that
Fundus ✅top portion of the uterus; massaged with the hands after delivery to ascertain
& maintain firmness
Spontaneous Abortion ✅Occurs before 16 weeks gestation, & occurs naturally
(miscarriage)--Most frequent cause is abnormal fetal formation--S&S (vaginal bleeding)-
-Treatment: depends of amt of vaginal bleeding--light bleeding generally no care, heavy
bleeding may require a D & C
Imminent Abortion ✅Impending abortion that cannot be stopped; the fetus is already
dead--S&S (vaginal bleeding)--Treatment: provide emotional support & examine all
tissue to be sure that all tissue is expelled
Threatened Abortion ✅Uterine bleeding & cramping occur; however, the products of
conception have not been expelled--S&S (cramping, back pain, bright red vaginal
bleeding; no cervical dilation)--Treatment: ultrasound to determine status of fetus;
limiting activity to no strenuous activity; bed rest
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