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1230 Unit 2 Part 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show cervical insufficiency  
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standard treatment for cervical insufficiency; performed between 14 and 26 weeks gestation   show
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show gestational trophoblastic disease  
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show partial and complete  
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show history of previous gestational trophoblastic disease; extremees of age; young women in early teens and older women near the end of reproductive lives are at highest risk  
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clinical manifestations of molar pregnancy   show
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show evacuation of the uterus; continued follow-up care for 1 year (may develop cancer)  
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nursing care for molar pregnancy   show
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show placenta previa  
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things that increase risk for placenta previa   show
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Placenta previa is classified according to the degree to which the placenta covers the cervix.   show
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show painless, bright red bleeding (1st episode usually between 27 and 32 weeks gestation); transvaginal ultrasound  
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show atypical fetal presentations (breech or transverse)  
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show imediate cesarean deliver is a life-saving measure for the woman and the baby (if massive bleeding occurs); Kleihauer-Betke test; RhoGam; NSTs  
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A ____________ delivery is necessary in all cases of total placenta previa.   show
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nursing care for placenta previa   show
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show normal postpartum care; assess for signs of infection and mehorrhage (pad count)  
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show abruptio placentae  
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show elevated blood pressure; preeclampsia and pre-existing chronic hypertension; advanced maternal age (>35); multiparity; history of cesarean delivery; trauma; smoking; alcohol; cocaine; preterm premature rupture of membranes  
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show whether bleeding is concealed (more dangerous) or apparent; whether degree of abruption is partial or complete  
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maternal complications with abruptio placentea:   show
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fetal complications with abruptio placentea   show
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show abdomen will harden and not release; based on s/s of patient; pain has sudden onset and is constant; ultrasound  
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show vaginal delivery is preferred for small abruptions  
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show careful monitoring; watch for signs of shock; continuous EFM; prepare for emergency cesarean if ordered; monitor for postpartum hemorrhage and condinue to observe for signs of DIC after the birth  
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abrutpio placentea assessment   show
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second leading cuase of maternal morbidity and mortality; not only dangerous for the woman, but also puts the fetus at risk   show
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term used to describe elevated blood pressure (>140/90) that develops for the first time during pregnancy; can be transient or chronic   show
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show preeclampsia  
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tests for preeclampsia   show
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show African-American women  
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show vasospasm  
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show preeclampsia  
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show HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets)  
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treatment of preeclampsia   show
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show Calcium gluconate  
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nursing care for HELLP   show
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high blood pressure present before the woman becomes pregnant   show
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chronic hypertension and experiencing proteinuria   show
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treatment and nursing care with preeclampsia superimposed with chronic hypertension   show
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show multiple gestation  
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twins are at risk for:   show
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woman's risk with multifetal pregnancy   show
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nursing care with multifetal pregnancy   show
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show Rh imcompatibility and ABO incompatibility  
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show isoimmunization; fetus develops hemolytic anemia; anti-D immunoglobulin (RhoGam); woman will have no symptoms; fetus may be severely affected (miscarriage); treatment is RhoGam  
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show Rh negative; must not have anti-D antibodies; infant must be Rh-positive; direct Coomb's test must be weakly reactie or negative  
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ABO incompatibility   show
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