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Unit 2 Questions
| Question | Answer |
|---|---|
| When describing Ovarian Cancer to a local women’s group, the nurse states that Ovarian Cancer often is not diagnosed early because: | Early stages have very vague symptoms |
| A postmenopausal woman reports that she has started spotting again. Which of the following would the nurse do? | Anticipate that the doctor will assess her endometrial lining |
| Which of the following would the nurse identify as the priority psychosocial need for a woman diagnosed with reproductive cancer? | Offering of hope |
| When teaching a group of women about screening in early detection of cervical cancer the nurse will include which of the following is most effective | PAP smear & HPV test |
| Which of the following is considered a risk factor for vulvar cancer? | Human papillomavirus |
| True or false: most women ignore the early warning signs of ovarian cancer | False (develop slowly & silently so they aren’t ignoring, they just don’t know) |
| True or false: women are encouraged to obtain a routine screening for endometrial cancer | False (not practical or cost effective) |
| True or false: cervical dysplasia is a precursor to cervical cancer | True (HPV is linked to cause cervical cancer) |
| True or false: central nervous system structures arise from the mesoderm | False (central nervous system structures arise from ectoderm. Mesoderm forms skeletal, urinary, circulatory & reproductive organs) |
| True or false: a persons phenotype can include the color of his or her hair | True (phenotype is observable outward characteristics) |
| True or false: males are more commonly affected by X-linked recessive disorder‘s | True |
| After teaching a group of students about fertilization the instructor determines that the teaching was successful when the group identifies which as the usual site of fertilization | Upper portion of fallopian tube |
| Working in a reproductive health services clinic the nurse is aware that the goal of the human genome project was to | Map sequence and determine the function of all human genes |
| The nurse is counseling a couple one of whom is affected by an autism a dominant disorder. they expressed concerns about the risk of transmitting the disorder. what is the best response by the nurse regarding the risk that their baby may have the disease | Your risk is 50% or a one in two chance |
| What is the first step in determining a couples risk for a genetic disorder | Obtaining a thorough family health history |
| A nurse is working in a women’s health clinic genetic counseling would be most appropriate for the woman who | Has a history with a close relative with down syndrome |
| Klinefelter syndrome is caused by a non-disjunction resulting in a genotype of | XXY |
| Down syndrome results from the | Presence of an extra chromosome in position 21 |
| True or false: a positive pregnancy test is a positive sign of pregnancy | False (probable sign) |
| When assessing a pregnant woman which of the following would the nurse expect to find | Complaints of nausea |
| True or false: oxytocin is a hormone secreted by the anterior pituitary gland | False (secreted by posterior pituitary gland) |
| True or false: ambivalence is a normal response during the first trimester of pregnancy | True (mixed feelings) |
| What factors would change during your pregnancy if the hormone progesterone or reduced or withdrawal | The uterus would contract more and peristalsis would increase |
| Which of the following is a presumptive sign or symptom of pregnancy | Urinary frequency |
| When obtaining a blood test for pregnancy which hormone with the nurse expect the test to measure | Human chorionic gonadotropin (HCG) |
| During pregnancy which of the following should the expectant mother reduce or avoid | Raw meat or uncooked shellfish |
| A feeling expressed by most women upon learning theyre pregnant is | Ambivalence |
| Reba Rubin Identified for major tasks that the pregnant woman undertakes to form a mutually gratifying relationship with her infant. What is “binding in” | Seeking acceptance of self as a mother to the infant |
| A pregnant client close to term comes in the clinic for an exam. The woman complains about experiencing shortness of breath. The nurse knows that this complaint can be explained as the | Fundus of the uterus is high and pushing the diaphragm upwards |
| Which of the following fish should be limited in a pregnant woman’s diet because of the high mercury content? | Sword fish |
| A multiparty refers to a woman who is pregnant for the first time | False (2 or more pregnancies w/ viable offspring) |
| A woman who is 24 weeks pregnant would arrange for a follow-up visit every two weeks | False (every 4 weeks until 29 weeks) |
| While assessing a woman at 18 weeks gestation, which of the following would the nurse report as unusual | Urinary frequency (this improves during 2nd trimester) |
| Which of the following biophysical profile findings indicate poor oxygenation to the fetus | Nonreactive fetal heart rate |
| The nurse teaches the pregnant client how to perform Keagle exercises as a way to accomplish which of the following | Increase pelvic muscle tone |
| During a clinic visit a pregnant client at 30 weeks gestation tells the nurse I’ve had some mild cramps that are pretty irregular what does this mean the cramps are probably | Braxton Hicks contractions which occur throughout pregnancy |
| The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed. Which of the following should be included in it? Select all that apply | |
| A pregnant client LMP was on August 10. Using Nagel’s rule the nurse calculate that her each day they will be which of the following | May 17 |
| Which of the following is not true about breast-feeding | Breast-fed infants experiencing more obesity and allergies |
| Practicing good oral hygiene is important for all women throughout their pregnancy. As a nurse providing anticipatory guidance for pregnant women what condition can result from Periodontal disease if good dental care is at practice | Preterm or low birth weight infant |
| Anticipatory guidance regarding sexual activity during pregnancy includes: select all that apply | E. Women’s sexual desire may change throughout the pregnancy F. Couples can try a variety of positions of comfort during pregnancy |
| Which of the following would be considered risk factors for psychological well-being in pregnancy? Select all that apply | A. A limited support system and network of friends and family D. How levels of stress due to family discord E. History of previous high-risk pregnancy with complications F. Depression prior to pregnancy and on medication |
| Which of the following women should receive RhoGAM postpartum | Nonsensitized Rh negative mother with an RH positive newborn |
| A woman is suspected of having abruptio placenta. Which of the following with the nurse expect to assess as a classic symptom | Knife like abdominal pain |
| RhoGAM is given to Rh negative women to prevent maternal Sensitization. In addition to pregnancy Rh negative women would also receive this medication after which of the following | Therapeutic or spontaneous abortion |
| After teaching a woman about hyperemesis gravidarum and how it differs from the typical nausea and vomiting of pregnancy which statement by the woman in the case of the teaching was successful | I need to avoid strong odors perfumes or flavors |
| woman approximately 12 weeks gesstation comes to the emergency department after calling her healthcare providers office & reporting moderate vaginal bleeding. Assessment reveals cervical dilation & moderately strong abdominal cramps. She reports that she | Inevitable abortion |
| When administering magnesium sulfate to a client with preeclampsia the nurse explained to her that this drug is given to | Prevent seizures |
| A woman is being discharged after receiving treatment for a hydatidiform molar pregnancy. The nurse should include which of the following in her discharge teaching | Do not become pregnant for at least a year; use contraceptives it to prevent it |
| True or false; most first trimester spontaneous abortions result from maternal conditions | False (fetal genetic abnormalities are most common first trimester abortions) |
| Which of the following with the nurse expect to assess in a woman with placenta previa | Relaxed uterus |
| True or false: the onset of seizures indicates severe preeclampsia | False |
| Ductus Venous | Connects the umbilical vein to the inferior vena cava |
| Ductus Arteriosus | Connects the main pulmonary artery to the aorta |
| Foramen Ovale | An atomic opening between the right & left atrium |
| Therapeutic magnesium levels | 4-7 mEq |
| >8 mEq magnesium sulfate | Toxic |
| 10 mEq magnesium sulfate | Possible loss of deep tendon reflex |
| 15 mEq magnesium sulfate | Possible respiratory depression |
| 25 mEq magnesium sulfate | Possible cardiac arrest |
| Lamaze Method type of method | “Mind prevention” method (psycho prophylactic) (Stay quiet so mom can focus) |
| Lamaze method type of techniques | Specific breathing & relaxation techniques |
| Lamaze method conquers fear through | Knowledge and support |
| How Lamaze Method changes perception of suffering | Learning conditioned reflexes that signal the work of producing child rather that signaling pain |
| Why Lamaze breathing techniques are used | For women to be aware of their own comfortable rate of breathing to relax and get adequate oxygen to the fetus |
| Paced breathing (Lamaze Method) | Decreased stress response & pain. Self-regulation by the woman. Takes a cleansing breath at the inset & end of each contraction. Breath symbolizes freeing her mind. Breath enhances oxygen & puts woman in relaxed state. |
| Slow Paced breathing (Lamaze Method) | Associated with relaxation. Half of the normal breathing rate (6-10 breaths per min). Most relaxed type of breathing. Recommended for labor. Abdomen or chest breathing. Breath in nose & our through nose or mouth |
| Modified Paced breathing (Lamaze Method) | Used for increased work or stress during labor. Keeps alertness & focus when slow. Respiratory rate ^ but doesn’t exceed x2 normal rate. Quiet upper chest breathing. Inhale & exhale are equal. Practice this technique during pregnancy |
| Patterned breathing (Lamaze Method) | Modified padded with a rhythmic pattern. Emphasis on exhale. |
| Bradley (partner-coached) Method | Various exercises & deep abdominal breathing to achieve relaxation. Emphasis on pleasurable sensations of child birth. Works in harmony with her body promoting body relax during labor. Stressed that childbirth is joyful and natural. Coach is educated |
| Hormone that apposes insulin | hPL |
| Hormone produced by placenta | Progesterone |
| Severe preeclampsia | BP > 160/110. Proteinuria >500mg/24 hr or 3+ on random dip stick. Hyperflexia, oliguria, blurred vision, blind spots, pulmonary edema, thrombocytopenia (plt’s <100,000), cerebral disturbances, epigastric pain, HELLP |
| Umbilical chord has | 2 arteries & 1 vein surrounded by Wharton’s jelly to prevent compression |
| Female chromosomes | XX |
| Naegele’s Rule | 1. First day of last period 2. Subtract 3 months 3. add 7 days 4. Add 1 year |
| Chadwick’s sign | Early symptom of pregnancy. Vagina turns blue or purple due to increased blood flow |
| Goodell’s sign | Softening of cervix |
| Hegars sign | Softening of vagina |
| Magnesium antidote | Calcium gluconate |
| Signs of magnesium toxicity | <12 breaths per minute. Absence of DTR’s. decrease urinary output (<30 mL/hr) |
| Grading of DTR’s | 0. absent 1. Hypoactive, sluggish 2. Reflex in lower half of the normal range 3. Reflex in upper half of the normal range 4. Hyperactive, brisk, clonus present |
| HELLP | Hemolysis, elevates liver enzymes, low platelet Preeclampsia/eclampsia |
| Methyldopa purpose | Treat high blood pressure |
| Methyldopa side effects | Dizziness, light headedness, drowsiness, headache, stuffy nose & weakness when starting medicine & increases |
| Hydralazine purpose | Treats high blood pressure |
| Hydralazine side effects | Headache, pounding/fast heartbeat, loss of appetite, nausea, vomiting, diarrhea, dizziness |
| Why do pregnant women feel the need to pee a lot when trying to sleep | The activity of the kidneys increase when laying down |
| How about thyroidism or in adequate iodine intake can... | Compromise fetal neurological development |
| What Misoprostol does | Stimulates uterine contractions to terminate pregnancy or evacuate contents after spontaneous abortion |
| Why give progesterone | Women at risk for preterm birth |
| Treatment of hypovalemia in abruptio placentae | 2 large bore IV lines with normal saline or lactated ringers |
| Gestational hypertension | BP 140/90+ identified after 20 weeks |
| Polyhydramnios | Too much amniotic fluid |
| Oligohydramnios | Too little amniotic fluid |
| Classic sign or placenta previa | painless, bright red vaginal bleeding during the 3rd trimester |
| Treatment of abruptio placentae | Control and restore blood loss |
| Pregnant women are at higher risk for | DVT & yeast infection |
| Corticosteroids enhance | Fetal lung maturity |
| How to relieve pressure from vena cava | Side lying position |
| Negative I deduct coombs test | Woman is candidate for rhoGAM |
| Why iron and folic acid need to be supplemented during pregnancy | Because of their increased requirements during pregnancy is too great for diet alone |
| Fundal mesurements | Approx. = the amount of weeks until week 36 |
| Highest level of Fundus | Xiphoid |
| Typical female pelvic shape | Gynecoid which is good for vaginal delivery |
| Subjective symptoms | Woman feels |
| Objective symptoms | Healthcare provider sees & positive certain signs of pregnancy |
| The placenta is the only endocrine gland | That has the ability to form proteins and steroid hormones |
| The three most common causes of hemorrhage early in the pregnancy | Spontaneous abortion, ectopic pregnancy, and GTD |
| Ectopic pregnancies occur in | 1 in 50 pregnancies |
| A molar pregnancy results in | Loss of pregnancy and the possibility of developing Choriocarcinoma |
| The leading cause of maternal death | Gestational hypertension |
| Most common complication reported during pregnancy | Gestational hypertension |
Created by:
Taylorgraham