OB Semester Review
Terms
undefined, object
copy deck
- Which reproductive system cancer has very subtle warning signs?
- Ovarian.
- A deficiency in what hormone would result in a woman not being able to mentruate?
- Estrogen
- Meiosis divides each cell to result in what?
- An oocyte
- Which hormone cause smooth muscle relaxation?
- Progesterone.
- At what point in the pregnancy can one hear the baby's heart rate?
- 3-5 weeks.
- At what point in the pregnancy can there be damage from temperature changes?
- 2-7 weeks.
- When can immunity to Rubella be treated in a pregnancy?
- Not until after the delivery.
- When a woman is pregnant her plasma volume increases by how much?
- 30-50%
- What are VDRL and RPR tests done for?
- diagnosis of syphilis
- What should 1st trimester women avoid exposure to?
- Rubella
- What is a successful non-stress tests.
- >2 accelerations with fetal movement of 15 beats/min for 15 seconds
- If a woman who is not 40 weeks is having watery discharge what should she do?
- come to the hospital
- What side should a woman lay on to help with comfort during the 2nd and 3rd trimesters?
- Her left side
- Decreased iron intake can lead to what?
- an increased infection risk
- A blood pressure of 140/90 is indicative of what?
- PIH. You should evaluate prenatal record for history.
- If a woman's membranes rupture what should the nurse do?
- call the doctor and prepare for a sterile speculum exam.
- Gestational diabetes can result in babies that are...
- Large for gestational age.
- Woman with PIH are at risk of having babies that have...
- intrauterine growth restriction or small for gestational age.
- At what age is one able to detect HIV in children?
- not til 12 months of age.
- What is the risk of hyperemesis gravidarum?
- Depletion of nutrients in 1st trimester.
- What is one risk of PROM?
- infection is likely.
- One in how many babies die in the first 28 days of life?
- 100
- What percent of pregnancies end in miscarriage?
- 25%
- Which is not part of the Theory of grieving?
- yearning and searching
- Who are generally forgotten about in the grieving process?
- fathers
- What are examples of losses during childbearing?
- infertility, miscarriage, abortion
- When following up with a person who has experienced a loss it is important to...
- Follow-up with calls, cards and remembering special dates
- What is the unique part of preganncy and infant loss compared to ther life-situation losses.
- loss of dreams, hopes, and plans.
- what is the most helpfulthat a nurse who is caring for a mother who has had a stillborn can do.
- arrange a blanket, locks of hair, footprints, and pictures for the mother.
- Why can miscarriages or fetal losses complex and acute experiences for fathers and mothers in the US today?
- Fathers and mothers are getting attached to the baby earlier in the pregnancy because of prenatal sonograms.
- Mothers and fathers who have experienced a stillbirth or fetal loss report which of the following nursing actions as most helpful?
- a touch, hug, or squeeze of hand.
- what was the average time given from people on the street regarding how long the grieving process is.
- 3 days
- A mother presents on the OB floor who has just found out her baby is going to be stillborn at 37 weeks. As a nurse, what theory is most helpful in guiding you to help support this mother?
- Theory of Caring
- After a client receives the news that she is to have a stillbirth, she says, "At least we can get a new car now." What stage of grief may this pt be in?
- in an early stage of grieving
- When a mother loses a baby, the grief process comes about in what way?
- It is different for each person.
- What are some examples of a loss during childbirth?
- induction, extra digits on the baby, abortion, having twins
- According to the second stage in the Theory of Caring for a mom who has experienced a loss, the nurse is prepared to do what?
- be emotionally present fo the woman.
- What should be an appropriate statement when trying to console a patient about their loss?
- I'm sorry
- A nurse caring for a mother who is placing her child up for adoption should say what to the girl?
- Tell me your adoption plans.
- A person experiencing the honeymoon phase might express what?
- a faith in God or a higher power
- What is the first step of Bowlby and Parks four steps of grief?
- shock and numbness
- What is not true about grief?
- clients should be encouraged to just move on with life
- What is the best approach when presenting options to a family who has just expereinced a stillbirth?
- Some families feel better when they hold the baby, take pictures and keep momentos.
- Elizabeth Kubler Ross theory of grief differs from Bowlby and Parks in what way?
- The proces of grief according to Kubler Ross is a linear process.
- What are the steps in the grieving process with Bowlby and Parks?
- shock and numbness, yearning and searching, disorientation and disorganization, resolution and reorganization.
- What is the theory of aging/steps to resolving a loss such as a misscarriage?
- coming to know, losing and gaining, receiving and not receiving, realizing that other feel the loss, going public, seeing other pregnant women, getting through, trying again
- What is the theory of caring related to nursing for a person who has experienced a loss
- Knowning and achnowledging, being emotionally presnet, doing for the patient under stress, enabling, facilitating grief, maintain and sustain belief in the person's capacity
- The elizabeth kubler ross stages of dying
- anger, bargaining, depression, accpetance.
- T/F: Studies and person expereince show that grieving follows a specific predictable order.
- FALSE
- T/F: Enabling or facilitating grieving is a way nurses can assist with the grieing process.
- TRUE
- T/F: The shorter the preganncy the easier it is to deal with a loss.
- FALSE
- T/F: When a mother chooses to terminate a pregnancy, she will not feel grief because it was a conscience decision.
- FALSE
- T/F: Current medical practice does not allow a mother to go through labor with a stillbirth.
- FALSE
- T/F: Today mothers are encouraged to hold and bond with their stillborn baby.
- TRUE
- T/F: People who lose an infant or child to death go through a different grieving process from that of the dath of an adult.
- FALSE
- T/F: It is normal to see those who have lost a child be functioning normally at the beginning.
- TRUE
- T/F: If a mother has a stillborn baby it is important NOT to let her see or hold the baby due to the distressing effects this may have.
- FALSE
- T/F: Anti-depression medication is the most important intervention for clients experiencing grief.
- FALSE
- The nurse if reviewing the lab tests of four prenatal clients. Which lab finding would support the diagnosis of hyperemesis gravidarum?
- hypokalemia
- A prenatal client is admitted to the hospital with severe hyperemesis gravidarum. Which feeding pattern or diet should the nurse anticipate for this client?
- NPO for 24-48 hours
- A client at 30 weeks gestation is admitted to the hopital with vaginal bleeding. What should be the nurse's initial nursing action?
- assess blood pressure and pulse
- A client at 36 wks gestation is admitted to the labor unit. Her chief complaint is abdominal cramping with a sudden gush of fluid. What is the priority nursing diagnosis for this prenatal client?
- risk for infection related to premature rupture of membranes
- A prenatal client presents at the client with unexplained bleeding, cramping, and backache, which she has had for the past 2 days. A pelvic exam reveals a closed cervix. What type of abortion does this indicate.
- threatened
- The nurse correctly responds to a client's question about how often ectopic pregancies occur by stating:
- about 1-2% of all pregnancies are ectopic.
- A client presents at the doctor's office with complaints of right sided abdominal pain and dizziness. A pelvic exam determines the patient is about 10 weeks pregnant with adnexal tenderness. what diagnosis could the nurse expect?
- ectopic pregnancy
- A client is 15 wks gestation presents at the prenatal clinic with prune-juice like vaginal bleeding. Other assessment data include a hematocrit of 10 and complaints of severe nausea and vomiting. What diagnosis should the nurse expect?
- hydatidiform mole
- A nurse in the prenatal clinic is reviewing the charts of four clients diagnosed with an incompetent cervix. Which client would be the best candidate for a cerclege?
- a client with 12 weeks gestation with a 3mm cervical dilation
- A prenatal nurse is assessing a client at 34 weeks gestation who complains of water vaginal discharge. What should be the nurse's initial action?
- Test the fluid with nitrazine fluid.
- The nurse assesses a laboring client whose conctractions occur every 5-7 minutes and last for 30 seconds. Which phase of labor is the client in?
- latent
- The physician orders internal fetal monitoring for a laboring client. What criteria must the client meet prior to the procedure?
- The membranes must be ruptured
- A client is admitted to the birthing center with possible rupture of membranes. What substance in the fluid could contribute to a false positive reading on Nitrazine paper?
- lubricant
- The nurse is evaluating an intrapartal client's bloodwork. Which laboratory finding should the nurse report to the physician or nurse mid-wife?
- platelets of 120,000
- A nurse is assessing the frequency of contractions in a laboring client by palpation. Which of the following is the appropriate technique?
- The nurse notes the beginning of one contraction to the beginning of the next one.
- A nurse is planning to perform Leopold's maneuvers on a laboring client. What should be the nurse's initial action?
- have the client void
- A nurse is auscultating the heart rate of a fetus in a cephalic presentation. In which location would the nurse hear the heart rate most clearly?
- lower quadrant of the maternal abdomen
- The fetal monitor has shown late decelerations over the past 10 minutes. What does this pattern indicate?
- uteroplacental insufficiency
- The nurse has auscultated a fetal heart rate of 80. What should the nurses initial action?
- check maternal pulse
- The nurse is caring for a patient at 37 weeks gestation who has PIH and is in active phase of labor. How frequently should the nurse assess the fetal heart rate?
- every 15 minutes.
- A nurse is caring for a newborn. What should the nurse assess within 4 hours following birth?
- latent
- A baby is born weighing 7 pounds, 3 ounces and is 29.5 inches long at birth. In 6 months, what would the nurse expect the approximate length of this baby to be?
- 35-37 inches
- A nurse is assessing a newborn of 24 hours and discovers 2mm white palpules on the neck and chest. What is the most likely diagnosis.
- erythema toxicum
- A nurse is palpating the fontanels on a newborn. In what position should the nurse place the newborn in for this exam?
- sitting
- A nurse is monitoring a baby in the nursery. What pulse rate should the nurse report to the doctor?
- a baby with a pulse of 170 who is active
- When breastfeeding, a woman should consume how many extra calories per day?
- 200
- What is an example of a meal high in protein?
- bacon, eggs, and toast
- What is appropriate weight gain in pregnancy?
- 3 and 1/2 to 5 pounds in the first trimester and 1 pound per week in the last two trimesters.
- What is naegle's rule?
- begin with the first day of the last missed period, subtract three months, add 7 days
- What is HCG?
- human chorionic gonadotropin, thought to support the pregnancy by instigating the production of progesterone
- What is the role of progesterone in the pregnancy?
- inhibit smooth muscle contractions
- What is the role of estrogen in the pregnancy?
- increases uterine blood flow,
- What is the role of prolactin in pregnancy?
- allows for lactation
- what is your name?
- kimberly