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LCCC OB Nursing Final Exam With Complete Solution
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LCCC OB Nursing Final ExamWith Complete Solution
Gestational trophoblastic disease - Answer A spectrum of neoplastic disorders that
originate in the placenta. Gestational tissue is present but the pregnancy is not viable.
Trophoblastic cells proliferate and the chorionic villi become edematous grapelike
clusters.
What is the most common form of gestational trophoblastic disease (GTD)? - Answer
hydatidiform mole, also known as a molar pregnancy
What is a complete hydatidiform mole - Answer Is when either 1 or 2 sperm cells fertilize
an egg cell that contains no nucleus or DNA (an "empty" egg cell). No viable fetus.
What is a partial hydatidiform mole - Answer Is when 2 sperm fertilize a normal egg.
These tumors contain some fetal tissue, but this is often mixed in with the trophoblastic
tissue. No viable fetus.
Signs and Symptoms of a GTD - Answer Spotting, inability to detect FHR after 10-12
wks, bilateral ovarian enlargement, severe morning sickness, fluid retention, uterine
size larger than expected for pregnancy dates, extremely high hCG levels, early
preeclampsia, expulsion of grapelike vesicles.
Treatment of GTD - Answer Serial hCG levels x 1yr, CXR every 6 months, reg. pelvic
exams, avoid pregnancy for 1 yr
Required assessments when giving a pregnant patient magnesium sulfate - Answer
Assess DTR's and check for ankle clonus
What is the antidote for Magnesium sulfate? - Answer Calcium gluconate
Ectopic pregnancy - Answer Any pregnancy in which the fertilized ovum implants
outside the uterine cavity
Common site for an ectopic pregnancy - Answer Fallopian tube
Monozygotic twins (identical) - Answer fertilized ovum splits during the first two weeks
Risk factors for Ectopic pregnancies - Answer PID, chlamydia, gonorrhea, previous
tubal surgery, infertility, previous loss, use of an intrauterine contraceptive device,
previous ectopic pregnancy, uterine fibroids, sterilization, smoking, douching, and
exposure to diethylstilbestrol.
Dizygotic twins (fraternal) - Answer Two sperm fertilizing two ova
Multiple gestation puts client at higher risk for? - Answer Higher risk for gestational
, diabetes, preeclampsia and increased chance of c-section
Why is Hydralazine given - Answer To reduce blood pressure
Side effects of Hydralazine - Answer Palpitations, HA, tachycardia, anorexia, nausea,
vomiting, and diarrhea.
What is Hydralazine and what is its action - Answer Vascular smooth muscle relaxant,
thus improving perfusion to renal, uterine, and cerebral areas
Why is Nifedipine (Procardia) given - Answer To reduce BP and stoppage of preterm
labor
What is Nifedipine (Procardia) and what is its action? - Answer Calcium Channel
blocker, causes dilation of coronary arteries, arterioles, and peripheral arterioles
What are side effects of Nifedipine (Procardia)? - Answer Dizziness, peripheral edema,
angina, diarrhea, nasal congestions, cough
Why is Mg sulfate given - Answer Prevention and tx of eclamptic seizures
S/S of mg+ toxicity - Answer Flushing, sweating, hypotension, and cardiac and CNS
depression
Action of Mg+ Sulfate - Answer Blockage of neuromuscular transmission and
vasodilation
Conditions associated with PROM - Answer Infection, prolapsed cord, abruption
placentae, and preterm labor
Abruptio placenta - Answer Separation of a normally located placenta after the 20th
week of gestation and prior to birth that leads to hemorrhage
Placenta previa - Answer a bleeding condition that occurs during the last 2 trimesters of
pregnancy
Placenta accrete - Answer Condition in which the placenta attaches itself too deeply
into the wall of the uterus but does not penetrate the uterine muscle
Hyperemesis gravidarum - Answer Severe form of morning sickness that results in
dehydration, electrolyte imbalance, and the need for hospitalization
Treatment of Hyperemesis gravidarum - Answer Avoid strong flavors/odors, avoid tight
waistbands, eat small/frequent meals (6 small meals), separate fluids from solids by
consuming fluids in between meals, use high-protein supplement drinks, avoid high fat
foods, drink carbonated beverages, herbal teas with peppermint or ginger.
Eat foods that settle the stomach such as dry crackers, toast or soda
S/S of Abruptio placenta - Answer Vaginal bleeding, Abdominal pain, Back pain, Uterine
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