OB Exam 2 Galen College of Nursing || with Complete
Solutions.
What is the most common medical complication of pregnancy? correct answers Hypertension
What is PIH? correct answers Pregnancy induced hypertension
How is PIH diagnosed? correct answers 140/90 two times 6 hours apart
What is gestational hypertension? correct answers Onset after 20 weeks of gestation without
proteinuria, return of normal B/P in postpartum
What is Pre-eclampsia? correct answers onset after 20 weeks of gestation with proteinuria,
multisystem vasopastic, reduced organ profusion, classified as mile or severe
Risk factors for PIH correct answers women younger than 20 or older than 40, african and native
americans, primigravidas, obesity, multiple fetus', family history, comorbitities (diabetes),
chronic hypertension, chronic renal disease
A concentration of _________ mg/dl or greater in at least ___ random urine specimens is
proteinuria. correct answers 30;2
Edema is not used as a marker of what? correct answers preeclampsia
What is pathologic edema? correct answers generalized accumulation of fluid in the face, hands
or abdomen that is not responsive to 12 hours of bed rest, rapid weight gain of more than 2 kg in
1 week
If a womens last menstrual period is 5/21 when is her estimated due date? correct answers
February 28th
What is Leopolds maneuver? correct answers It is used to determine the baby's position and
know where to place the stethescope.
Left occiput anterior = correct answers Easy labor
Left occiput posterior= correct answers Difficult/painful labor
What is considered tachycardia for a fetus? Indicative of what? correct answers >160 bpm,
indicative of maternal or fetal infection or fetal hypoxia (an ominous sign).
What is considered fetal bradycardia? Indicative of? Intervention? correct answers <120 bpm,
indicative of fetal hypoxia or stress and maternal hypotension after epidural initiation (place
client on left side, increase fluids, and stop pitocin).
,WHAT IS AN EARLY DECELERATION? correct answers HR SLOWS BEFORE PEAK OF
CONTRACTION AND RECOVERS BY END OF CONTRACTION. (BEING EARLY IS
GOOD)
WHAT ARE EARLY DECELERATIONS INDICATIVE OF? correct answers HEAD
COMPRESSION (NOT OMINOUS=NO INTERVENTION REQUIRED).
WHAT ARE LATE DECELERATIONS? correct answers HR DECREASES AFTER PEAK OF
CONTRACTION AND RECOVERS AFTER CONTRACTION ENDS. (BEING LATE IS
BAD).
WHAT ARE LATE DECELERATIONS INDICATIVE OF? INTERVENTIONS? correct
answers FETAL STRESS AND HYPOXIA OR DEFICIENT PLACENTAL PERFUSION
(CHANGE MATERNAL POSITION AND DISCONTINUE OXYTOCIN (PITOCIN)).
WHAT ARE VARIABLE DECELERATIONS? correct answers TRANSIENT DECREASE IN
HR ANY TIME DURING CONTRACTION.
WHAT ARE VARIABLE DECELERATIONS INDICATIVE OF? INTERVENTIONS? correct
answers CORD COMPRESSION (CHANGE MATERNAL POSITION-KNEE CHEST/ASS IN
AIR). IF CORD IS PROTRUDING NEVER TOUCH.
What is decreased variability? correct answers A smooth baseline. The baseline should vary by
10 to 15 beats every minute. The loss of short term variability can be ominous where as long
term loss (20 to 40 mins) is probably not significant and can indicate a sleep cycle.
What is decreased variability indicative of? correct answers Fetal sleep cycle, depressant drugs,
hypoxia, or CNS anomalies.
What is an acme? correct answers A peak of something
What are the three different ratings for APGAR CRITERIA? correct answers 0 (POOR), 1, and 2
(BETTER). LOWEST SCORE IS A 0 AND HIGHEST IS 10.
What are the different criteria for APGAR SCORING? correct answers COLOR, HR, REFLEX
IRRITABILITY, MUSCLE TONE, RESPIRATORY EFFORT.
What pregnancy complications are of concern in the 1st trimester? correct answers Ectopic
pregnancy, abortion, incompetent cervix, and hyperemesis gravidarum)
What pregnancy complications are of concern in the 3rd trimester? correct answers Placenta
previa, abruptio placenta, and hypertensive disorders.
What treatment should be done for ectopic pregnancy? correct answers Surgical treatment and
IV FLUID
, What is a characteristic sign of placenta previa? correct answers painless bleeding around the 7th
month
What is characteristic of abruptio placentae? correct answers Tender abdomen c pain/bleeding
What classifies as eclampsia? correct answers Pregnancy induced hypertension after a seizure.
What preventative measures are taken for hypertensive disorders during pregnancy? correct
answers No sodium intake, I&O, and elevate extremities.
What is done for an incompetent cervix? correct answers Purse string procedure
What is the triad of symptoms in hypertensive disorders? correct answers Edema, increased BP,
and Proteinuria
What should be watched with hydramnios? correct answers "Too much amniotic fluid". There is
an increased risk for hemorrhage.
When is Rhogam received? correct answers 1st trimester or 72 hours after childbirth
What is the treatment for pregnancy induced HTN (PIH)? correct answers Bed Rest, increased
protein diet, BP meds, monitor for seizures, and MgS04 if needed.
When does preeclampsia usually occur? correct answers Third trimester
What are the symptoms of mild preeclampsia? correct answers Hypertension (sys increase of 30
and diastolic of 15), Edema (generalized & periorbital, gain 1lb/wk in 3rd T), and Proteinuria
(1gm/24 hrs, 1+ protein).
What are the S&S of severe preeclampsia? correct answers Hypertension, Edema, Proteinuria,
Midepigastic pain d/t liver edema, increased ICP (cerebral), visual changes, vomiting, and
oliguria.
What causes preeclampsia to become eclampsia? correct answers The presence of seizures.
What is given to prevent or treat PIH seizures? correct answers Magnesium sulfate
What will lab tests show with severe preeclampsia? correct answers HELLP= Hemolysis,
Elevated Liver function tests, and Low Platelet count.
What needs to be available when a patient with preeclampsia delivers and why? correct answers
Blood (ABO) bc the patient will lose an increased amount of blood during delivery.
Why is MAGNESIUM SULFATE given to pregnant women? correct answers To prevent
seizures with the complication of pregnancy induced hypertension (PIH).
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