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OB EXAM 2 GALEN COLLEGE OF NURSING QUESTIONS WITH 100% SOLVED SOLUTIONS VERIFIED LATEST UPDATE GRADED A+

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OB EXAM 2 GALEN COLLEGE OF NURSING QUESTIONS WITH 100%

SOLVED SOLUTIONS VERIFIED LATEST UPDATE GRADED A+

What is the most common medical complication of pregnancy?

Hypertension

What is PIH?

Pregnancy induced hypertension

How is PIH diagnosed?

140/90 two times 6 hours apart

What is gestational hypertension?

Onset after 20 weeks of gestation without proteinuria, return of normal B/P in

postpartum

What is Pre-eclampsia?

onset after 20 weeks of gestation with proteinuria, multisystem vasopastic, reduced

organ profusion, classified as mile or severe

Risk factors for PIH

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.

30;2

Edema is not used as a marker of what?

,preeclampsia

What is pathologic edema?

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?

February 28th

What is Leopolds maneuver?

It is used to determine the baby's position and know where to place the stethescope.

Left occiput anterior =

Easy labor

Left occiput posterior=

Difficult/painful labor

What is considered tachycardia for a fetus? Indicative of what?

>160 bpm, indicative of maternal or fetal infection or fetal hypoxia (an ominous sign).

What is considered fetal bradycardia? Indicative of? Intervention?

<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?

HR SLOWS BEFORE PEAK OF CONTRACTION AND RECOVERS BY END OF

CONTRACTION. (BEING EARLY IS GOOD)

WHAT ARE EARLY DECELERATIONS INDICATIVE OF?

HEAD COMPRESSION (NOT OMINOUS=NO INTERVENTION REQUIRED).

WHAT ARE LATE DECELERATIONS?

, HR DECREASES AFTER PEAK OF CONTRACTION AND RECOVERS AFTER

CONTRACTION ENDS. (BEING LATE IS BAD).

WHAT ARE LATE DECELERATIONS INDICATIVE OF? INTERVENTIONS?

FETAL STRESS AND HYPOXIA OR DEFICIENT PLACENTAL PERFUSION (CHANGE

MATERNAL POSITION AND DISCONTINUE OXYTOCIN (PITOCIN)).

WHAT ARE VARIABLE DECELERATIONS?

TRANSIENT DECREASE IN HR ANY TIME DURING CONTRACTION.

WHAT ARE VARIABLE DECELERATIONS INDICATIVE OF? INTERVENTIONS?

CORD COMPRESSION (CHANGE MATERNAL POSITION-KNEE CHEST/ASS IN

AIR). IF CORD IS PROTRUDING NEVER TOUCH.

What is decreased variability?

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?

Fetal sleep cycle, depressant drugs, hypoxia, or CNS anomalies.

What is an acme?

A peak of something

What are the three different ratings for APGAR CRITERIA?

0 (POOR), 1, and 2 (BETTER). LOWEST SCORE IS A 0 AND HIGHEST IS 10.

What are the different criteria for APGAR SCORING?

COLOR, HR, REFLEX IRRITABILITY, MUSCLE TONE, RESPIRATORY EFFORT.

What pregnancy complications are of concern in the 1st trimester?

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