Introduction to Maternity and Pediatric Nursing 9t
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Test Bank For Introduction to Maternity and Pediatric Nursing
9th Edition BY Gloria Leifer Chapter , All Chapters with
Answers and Rationals
An infant infected with cytomegalovirus may have what serious problems? - ANSWER: 1. Mental
retardation
2. Seizures
3. Blindness
4. Deafness
5. Dental abnormalities
6. Petechiae
What are the 10 danger signs in pregnancy? - ANSWER: 1. Sudden gush of fluid from the vagina
2. Vaginal bleeding
3. Abdominal pain
4. Persistent vomiting
5. Epigastric pain
6. Edema of face and hands
7. Severe, persistent headache
8. Blurred vision of dizziness
9. Chills with fever greater than 100.4
10. Painful urination and reduced urine output
What 3 responsibilities does a nurse have during the assessment of fetal health? - ANSWER: 1.
Preparing the patient properly
2. Explaining the reason for the test
3. Clarifying and interpreting the results
What is a ultrasound used for during pregnancy? - ANSWER: 1. Confirm pregnancy
2. Identify the site of implantation
3. Verify fetal viability or death
4. Identify multifetal pregnancies
5. Diagnose some fetal structural abnormalities
What should a nurse have the pregnant woman do before an ultrasound? - ANSWER: Drink 1-2 quarts
of water
When using a kick count, when should the woman be evaluated? - ANSWER: 1. Fewer than 3 fetal
kicks in an hour
2. Fewer than 10 kicks or cessation of fetal movement for 12 hours
How does hyperemesis gravidarum differ from morning sickness? - ANSWER: 1. Persistent nausea and
vomiting
2. Significant weight loss (>5% of prepregnant weight)
3. Dehydration
4. Electrolyte and acid-base imbalance
5. Ketonuria
What is the medical treatment for hyperemesis gravidarum? - ANSWER: To correct dehydration and
electrolyte or acid-base imbalances with oral or IV fluids
threatened abortion - ANSWER: cramping and backache with light spotting; cervix is closed and no
tissue is passed
Inevitable abortion - ANSWER: increased bleeding, cramping; cervix dilates
incomplete abortion - ANSWER: bleeding, cramping, dilation of cervix, passage of tissue
complete abortion - ANSWER: passage of all products of conception, cervix closes, bleeding stops
missed abortion - ANSWER: fetus dies in utero but is not expelled; uterine growth stops; sepsis can
occur
recurrent abortion - ANSWER: two or more consecutive spontaneous abortions (habitual abortion),
usually caused by incompetent cervix or progesterone levels inadequate to maintain pregnancy
therapeutic abortion - ANSWER: intentional termination of pregnancy to preserve the health of the
mother
, elective abortion - ANSWER: intentional termination of pregnancy for reasons other than the health
of the mother
The two types of induced abortions are? - ANSWER: 1. Therapeutic
2. Elective
The 6 types of spontaneous abortions are? - ANSWER: 1. Threatened
2. Inevitable
3. Incomplete
4. Complete
5. Missed
6. Recurrent
Which types of abortion use a D&C? - ANSWER: 1. Incomplete
2. Missed
When is a D&C used? - ANSWER: During the 1st or early 2nd trimesters
_______________ occurs when the fertilized ovum implants outside of the uterine cavity - ANSWER:
Ectopic pregnancy
What % of Ectopic pregnancy are tubal? - ANSWER: 95%
What pain often accompanies bleeding into the abdomen - ANSWER: Shoulder
What exam determines if an embryo is growing with in the uterine cavity? - ANSWER: Transvaginal
ultrasound
The priority medical treatment for an ectopic pregnancy is to _______________________ - ANSWER:
control blood loss
What 3 actions are taken when treating an ectopic pregnancy? - ANSWER: 1. No action is taken if the
woman's body is reabsorbing the pregnancy
2. Medical treatment with Methotrexate (inhibits embryonic cell division and allows to be
reabsorbed)
3. Surgery to remove the POC from the tube if damage is minimal. If severe, complete tubal removal is
necessary
S/S of hypovolemic shock - ANSWER: 1. FHR changes
2. Tachycardia
3. Tachypnea
4. Shallow, irregular respirations
5. Hypotension
6. Decreased urine output
7. Pale skin
8. Cold, clammy skin
9. Faintness
10. Thirst
hydatidiform mole resembles _______________ - ANSWER: a bunch of grapes
s/s of hydatidiform mole - ANSWER: 1. bleeding
2. Rapid uterine growth
3. Failure to detect fetal heart activity
4. Signs of hyperemesis gravidarum
5. Unusually early development of GH
6. Higher than expected hCG
7. A distinctive "snowstorm" pattern on an ultrasound but no evidence of a developing fetus
What presents as an abnormal implantation of the placenta in the lower uterus? - ANSWER: Placenta
Previa
What are the 3 types of placenta previa? - ANSWER: 1. Marginal
2. Partial
3. Total
_____________ approaches, but does not reach, the cervical opening - ANSWER: Marginal placenta
previa
__________________ Partially covers the cervical opennig - ANSWER: Partial placenta previa
____________________ completely covers the cervical opening - ANSWER: Complete placenta previa
s/s of placenta previa - ANSWER: 1. Painless vaginal bleeding
2. bright red bllod
3. soft and non-tender uterus
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