CH 19 (Exam 1)

79 termsStudBud Administration

Before Conception

Flashcards79 cardsFPractice quizPHost liveL

Questions 79

Answers

1
Medication dose adjustments are typically required more frequently in early pregnancy than in later pregnancy.
True
False
2
In Preeclampsia using Mg sulfate relaxes the muscles thereby making it harder to have a seizure.
True
False
3
Which of the following is a complication related to epilepsy?
All of the above
preterm labor
fetal death
preeclampsia
4
When trying to determine if a patient has asthma or dyspnea which of the following is correct?
If dyspnea the lung sounds will be normal
Listen to lungs
All are correct
If asthma you will hear wheezing
5
In Eclampsia we see Seizures d/t such high BP.
False
True
6
In immediate postpartum CO increases by 80%
False
True
7
In women who take antiseizure medications there is an increased risk for congenital anomalies
False
True
8
Breastfeeding may help mom's state of depression?
False
True
9
Which of the following are delivery considerations for Pregestational Diabetes?
Labor often induced between 39 and 40 weeks
Neither
Both
Vaginal vs C-Section
10
Which of the following is a complication of substance abuse during pregnancy?
All of the above
Neonatal abstinence syndrome-now called Neonatal Opioid Withdrawal Syndrome
FASD-how much alcohol is too much?
Smoking- preterm birth, IUGR, and stillbirth.
11
In active labor CO increases by 25%
True
False
12
Macrosomic fetus: 10-12 pound baby
True
False
13
Which of the following statements about women with epilepsy is correct?
take 4 mg folic acid daily, beginning 3 months before conception
All of the above
Continue taking antiseizure meds
Folic acid helps prevent issues such as spina bifida.
14
During pushing CO increases by 50%
True
False
15
Which of the following is a risk associated with Pregestational diabetes ?
Polyhydramnios; Fetal loss; Preterm death
macrosomia fetus; congenital anomalies
Preeclampsia; perinatal death
All of the above
16
Women with an eating disorder May not menstruate-can still ovulate
True
False
17
which of the following is a complication of severe iron deficiency anemia?
prematurity; fetal loss
nonreassuring fetal heart rate
All of the above
maternal death
18
Complications from asthma include which of the following?
miscarriage
Antepartum and postpartum hemorrhage
All of the above
Pulmonary embolism
19
preferred antihypertensives in pregnancy- labetalol, methyldopa, and nifedipine.
False
True
20
Which of the following is accurate about treating hypothyroidism?
IF experiencing morning sickness take with few crackers to help the stomach
adjusted based on TSH levels every 4 weeks to 3 months
Treatment - levothyroxine (T4 replacement);Take empty stomach in morning.
All of the above
21
In early labor CO increases by 15%
False
True
22
children of mothers with epilepsy are at increased risk for developing a seizure disorder.
False
True
23
Use of iron supplements or infusions can cause upruritus, rash, and gastrointestinal symptoms.
True
False
24
The most common cardiac arrythmias seen are V-fib & V-tach?
False
True
25
Which of the following is true in HELLP syndrome?
Could lead to reduced oxygen d/t Hemolysis.
Elevated liver enzymes: Clotting factors may not be made as needed.
All of the above
Low platelets: Risk for bleeding d/t inability to clot properly.
26
Which of the following is a reason why we would induce labor at 39-40 weeks in Pregestational Diabetes?
Worries about placental perfusion; DM will delay wound healing if C-section
The baby will continue to grow so we induce to avoid a c-section
All of the above
Vaginal birth better than c-section for baby d/t less respiratory issues
27
Which of the following is a possible complication of hyperthyroidism?
pregnancy loss
maternal heart failure
low birth weight
All of the above
28
Which of the following statements about pregestational diabetes is accurate?
women with pregestational diabetes should receive preconception care
achieve excellent glycemic control prior to attempting pregnancy
Neither
Both
29
infants of mothers who take antiseizure medications are at increased risk for bleeding.
True
False
30
Which of the following is true about Thioamides?
have been associated with fetal anomalies
All are true
cross the placenta
suppress fetal thyroid hormone synthesis
31
women with chronic hypertension should be carefully monitored for preeclampsia and HELLP syndrome.
True
False
32
cardiac disease is a significant cause of maternal morbidity and mortality in pregnancy.
True
False
33
Which of the following statements about depression treatment is correct?
All of the above
No teratogenic effect but may cause lower APGARs
SSRI:citalopram (Celexa) and sertraline (Zoloft)
Can lead to “withdrawal” s/s
34
Mothers experiencing depression can still breastfeed?
True
False
35
Pregnancy should be planned for a time of remission from an eating disorder.
True
False
36
In pregnant women depression can lead to which of the following?
poor adherence to care
less prenatal care
substance abuse; suicide risk
All of the above
37
women should continue antiseizure meds
False
True
38
Which of the following is a correct patient teaching point with asthma?
monitor pulse ox
stop smoking
compliant with asthma medications
All are correct
39
Which of the following is a possible complication associated with Hypothyroidism?
postpartum hemorrhage
All are correct
Early pregnancy loss
preeclampsia
40
Which of the following is accurate for the acronym HELLP?
Hemolysis
All of the above
Low platelet count
Elevated liver enzymes
41
Which of the following is a reason we would induce labor over having a c-section?
Inc risk for thrombosis; inc risk for bleeding if on anticoagulation
All of the above
C-section blood loss 2X higher; Inc reisk of infection
Risks related to potential need for general anesthesia
42
During which phase(s) is a cardiac event most likely to occur?
Active labor
Early
pushing & immediate postpartum
Pushing
43
severe hypertension: SBP > 160 mm Hg and DBP >110 mm Hg.
False
True
44
Which of the following is a treatment for Iron deficiency anemia?
Both
Neither
A diet high in Fe: uRed meats, spinach, legumes, vitamin C
iron supplements or infusions
45
bulimia: Easier to get pregnant b/c still have their period and the body can spare the calories
False
True
46
Most women can safely undergo a vaginal birth at 39-40 weeks
False
True
47
mild to moderate hypertension :SBP 140-159 mm Hg and/or DBP 90-109 mm Hg.
False
True
48
physiologic anemia is an expected finding during pregnancy with Hgb in pregnancy is 11 to 14
False
True
49
Which of the following is correct when it comes to screening for IPV?
Utilize a standardized screening tool
All of the above
Make referrals as necessary-Do they have a safe place to go?
question patient alone
50
what happens to CO during pregnancy? Why is this an issue if you have heart disease?
Inc. CO is hard for pt with heart issues d/t increased stress on the heart
Both
Neither
During pregnancy, your CO has increased d/t 2X blood volume.
51
don't test for at 24-28 weeks b/c The embryo at this stage is requiring more from mom so easier to test for
False
True
52
Cardiogenic pulmonary edema is a life-threatening accumulation of excess fluid in your lungs d/t pressure in your heart
False
True
53
Which of the following is true about chronic HTN?
High pressure that appears before the 20th week of the pregnancy.
High pressure that predates the pregnancy
blood pressure greater than 140/90
All of the above
54
To counter constipation drink more water, stool softener, ambulate, and possibly laxative.
False
True
55
Which of the following is a type of arrythmia that we may see?
Ventricular dysfunction: Ventricle arrythmias
Both
A-fib
Neither
56
With asthma the treatment goals are optimize control and limit exacerbations
True
False
57
Polyhydramnios: Too much amniotic fluid
False
True
58
Pregnancy weight loss can improve outcomes
False
True
59
Constipation is an issue in pregnancy d/t which of the following reasons?
the GI system-> the body needs extra time to absorb nutrients for the baby
Both
The GI system is slower
Neither
60
Blurred vision could be down to preeclampsia or DM
False
True
61
In regard to chronic HTN maternal HTN is associated with which of the following?
IUGR; stillbirth
preeclampsia
Stroke
All of the above
62
If mom's kidney function is damaged which of the following is true?
it will not be able to filter the blood
Both
Neither
Dialysis 6 days a week until delivery.
63
Which of the following statements about treatment of hyperthyroidism is correct?
Both
suppress thyroid hormones with a class of medications called thioamides
Neither
Goal is to control hyperthyroidism and avoid hypothyroidism
64
Hgb will appear low d/t dilution by 2X blood volume.
False
True
65
Which of the following is a sign of an imminent cardiac event?
Severe orthopnea using 1 or more pillows; SBP> or =160; RR>=30 or
O2 sat < or = 94%
All of the above
SOB @ rest; HR > or =120
66
Which of the following are characteristics of 2nd trimester assessments?
All of the above
Antepartum testing for fetal well-being @ 32-34 weeks
Vasculopathy may be evidenced by fetal growth restriction.
Antepa: Nonstress test; Biophysical profiles & Contraction stress tests
67
The intrapartum plan of care is determined by which of the following?
All of the above
The need for invasive hemodynamic monitoring
Ability to inc CO to meet demands labor, birth, and postpartum
Potential complications; med during labor & birth
68
which of the following are key physiological changes during pregnancy?
Increased intravascular volume
Hypercoagulability; Fluctuations in CO especially in labor
All of the above
Decreased systemic vascular resistance
69
Pregnancy may be challenging for a woman with an eating disorder because of normal body changes.
True
False
70
When testing urine in the first trimester what are we looking for?
All of the above
baseline kidney function
ketones
Proteins
71
Which of the following is an accurate statement of substance abuse during pregnancy?
Smoking: Low birth weight; preterm birth.
Drugs: Placental abruptions
Alcohol: Fetal alcohol spectrum disorder
All of the above
72
Which of the following are characteristics of 1st trimester assessments?
Screening of thyroid, heart, and eyes
Hemoglobin A1C
All of the above
will have an evaluation of baseline kidney function with a 24-hour urine
73
Chronic HTN appears before 20^th week.
False
True
74
screen for IPV during prenatal visits, hospitalizations, and during postpartum appointments.
False
True
75
Gestational HTN appears after 20^th week.
True
False
76
When assessing for pulmonary edema we are looking for pink, frothy sputum
False
True
77
anorexia: hard to get pregnant because the body cant spare any calories and their period is usually nonexistent.
True
False
78
Ca is Useful to help absorb the iron.
False
True
79
Which of the following is a complication of obesity?
Higher risk for Gen DM; Preeclampsia; Macrosomic infants
All of the above
Labor induction and induction failure
Slower first stage of labor; Postpartum thromboembolism

CH 19 (Exam 1) Flashcards | StudBud

CH 19 (Exam 1)

79 termsStudBud Administration

Before Conception

Flashcards79 cardsFPractice quizPHost liveL

Questions 79

Answers

1
Medication dose adjustments are typically required more frequently in early pregnancy than in later pregnancy.
True
False
2
In Preeclampsia using Mg sulfate relaxes the muscles thereby making it harder to have a seizure.
True
False
3
Which of the following is a complication related to epilepsy?
All of the above
preterm labor
fetal death
preeclampsia
4
When trying to determine if a patient has asthma or dyspnea which of the following is correct?
If dyspnea the lung sounds will be normal
Listen to lungs
All are correct
If asthma you will hear wheezing
5
In Eclampsia we see Seizures d/t such high BP.
False
True
6
In immediate postpartum CO increases by 80%
False
True
7
In women who take antiseizure medications there is an increased risk for congenital anomalies
False
True
8
Breastfeeding may help mom's state of depression?
False
True
9
Which of the following are delivery considerations for Pregestational Diabetes?
Labor often induced between 39 and 40 weeks
Neither
Both
Vaginal vs C-Section
10
Which of the following is a complication of substance abuse during pregnancy?
All of the above
Neonatal abstinence syndrome-now called Neonatal Opioid Withdrawal Syndrome
FASD-how much alcohol is too much?
Smoking- preterm birth, IUGR, and stillbirth.
11
In active labor CO increases by 25%
True
False
12
Macrosomic fetus: 10-12 pound baby
True
False
13
Which of the following statements about women with epilepsy is correct?
take 4 mg folic acid daily, beginning 3 months before conception
All of the above
Continue taking antiseizure meds
Folic acid helps prevent issues such as spina bifida.
14
During pushing CO increases by 50%
True
False
15
Which of the following is a risk associated with Pregestational diabetes ?
Polyhydramnios; Fetal loss; Preterm death
macrosomia fetus; congenital anomalies
Preeclampsia; perinatal death
All of the above
16
Women with an eating disorder May not menstruate-can still ovulate
True
False
17
which of the following is a complication of severe iron deficiency anemia?
prematurity; fetal loss
nonreassuring fetal heart rate
All of the above
maternal death
18
Complications from asthma include which of the following?
miscarriage
Antepartum and postpartum hemorrhage
All of the above
Pulmonary embolism
19
preferred antihypertensives in pregnancy- labetalol, methyldopa, and nifedipine.
False
True
20
Which of the following is accurate about treating hypothyroidism?
IF experiencing morning sickness take with few crackers to help the stomach
adjusted based on TSH levels every 4 weeks to 3 months
Treatment - levothyroxine (T4 replacement);Take empty stomach in morning.
All of the above
21
In early labor CO increases by 15%
False
True
22
children of mothers with epilepsy are at increased risk for developing a seizure disorder.
False
True
23
Use of iron supplements or infusions can cause upruritus, rash, and gastrointestinal symptoms.
True
False
24
The most common cardiac arrythmias seen are V-fib & V-tach?
False
True
25
Which of the following is true in HELLP syndrome?
Could lead to reduced oxygen d/t Hemolysis.
Elevated liver enzymes: Clotting factors may not be made as needed.
All of the above
Low platelets: Risk for bleeding d/t inability to clot properly.
26
Which of the following is a reason why we would induce labor at 39-40 weeks in Pregestational Diabetes?
Worries about placental perfusion; DM will delay wound healing if C-section
The baby will continue to grow so we induce to avoid a c-section
All of the above
Vaginal birth better than c-section for baby d/t less respiratory issues
27
Which of the following is a possible complication of hyperthyroidism?
pregnancy loss
maternal heart failure
low birth weight
All of the above
28
Which of the following statements about pregestational diabetes is accurate?
women with pregestational diabetes should receive preconception care
achieve excellent glycemic control prior to attempting pregnancy
Neither
Both
29
infants of mothers who take antiseizure medications are at increased risk for bleeding.
True
False
30
Which of the following is true about Thioamides?
have been associated with fetal anomalies
All are true
cross the placenta
suppress fetal thyroid hormone synthesis
31
women with chronic hypertension should be carefully monitored for preeclampsia and HELLP syndrome.
True
False
32
cardiac disease is a significant cause of maternal morbidity and mortality in pregnancy.
True
False
33
Which of the following statements about depression treatment is correct?
All of the above
No teratogenic effect but may cause lower APGARs
SSRI:citalopram (Celexa) and sertraline (Zoloft)
Can lead to “withdrawal” s/s
34
Mothers experiencing depression can still breastfeed?
True
False
35
Pregnancy should be planned for a time of remission from an eating disorder.
True
False
36
In pregnant women depression can lead to which of the following?
poor adherence to care
less prenatal care
substance abuse; suicide risk
All of the above
37
women should continue antiseizure meds
False
True
38
Which of the following is a correct patient teaching point with asthma?
monitor pulse ox
stop smoking
compliant with asthma medications
All are correct
39
Which of the following is a possible complication associated with Hypothyroidism?
postpartum hemorrhage
All are correct
Early pregnancy loss
preeclampsia
40
Which of the following is accurate for the acronym HELLP?
Hemolysis
All of the above
Low platelet count
Elevated liver enzymes
41
Which of the following is a reason we would induce labor over having a c-section?
Inc risk for thrombosis; inc risk for bleeding if on anticoagulation
All of the above
C-section blood loss 2X higher; Inc reisk of infection
Risks related to potential need for general anesthesia
42
During which phase(s) is a cardiac event most likely to occur?
Active labor
Early
pushing & immediate postpartum
Pushing
43
severe hypertension: SBP > 160 mm Hg and DBP >110 mm Hg.
False
True
44
Which of the following is a treatment for Iron deficiency anemia?
Both
Neither
A diet high in Fe: uRed meats, spinach, legumes, vitamin C
iron supplements or infusions
45
bulimia: Easier to get pregnant b/c still have their period and the body can spare the calories
False
True
46
Most women can safely undergo a vaginal birth at 39-40 weeks
False
True
47
mild to moderate hypertension :SBP 140-159 mm Hg and/or DBP 90-109 mm Hg.
False
True
48
physiologic anemia is an expected finding during pregnancy with Hgb in pregnancy is 11 to 14
False
True
49
Which of the following is correct when it comes to screening for IPV?
Utilize a standardized screening tool
All of the above
Make referrals as necessary-Do they have a safe place to go?
question patient alone
50
what happens to CO during pregnancy? Why is this an issue if you have heart disease?
Inc. CO is hard for pt with heart issues d/t increased stress on the heart
Both
Neither
During pregnancy, your CO has increased d/t 2X blood volume.
51
don't test for at 24-28 weeks b/c The embryo at this stage is requiring more from mom so easier to test for
False
True
52
Cardiogenic pulmonary edema is a life-threatening accumulation of excess fluid in your lungs d/t pressure in your heart
False
True
53
Which of the following is true about chronic HTN?
High pressure that appears before the 20th week of the pregnancy.
High pressure that predates the pregnancy
blood pressure greater than 140/90
All of the above
54
To counter constipation drink more water, stool softener, ambulate, and possibly laxative.
False
True
55
Which of the following is a type of arrythmia that we may see?
Ventricular dysfunction: Ventricle arrythmias
Both
A-fib
Neither
56
With asthma the treatment goals are optimize control and limit exacerbations
True
False
57
Polyhydramnios: Too much amniotic fluid
False
True
58
Pregnancy weight loss can improve outcomes
False
True
59
Constipation is an issue in pregnancy d/t which of the following reasons?
the GI system-> the body needs extra time to absorb nutrients for the baby
Both
The GI system is slower
Neither
60
Blurred vision could be down to preeclampsia or DM
False
True
61
In regard to chronic HTN maternal HTN is associated with which of the following?
IUGR; stillbirth
preeclampsia
Stroke
All of the above
62
If mom's kidney function is damaged which of the following is true?
it will not be able to filter the blood
Both
Neither
Dialysis 6 days a week until delivery.
63
Which of the following statements about treatment of hyperthyroidism is correct?
Both
suppress thyroid hormones with a class of medications called thioamides
Neither
Goal is to control hyperthyroidism and avoid hypothyroidism
64
Hgb will appear low d/t dilution by 2X blood volume.
False
True
65
Which of the following is a sign of an imminent cardiac event?
Severe orthopnea using 1 or more pillows; SBP> or =160; RR>=30 or
O2 sat < or = 94%
All of the above
SOB @ rest; HR > or =120
66
Which of the following are characteristics of 2nd trimester assessments?
All of the above
Antepartum testing for fetal well-being @ 32-34 weeks
Vasculopathy may be evidenced by fetal growth restriction.
Antepa: Nonstress test; Biophysical profiles & Contraction stress tests
67
The intrapartum plan of care is determined by which of the following?
All of the above
The need for invasive hemodynamic monitoring
Ability to inc CO to meet demands labor, birth, and postpartum
Potential complications; med during labor & birth
68
which of the following are key physiological changes during pregnancy?
Increased intravascular volume
Hypercoagulability; Fluctuations in CO especially in labor
All of the above
Decreased systemic vascular resistance
69
Pregnancy may be challenging for a woman with an eating disorder because of normal body changes.
True
False
70
When testing urine in the first trimester what are we looking for?
All of the above
baseline kidney function
ketones
Proteins
71
Which of the following is an accurate statement of substance abuse during pregnancy?
Smoking: Low birth weight; preterm birth.
Drugs: Placental abruptions
Alcohol: Fetal alcohol spectrum disorder
All of the above
72
Which of the following are characteristics of 1st trimester assessments?
Screening of thyroid, heart, and eyes
Hemoglobin A1C
All of the above
will have an evaluation of baseline kidney function with a 24-hour urine
73
Chronic HTN appears before 20^th week.
False
True
74
screen for IPV during prenatal visits, hospitalizations, and during postpartum appointments.
False
True
75
Gestational HTN appears after 20^th week.
True
False
76
When assessing for pulmonary edema we are looking for pink, frothy sputum
False
True
77
anorexia: hard to get pregnant because the body cant spare any calories and their period is usually nonexistent.
True
False
78
Ca is Useful to help absorb the iron.
False
True
79
Which of the following is a complication of obesity?
Higher risk for Gen DM; Preeclampsia; Macrosomic infants
All of the above
Labor induction and induction failure
Slower first stage of labor; Postpartum thromboembolism