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OB
High risk disorders
| Question | Answer |
|---|---|
| What instructions should the nurse give the women with a threatened abortion? | Strict bed rest for 24-48 hrs, avoid sexual intercourse for 2 weeks |
| Nursing plans and interventions for a woman with hyperemesis gravidarum | Weigh daily, check urine ketone tid, give progressive diet, check FHR q8hrs, monitor for electrolyte imbalances |
| Discharge counseling for a woman with hydatidiform mole evacuation with D&C | Prevent pregnancy for 1 year, return to clinic for monthly hCG levels for 1 year, call if bright-red vaginal bleeding or foul-smelling vaginal discharge occurs or temp spikes over 100.4C |
| What is suspected if a woman comes with uni/bilateral abdominal pain with/without bleeding? | Ectopic pregnancy |
| Three symptoms of abruptio placentae | Fetal distress, rigid, boardlike abdomen, pain, dark-red or absent bleeding |
| Placenta previa | Pain-free bright red vaginal bleeding, normal FHR, soft uterus |
| Teaching about HPV detection and treatment | Detection of dry wart like growths on vulva or rectum, need for pap smear in the prenatal period. Teach about immunization for females age 9-30 with gardasil |
| Complications prone to pregnant adolescents | Pre-eclampsia, IUGR, CPD, STDs, anemia |
| Warning symptoms of preterm labor | More than five contractions per hour, cramps, low, dull back ache, pelvic pressure, change in vaginal discharge |
| Predisposing factors for pre term labor | UTI, over distention of uterus, DM, preeclampsia, cardiac disease, placental previa, stress |
| When is preterm labor able to be arrested? | Cervix is <4cm dilated, <50% effaced, and membranes are intact and not bulging out of the cervical os |
| Side effect of beta-adrenergic tocolytic drugs (Terbutaline) | Tachycardia |
| Nursing care r/t PIH with preeclampsia | Maintenance of uteroplacental perfusion, prevention of seizures, prevention of HELLP, DIC and abruption |
| Magnesium sulfate | purpose-to prevent seizures action- CNS depression Antidote- Calcium gluconate Toxic effects- reduced urinary output, reduced resp rate and decreased reflexes. |
| Symptoms of preeclampsia | Increase in BP, CNS disturbances |
| Common complication of oxytocin augmentation | Tetany; turn off pitocin, turn mother to side, admin oxygen via mask |
| Nursing interventions during forceps delivery | Ensure empty bladder, auscultate FHR before application during process and between traction periods, observe maternal lacerations and newborn cerebral or facial trauma |
| C-section clients are prone to what post op complications | Paralytic ileus, infection, thromboembolism, respiratory complications, and impaired maternal-infant bonding. |
| Reason why an antacid is given prior to anesthesia for c-section | It alkalize the stomach secretions, if aspiration occurs less lung damage ensues. |
| When may a VBAC be considered by a woman with a previous c-section | If a low uterine transverse incision was performed |
| Interventions to maintain cardiac perfusion in a laboring cardiac client | Position client in semi-high fowler's, prevent valsalva maneuvers, sidelying position for anesthesia, avoid stirrups because of possible popliteal vein compression and decreased venous return. |
| Symptoms of cardiac decompensation in a laboring client. | Tachycardia, tachypnea, dry cough, rales in lung bases, dyspnea and orthopnea |
| What contraceptive technique is recommended for a diabetic woman? | Diaphragm with spermicide, clients should avoid birth control pills, which contain estrogen and IUDs. |
Created by:
roseiv2014
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