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maternity test #2

QuestionAnswer
1. When should a non-immune rubella client receive the MMR vaccine? Postpartum, before hospital discharge.
2. Why is the MMR vaccine not given during pregnancy? It's a live vaccine and it can harm the fetus.
3. What is the most common symptom of ectopic pregnancy? Severe pelvic or abdominal pain.
4.What medication is used to treat early ectopic pregnancy? Methotrexate.
5. When should Rho(D) immune globulin (RhoGAM) be administered after an ectopic pregnancy? When the client is Rh negative.
6. When does urinary frequency typically occur in pregnancy? In the first trimester then again in the third trimester.
7. Why does urinary frequency return in the third trimester? Increased pressure from the growing fetus on the bladder.
8. What should a pregnant client increase to relieve constipation? Fiber and fluids example (apples or apple juice)
9. What type of sports should a pregnant pt avoid ? contact or high impact sports ex. Raquetball
10. How many extra calories are needed during the second trimester.? 340 additional calories per day.
11.A client with a BMI of 26.5 should gain how much weight during pregnancy? 15-25 pounds.
12. How is parity calculated? By counting the number of pregnancies completed past 20 weeks (twins count as one full pregnancy)
13. What spinal change commonly occurs in pregnancy? Lordosis (increased curvature of the lumbar spine)
14. Why should ibuprofen be avoided in the third trimester? It can affect fetal circulation.
15. What does folic acid prevent in pregnancy? Neural tube defects.
16. What is a key sign of a hydatidiform mole? Excessive uterine development for gestational age.
17. What is a hallmark sign of placental previa? Painless bright red vaginal bleeding in the third trimester.
18. What is a hallmark sign of placental abruption? painful vaginal bleeding with uterine tenderness.
19. Placental abruption is commonly associated with what condition? Hypertension.
20. What action should be taken for suspected placenta previa? Apply an external fetal monitor (avoid vaginal exams)
21. What are common signs of preeclampsia? High blood pressure, headache, vision changes, proteinuria, swelling of hands/face.
22.What medication is used to prevent seizures in preeclampsia? Magnesium Sulfate.
23. What indicates magnesium toxicity? Respiratory rate below 12 ex. 8 breaths/min
24. What is the antidote for magnesium toxicity ? Calcium gluconate.
25.How often should BP be monitored in pt's with severe preeclampsia? Every 15-30 minutes.
26.Should a client with Gestational Diabetes reduce exercise? No. Exercise helps control blood glucose.
27. A pregnant client has a blood glucose of 48 mg/dL. What should she consume? Juice, Honey, or hard candy.
28. What oxygen delivery method is used in shock? Non-rebreather mask at 10L/min.
29. What IV fluid is commonly given in hypovolemic shock? Lactated Ringers bolus (1000mL).
30. Why is urine output monitored in shock? To assess kidney perfusion.
31. How should Iron supplements be taken for best absorption? With orange juice (vitamin C helps promote absorption).
32. When should an infant born to a positive hepatitis B mother receive the vaccine? Within 12 hr of birth.
33.What is a common symptom of pyelonephritis in pregnancy? Flank pain.
34. What is the priority nursing action for a pregnant pt with substance abuse? Provide education, support, and referral to treatment services?
35. What is chloasma? Brown discoloration on the cheeks and forehead (mask of pregnancy).
36. What is a probable sign of pregnancy ? Chadwick sign (bluish discoloration of the cervix)
37. What are positive signs of pregnancy? fetal heart tones, and fetal movement felt by examiner.
38. What causes supine hypotension in pregnancy? Lying flat compresses, the vena cava.
39.What are symptoms of supine hypotension? Dizziness, lightheadedness, and low BP.
40. What is the intervention for supine hypotension? Turn the pt on their side.
41. What is the priority intervention for sickle cell crisis in pregnancy? Increase fluid intake. (oral and IV).
42. How can pregnant pt prevent toxoplasmosis? Avoid handling kitty litter.
43. What is a priority in the third trimester? Ensure proper prenatal screening.
44. What is a warning sign in pregnancy that requires immediate reporting ? Sudden swelling of hands or face, severe headache, or vision changes
Created by: Cartoy890
 

 



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