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Exam (elaborations)

NURS 444 Final Exam Practice Questions and Answers

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  • NURS 2024/2025
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  • NURS 2024/2025

NURS 444 Final Exam Practice Questions and Answers what is an abortion? - Ans:-loss of fetus before viability or capable of living outside of the uterus what is considered a nonviable fetus? - Ans:-fetus <20 weeks or <500 grams what are the different types of abortions? - Ans:-1. *spontan...

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  • October 24, 2024
  • 58
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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NURS 444 Final Exam Practice Questions
and Answers


what is an abortion? - Ans:✔✔-loss of fetus before viability or capable of living outside of the uterus


what is considered a nonviable fetus? - Ans:✔✔-fetus <20 weeks or <500 grams


what are the different types of abortions? - Ans:✔✔-1. *spontaneous*: loss of a woman's pregnancy

before the 20th week of pregnancy


2. *threatened*: symptoms are present that indicate a miscarriage is possible


3. *inevitable*: vaginal bleeding with progressive dilation of the cervix, but no expulsion of conception

products


4. *incomplete*: partial loss of the products of conception within the first 20 weeks


5. *missed*: unrecognized intrauterine death of an embryo without expulsion of the products of

conception


about __% of spontaneous abortions are related to vaginal bleeding in the __trimester - Ans:✔✔-50%;

1st


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what is the 1st signs of a threatened abortion? - Ans:✔✔-vaginal bleeding


what is done to determine if fetus/embryo is present and alive? - Ans:✔✔-US or quantitative beta-hCG

test


What device is used to clear the uterus if the natural process is ineffective or incomplete in expulsion of

uterine contents? - Ans:✔✔-vacuum curettage


if the pregnancy is more advanced or if bleeding is excessive, a ____ and ____ may be needed - Ans:✔✔-

dilation and curettage (D&C)


what interventions are needed for an incomplete abortion? - Ans:✔✔--stabilizing woman's CV state


-Fluid replacement & drug administration of Pitocin


-Dilation & evacuation


what is a recurrent spontaneous abortion? - Ans:✔✔-3 or more consecutive spontaneous abortions




thought to be genetic/chromosomal anomalies, such as incompetent uterus or bicornuate uterus (has 2

horns)


What is an ectopic pregnancy? - Ans:✔✔-Tubal pregnancy, when a fertilized egg develops outside the

uterus *(usually in the fallopian tube)*. High risk for rupture/hemorrhage and death.

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what causes ectopic pregnancies - Ans:✔✔-1. pelvic infection/inflammation/surgery


2.delayed or premature ovulation


3.Multiple induced abortions


What are clinical manifestations of ectopic pregnancies? - Ans:✔✔-1. missed menstrual period


2. positive pregnancy test


3. UNILATERAL Abdominal pain


4. vaginal "spotting"


T or F. If the implantation of an ectopic pregnancy occurs in the proximal end of the tube, rupture of the

tube may occur w/in 2-3 weeks of the missed period. - Ans:✔✔-true


T or F If the implantation occurs in the distal end of the fallopian tube, the woman will not exhibit any

usual signs of early pregnancy. - Ans:✔✔-false; she will exhibit signs of pregnancy but will notice

intermittent abdominal pain/vaginal spotting


how is an ectopic pregnancy diagnosed - Ans:✔✔-1. transvaginal US (determine presence of gestational

sac)


2. beta-hCG test (present but @ lower levels)




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




what is the therapeutic management of an ectopic pregnancy? - Ans:✔✔-*depends on if tube is intact or

ruptured*


-Methotrexate administration (if tube is unruptured) to stop fetal growth in tube


-Surgery (linear salpingostomy or salpingectomy)


What is the difference between a linear salpingostomy and salpingectomy? - Ans:✔✔-ostomy: removal

of ectopic pregnancy with effort to salvage the tube




ectomy: removal of the tube


nursing considerations for ectopic pregnancies - Ans:✔✔--monitor for sxs of tubal rupture/bleeding

(pelvic, shoulder, or neck pain; increased vag bleeding)


-administer RhoGAM for Rh - woman


-Remind woman that any fluids from her are toxic if on methotrexate & teach s/e of medications


-Provide psychological support (possible tube removal)


what is another term used for gestational trophoblastic disease? - Ans:✔✔-molar pregnancy


What is a gestational trophoblastic disease (molar pregnancy)? - Ans:✔✔--When trophoblasts develop

abnormally and create a hydatidiform mole

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