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NURS 3100 Exam 2 Study Guide Questions and Answers
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NURS 3100 Exam 2 Study Guide Questions and Answers
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A nurse in the emergency department is caring for a client who reports abrupt, sharp,right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, “I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device.”
The nurse should suspect which of the following?
A.Missed abortion
B.Ectopic pregnancy
C.Severe preeclampsia
D.Hydatidiform mole
A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing the condition? (Select all that apply.)
A.Fetal position
B.Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette smoking
A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse notes that the client is actively bleeding.
Which of the following medications should the nurse expect the provider will prescribe?
A.Betamethasone
B.Indomethacin
C.Nifedipine
D.Methylergonovine
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea; vomiting; and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected.
Which of the following complications should the nurse suspect?
A.Hyperemesis gravidarum
B.Threatened abortion
C. Hydatidiform mole
D. Preterm laborNURS 3100 Exam 2 Study Guide Questions and Answers. A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?
A.No alteration in menses
B.Transvaginal ultrasound indicating a fetus in the uterus
C.Blood progesterone greater than the expected reference range
D.Report of severe shoulder pain
Causes of bleeding:
First trimester: spontaneous abortion, ectopic pregnancy Second trimester: Gestational trophoblastic disease Third trimester : Placenta previa and abruptio placentae
Review
Signs and symptoms of
Ectopic and ruptured ectopic pregnancy:
Abnormal implantation of a fertilized ovum outside of the uterine cavity. 95% or tubular fallopian ampulla. other sites include ovary abdominal cavity and cervix.
signs and symptoms: unilateral stabbing pain in lower abdomen, missed period, Dark red or brown vaginal spotting, referred shoulder pain And findings of hemorrhage or shock
Cullen sign: blue ecchymosis over umbilical area and associated with rupture. Medication: Methotrexate (if not ruptured) and avoid folic acid, to salvage a salpingostomy is performed. If ruptured a laparoscopic salpingectomy is performed.
molar pregnancy
Cause is unknown
Signs and symptoms include rapid uterine growth, large fundal height than appropriate, Bleeding is dark brown (prune juice), anemia, preeclampsia, hyperemesis gravidum, absent fhr.
High risk for choriocarcinoma: 1yr of contraception (except IUD), follow up hcg levels, avoid pregnancy for a year
placenta previa
Occurs when the placenta abnormally implants in the lower segment of the uterus near or over the cervical os instead of attaching to the fundus
Complete: cervical os is completely covered
Partial:cervical os is partially covered
marginal :the placenta is attached in the lower segment but does not reach cervical os Low lying: no relationship determined
Signs and symptoms: painless, bright red bleeding, uterus is soft and nontender,fundal height greater than expected, spontaneous cessation/recurrence. NO VAGINAL EXAMS.
Medication:corticosteroids (such as betamethasone)
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