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OB / PEDS FINAL EXAM/ LATEST 2022:2023/ Questions& Answers

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OB/Peds Final Exam What is antepartum? (ANS- time between conception and onset of labor What is placenta previa? (ANS- placenta implants over cervical os What are clinical manifestations of placent... a previa? (ANS- -Vaginal bleeding (painless, bright red in second or third trimester, spontaneous cessation then recurrence) What is the nursing management of placenta previa? (ANS- -Monitoring of maternal-fetal status •Vaginal bleeding; pad count •Avoidance of vaginal exams •FHR -Support and education: fetal movement counts, effects of prolonged bed rest (if necessary); signs and symptoms to report -Preparation for possible cesarean birth What is abruptio placentae? (ANS- •Separation of placenta leading to compromised fetal blood supply What is the nursing assessment for abruptio placentae? (ANS- -Bleeding (dark red) -Pain (knife like), uterine tenderness, contractions -Fetal movement and activity (decreased) -FHR -Laboratory and diagnostic testing: CBC, fibrinogen levels, PT/aPTT, type and cross-match, nonstress test, biophysical profile What is the nursing management for abruptio placentae? (ANS- -Tissue perfusion: left lateral position, strict bed rest, oxygen therapy, vital signs, fundal height, continuous fetal monitoring-Support and education: empathy, understanding, explanations, possible loss of fetus, reduction of recurrence Watch for DIC What is preeclampsia? (ANS- pregnancy induced hypertension How do you manage mild preeclampsia? (ANS- -Bed rest, daily BP monitoring, and fetal movement counts -Hospitalization; IV magnesium sulfate during labor How do you manage severe preeclampsia? (ANS- -Hospitalization; oxytocin and magnesium sulfate; preparation for birth What is gestational diabetes? (ANS- diabetes during pregnancy What is magnesium sulfate used for? (ANS- -Used to stop preterm labor by relaxing the smooth muscle of the uterus and suppresses contractions. -Also used to lower BP and depress the CNS if gestational HTN is present. ***Given for mild and severe preeclampsia*** What is an ectopic pregnancy? ( ANS- A pregnancy in which the fertilized egg implants outside the uterus. What is vaginal bleeding? (ANS- any discharge of blood from the vagina. It can happen any time from conception (when the egg is fertilized) to the end of pregnancy. Some women have vaginal bleeding during their first 20 weeks of pregnancy. [Show More]

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