Complications of Pregnancy, Labor & Delivery, and Postpartum

Question 1

What medications can be given for gestational hypertension (If ↓ sodium doesn't help).

Accepted Answer

methyldopa, nifedipine

Question 2

Positions for the mother with a prolapsed cord

Accepted Answer

knee-chest, Trendelenburg, Modified Sims'

Question 3

Interventions for hemorrhoids

Accepted Answer

Avoid straining while defecating, Increase fiber intake, Increase fluid intake

Question 4

Pre-eclampsia is a threat to...

Accepted Answer

mother and fetus, mother, fetus

Question 5

Care for pre-eclampsia includes...

Accepted Answer

Ausculatate lungs for PE, crackles and dyspnea., Monitoring BP every 2 hours and urine output hourly, Monitoring labs for liver impairment, Daily weight and assessment of level of consciousness

Question 6

Nursing interventions for prolapsed cord

Accepted Answer

Continually assess FHR, Offer emotional support to mother, Position mom to alleviate compression of the cord

Question 7

A true diagnosis of preterm labor is confirmed by which test?

Accepted Answer

fetal fibronectin (fFn)

Question 8

What are possible complications from HELLP syndrome?

Accepted Answer

liver/kidney failure, disseminated intravascular coagulation (DIC), placental abruptio

Question 9

Nursing interventions for hemorrhage

Accepted Answer

Keep patient and family advised of treatment plan, Masssage fundus and anticipate oxytocin for atony, Monitor administration of fluids and blood as prescribed, Monitor VS

Question 10

Nursing interventions for preterm labor

Accepted Answer

Anticipate administration of betamethasone or defamethasone, Avoid supine position of patient, Answer questions directly and honestly, Notify provider if systolic BP is ↑ 140 mmHg or ↓50 mm Hg

Question 11

Nursing interventions for Vena Cava Syndrome

Accepted Answer

Assess FHR and report any changes to provider, Administer O2 via face mask, Educate mother to turn to left or right side

Question 12

Nursing interventions for increased vaginal discharge

Accepted Answer

Perform daily perineal hygiene to prevent infection, Use pad or panty liners to absorb moisture, Avoid tight fitting clothing, Wear cotton underwear

Question 13

What disorders are considered PIH (Pregnancy Induced Hypertension)?

Accepted Answer

Gestational hypertension., Superimposed pre-eclampsia., Chronic Hypertension, Pre-eclampsia and eclampsia.

Question 14

Preterm labor causes

Accepted Answer

Younger than 17 or older than 35, polyhydramnios, Placenta abruptio

Question 15

What can cause a spontaneous abortion?

Accepted Answer

hypothyroidism, uncontrolled diabetes, chromosomal abnormality, maternal infection/injury

Question 16

What is HELLP syndrome?

Accepted Answer

A variation of pre-eclampsia., Hemolytic anemia, ↑ liver enzymes and ↓ platelets., A breakdown of RBC with ↑ liver enzymes and ↓ platelets.

Question 17

Nursing interventions for mastitis

Accepted Answer

Explain importance of wearing support bra, Encourage good nutrition and adequate rest, Teach mother to properly cleanse breasts and nipples, Apply ice to breasts to decrease pain

Question 18

What is NOT included in the treatment for pre-eclampsia?

Accepted Answer

reduce hypotension

Question 19

Relief for urinary frequency, nocturnia, and urgency

Accepted Answer

Perform Kegel exercises, Maintain daytime hydration but decrease 2 hours before bed

Question 20

Signs of fetus in abnormal position

Accepted Answer

FHR auscultated above the umbilicus, Passage of meconium

Question 21

How do you document a seizure?

Accepted Answer

nursing care provided, length of seizure

Question 22

Interventions for heartburn

Accepted Answer

Elevate the head of the bed, Avoid overeating, Do not eat less than 3 hours before bedtime

Question 23

Signs and symptoms of ectopic pregnancy?

Accepted Answer

Severe abdominal pain, Weakness and dizziness., Shoulder or neck pain., Decreased blood pressure and increased heart rate.

Question 24

How is eclampsia medically treated?

Accepted Answer

vaginal birth after seizures are controlled and pt stable, Cesarean birth after seizures are controlled and pt stable, Magnesium sulfate, IV fluids and antihypertensive meds

Question 25

Causes of hemorrhage during pregnancy

Accepted Answer

Abruptio Placentae, abortion, Placenta Previa

Question 26

What is a D&C?

Accepted Answer

dilation & curettage

Question 27

Interventions for nausea and vomiting

Accepted Answer

eat small meals frequently, crackers before rising from bed, consume peppermint candies

Question 28

Which medications help slow uterine bleeding?

Accepted Answer

oxytocin (Pitocin), methylergonovine (Methergine)

Question 29

Care for postpartum hemorrhage

Accepted Answer

Record amount of bleeding during specific timeframe, Bed rest in position of comfort, Watch for tachycardia and orthostatic BP changes, Masssage fundus and anticipate of oxytocin for atony

Question 30

Characteristics of Gestational Hypertension

Accepted Answer

No proteinurea., BP normal less than 12 weeks postpartum., BP 140/90 or above for the 1st time during pregnancy.

Question 31

Signs and symptoms of pre-eclampsia...

Accepted Answer

Frontal headache, ↑ BP, protein in urine, Excessive heartburn.

Question 32

Interventions for backache

Accepted Answer

support uterus with pillow while side lying for sleep, bend at the knees when lifting, wear low heeled shoes

Question 33

Interventions for shortness of breath (SOB)

Accepted Answer

Allow extra time to climb stairs and walk, Sleep with head elevated, Avoid constrictive clothing

Question 34

Signs of pregnancy with multiples

Accepted Answer

Increased incidence of PIH and gestational hypertension, Fundal height exceeds gestational age

Question 35

Signs of dystocia

Accepted Answer

hypotonic contractions, hypertonic contractions, arrested labor

Question 36

Abortion can be unintentionally spontaneous. True or False?

Accepted Answer

Both, it could be miscarriage or an intentional termination

Question 37

Signs of thrombophlebitis

Accepted Answer

Tachypnea and tachycardia, Hypoxia, Dyspnea, chest pain and hemoptysis, Increased anxiety

Question 38

Interventions for ankle edema

Accepted Answer

Periodically elevate legs to increase venous return, Rest in side lying position to promote placental circulation

Question 39

Interventions for leg cramps

Accepted Answer

Periodically elevate the legs, Avoid constrictive clothing, Dorsiflex the foot to stop the cramp, Consume adequate amounts of calcium and phosphorus

Question 40

What is hyperemesis gravidarum?

Accepted Answer

nausea/vomiting interferes adequate intake of fluid/food, morning sickness persisting > 20 weeks of gestation

Question 41

How is fetus viability medically defined?

Accepted Answer

weight > 500g, age > 20 weeks of gestation

Question 42

Care of chronic hypertension

Accepted Answer

Check BP and for protein in urine., Administer antihypertensives and monitor side effects., Be alert for signs of pre-eclampsia.

Question 43

Patient teaching for Gestational Hypertension

Accepted Answer

Limit sodium in diet, Drink 8 glasses water daily., Rest on left side to ↑ placental blood flow.

Question 44

True or False? Descriptions of hypertonic contractions are slow, infrequent, weak

Accepted Answer

False

Question 45

Medical care for ectopic pregnancy?

Accepted Answer

Methotrexate (if tube has not ruptured)., Linear salpingostomy.

Question 46

Which is NOT a warning sign of complication after an abortion?

Accepted Answer

decreased heart rate

Question 47

What is an ectopic pregnancy?

Accepted Answer

A pregnancy that develops outside the uterus.

Question 48

Interventions suggested for constipation

Accepted Answer

Increase fiber to 35 g per day, Use stool softeners

Question 49

Pre-eclampsia...

Accepted Answer

Edema common, Hypertension and proteinurea after 20 weeks gestation.

Question 50

Breast care for pregnancy related changes

Accepted Answer

Shower daily for cleanliness, Wear well fitting, supportive bra, Avoid excessive use of strong soaps on nipple

Question 51

What is the nursing intervention for a patient undergoing a seizure?

Accepted Answer

provide for patient safety, Clear airway, administer oxygen

Question 52

Nursing interventions for Cystitis or Pyelitis

Accepted Answer

Teach to void q 2-3 hours (daytime) to empty the bladder, Teach to take antibiotics on schedule, Encourage 8 - 10 glasses of fluids (3,000 ml) daily, Sitz baths to decrease irritation of urethra

Question 53

Chronic hypertension is...

Accepted Answer

Hypertension prior to pregnancy, Hypertension beginning in early pregnancy, Related to obesity or family history

Complications of Pregnancy, Labor & Delivery, and Postpartum

Questions 53

Complications of Pregnancy, Labor & Delivery, and Postpartum

Questions 53