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Pregnancy/comp
Complications/LPN
| Question | Answer |
|---|---|
| What is the most serious complication of an ectopic pregnancy should the LPN watch for? | Shock |
| Where do ectopic pregnancies occur? | Fallopian tubes |
| What is a hyatidiform mole? | A rare mass or growth that forms inside the womb at the beginning of pregnancy. |
| What is the difference between PIH and preeclampsia? | Both are gestational induced hypertension but preeclampsia also includes protein in urine. |
| Some s/s of PIH? | Racing pulse, edema, headache, blurred vision, elevated BP. |
| What is eclampsia? | Seizures in a pregnant woman. |
| If a pt has seizures, what is an important nursing observation? | I&O's |
| What causes PIH? | Unknown |
| Some s/s of PIH? | Racing pulse, edema, headache, blurred vision, elevated BP. |
| What medication will be given to a preeclamptic pt to prevent seizures? | Mag Sulfate |
| Although higher than normal, what is a therapeutic level of magnesium for the preeclamtic pt that will still allow normal RR? | 4-8mEq |
| S/S of magnesium toxicity? | Drowsiness, loss of DTR's, muscle weakness. |
| What medication counteracts Mag toxicity? | Calcium gluconate |
| If preeclampsia results in intracranial bleed, what med may be ordered? | Apresoline |
| What s/s often precede seizures? | Severe headache and muscle twitching |
| What is the patho of PIH induced headaches? | Edema of the brain |
| What is considered to be a diagnostic BP for PIH? | Increase >30 systolic BP |
| What should the LPN observe for in caring for pt with threatened abortion (miscarriage)? | Vaginal bleeding, passing of tissue or amniotic fluid. |
| If a pt is passing large clots and having severe cramps and cervix is dilated, what is expected? | Inevitable abortion |
| What is loss of unplanned pregnancy called? | Spontaneous abortion |
| What s/s often precede seizures? | Severe headache and muscle twitching |
| What is the patho of PIH induced headaches? | Edema of the brain |
| What should the LPN observe for in caring for pt with threatened abortion (miscarriage)? | Vaginal bleeding, passing of tissue or amniotic fluid. |
| If partof the placenta is retained from miscarriage, what is the term used? | Incomplete abortion |
| If a woman has had 3 or more miscarriages, the condition is termed what? | Habitual abortion |
| What is done for an incomplete abortion? | D&C to clean out contents of uterus, prevent infection and stop bleeding. |
| What test will probably be ordered for a third trimester pt with vaginal bleeding? | Ultrasound |
| What is an incompetent cervix? | Cervix not able to support weight of fetus resulting in miscarriage. |
| What is hyperemesis gravidarum? | uncontrollable n/v, usually in 1st trimester, requiring diet modification |
| What is placenta previa? | Abnormal low placement of pacenta covering cervix partially or completely. Causes nonpainful vaginal bleeding. |
| What is abruptio placenta? | Separation of placenta from uterus causes PAINFUL bleeding and firm board-like uterus. |
| What should the nurse not do for pt suspected of abruptio placenta or placenta previa? | Perform vaginal exam |
| What type of fetal damage may be caused by rubella in 1st trimester? | Damage to heart, brain, ears, eyes, liver and spleen. |
| Risks for women with gestational diabetes? | Development of DM later in life and large babies. |
| If a pregnant woman owns a cat, what nursing education should be included? | Do not empty litter box due to risk of developing toxoplasmosis. |
| What is DIC? | Abnormal overstimulation of clotting process due to severe bleeding. Small thrombi widespread deplete clotting factors and hemorrhage occurs. |
| What simple test would be used to evaluate a woman with painless vaginal bleeding in the third trimester? | Ultrasound |
| What is Choriocarcinoma the result of? | Woman who previously developed a hydatidiform mole. |
| Early s/s of PIH. | Edema of hands and feet |
| S/s of impending seizure. | Headache, tremors, twitching |
| What causes edema late in pregnancy? | Pressure of uterus on pelvic veins |
Created by:
shocklori
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