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NURS 306 Quiz 5 Question and answers 100% correct $13.99   Add to cart

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NURS 306 Quiz 5 Question and answers 100% correct

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NURS 306 Quiz 5 Question and answers 100% correct Causes of bleeding in the first trimester - correct answer spontaneous abortion and ectopic pregnancy Causes of bleeding in the second trimester - correct answer gestational trophoblastic disease Causes of bleeding in the third trimest...

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  • November 19, 2024
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  • Questions & answers
  • NURS 306
  • NURS 306
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NURS 306 Quiz 5 Question and answers
100% correct
Causes of bleeding in the first trimester - correct answer ✔spontaneous
abortion and ectopic pregnancy


Causes of bleeding in the second trimester - correct answer ✔gestational
trophoblastic disease


Causes of bleeding in the third trimester - correct answer ✔placenta previa,
abruptio placentae, preterm labor, vasa previa


Risk factors for spontaneous abortion - correct answer ✔● Chromosomal
abnormalities (account for 50%)
● Maternal illness, such as type 1 diabetes mellitus
● Advancing maternal age
● Premature cervical dilation
● Chronic maternal infections
● Maternal malnutrition
● Trauma or injury
● Anomalies in the fetus or placenta
● Substance use
● Antiphospholipid syndrome


Symptoms of spontaneous abortion - correct answer ✔abdominal cramping
or pain, rupture of membranes, dilation of cervix, fever, manifestations of
hemorrhage

,symptoms of a Threatened abortion - correct answer ✔possible mild cramps,
slight spotting, no tissue passed, cervical opening is closed


dilation and curettage (D&C) - correct answer ✔to dilate and scrape the
uterine walls to remove uterine contents for inevitable and incomplete
abortions


dilation and evacuation (D&E) - correct answer ✔used to dilate and evacuate
uterine contents after 16 weeks gestation. Used for gestational trophoblastic
disease


nursing care for a spontaneous abortion - correct answer ✔- perform a
pregnancy test
-observe color and amount of bleeding (count pads)
- Maintain client of bed rest and inform of the risk of falls if sedative
medications are prescribed
- avoid vaginal exams
- assist with ultrasound
- save passed tissue for examination
- refer to pregnancy loss support groups


Patient education for spontaneous abortion - correct answer ✔- notify the
provider of heavy bleeding, fever, or foul-smelling discharge
- a small amount of discharge is normal for 1-2 weeks
-take prescribed antibiotics
-do not take tub baths, have sex, or place anything in the vagina for 2 weeks
- discuss grief and loss before attempting another pregnancy

, Where does an ectopic pregnancy usually occur? - correct answer
✔fallopian tubes


risk factors for ectopic pregnancy - correct answer ✔STIS, assistive
reproductive technologies, tubal surgery, IUDs, smoking, PID, increased age,
endometriosis, and previous ectopic pregnancies


symptoms of ectopic pregnancy - correct answer ✔-unilateral sharp and
stabbing pain in the lower abdomen
-a late period, a light period, or an irregular period
-spotting 6-8 weeks after the last period
- bright red bleeding if rupture has occurred
-referred shoulder pain from blood in the peritoneal cavity
- findings of hemorrhage and shock if a large amount of bleeding has occurred


Methotrexate - correct answer ✔given to dissolve an ectopic pregnancy. The
woman cannot take vitamins with folic acid or a toxic reaction could occur


salpingostomy - correct answer ✔creation of an opening in the fallopian tube
to open a blockage done to salvage the fallopian tube if not ruptured during
ectopic pregnancy


Laparoscopic salpingectomy - correct answer ✔Removal of the tube if
ruptured


gestational trophoblastic disease - correct answer ✔Swollen, fluid-filled
grape like clusters in the placenta. Associated with choriocarcinoma which is a
rapidly metastasizing malignancy

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