Unit 1 exam review
Indomethacin
May cause birthday defects
Vitamin e deficiency s/s
Poor growth and neurological and muscle deficits
Oxytocin
Pregnant women are sensitive to it, causes uterine contractions and may lead to abortion
Karotyping
Provide information about the sex and the number and structure of the chromosome's
Protein and calories deficiency s/s
Scalding skin, dry and thin hair, poor concentration and irritability, weigh loss
Which phase of the menstrual cycle does the implantation of the fertilized ovum occur?
Secretory
Clomiphene
Serum selective receptor modulator that may cause esophageal burns
calendar rhythm method
Shortest day -18, longest day -11
Which disadvantage of the diaphragm for birth control would be emphasized to the client receiving instructions from the nurse regarding family planning methods?
Some women find its insertion and removal inconvenient
Late deceleration occurs with 50% or more of contractions, even if there are fewer than 3 contractions in 10 min
Positive CST; warrant hospital admission for further evaluation and/or delivery
When reviewing the amniocentesis reports oof a pt who has completed 20wks gestation , the nurse finds presence of high AFP levels. Which can the nurse infer from this information related to the clinical condition of the fetus?
Neurological disorders
When teaching a client about using diaphragm as a form of contraception, which instructions would the nurse provide about the diaphragm?
Always used spermicidal lubricant, should remain in place for at least 6hrs after intercourse , if intercourse occurs again apply addition spermicidal gel and let diaphragm in place, if puckered it will interfere with its effectiveness.
An adolescent woman who has become sexually active asks the nurse, "what's the most effective way to prevent a pregnancy?" Which method of preventing pregnancy should the nurse tell her is most effective?
An IUD
Zidovudine
Antiviral medication used in the prenatal and the perinatal periods to prevent the transmission of HIV to the fetus
Which time in the menstrual cycle would the nurse recommend the client come in for IUD insertion
Anytime in the cycle
Which diet would the nurse suggest to the 4 month pregnant pt for proper neural development of the fetus?
Asparagus,(FOLIC ACID),eggs(B12), fortified cereals(FA), and green leafy veg(FA)
MSAFP
Assess for neural tube defects
How to determine dehydration?
BP, RR, mucous membranes, capillary refill, tears, pulse, thirst, urine output
During a prenatal exam for a pt 11 weeks gestation, the nurse would provide support regarding which neurological issue that the patient might experience?
Describes getting frequent headaches but aren't sure why Experiencing episodes of lightheaded, almost as if they are going to faint Report feeling nauseated with smells that never bothered them Feels the need to nap daily but still tires during the day
Family theory
Describes how a family unit respond to events
Amniocentesis
Diagnosing genetic abnormalities only after 14 was of pregnancy
Which abortion technique would the nurse anticipate being used for a patient seeking an abortion during the 18th week of pregnanacy?
Dilation and evacuation; safe and can be used until 20wks
A client is taking an estrogen progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary HCP?
Dizziness, chest pains, and calf tenderness
Oral contraceptives may be prescribed for women with menstrual difficulties such as
Dysmenorrhea
In IVF how are the eggs and sperm fertilized
Eggs collected from ovaries then fertilized by sperm under laboratory conditions
Which nursing interventions would be implemented routinely in the immediate recovery period after a client has a vaccine aspiration abortion?
Encouraging the client to take the prescribed antibiotic mediaction
A woman who is infertile is diagnosed with primary ovarian failure. Which fertility medication regimen would the nurse identify as being used to treat infertility?
Estrogens or progestins
MRI
Evaluate the fetal structure and overall growth, the placenta, and the quality of amniotic fluid
Which common side effects associated with the use of copper intrauterine devices (IUD) would the nurse discuss with the client during a teaching session?
Excessive menstrual flow
Which activity would the nurse working in the fertility clinic perform with clients to help ease the feeling of isolation?
Explore ways to promote communication with family and friends.
Committed
Family strength
What conditions is IVF indicated for
Females with endometriosis and tubal blockage
Vitamin A deficiency s/s
Flaking and scalding skin, night blindness
Which nutrients would the nurse instruct the client to increase while on oral contraceptives?
Folic acid, Vitamin-C, Vitamin-B6, Vitamin B12
The nurse is working at the prenatal clinic for a patient 28 weeks gestation with their first Baby. Which assessment does the nurse need to complete to evaluate the health and wellbeing of the fetus at the appointment?
Fundal height measurement Fetal heart tones Fetal movements
Leuprolide
Gonadotropin-releasing hormone (GnRH) agonist use to treat endometriosis
Genogram
Graphic representative of families that shows the relationship of family members over at least. 3 geenrations
A patient in the first trimester of pregnancy undergoes a screening test to detect fetal chromosomal abnormalities. Which clinical finding would lead the nurse to infer that the fetus may have Down syndrome after reviewing the test report?
High levels of beta-human chorionic gonadotropin( b-hCG) Low levels of pregnancy associated placental protein(PAPP-A)
Severe dehydration in infants how much ORS should be given?
30ml/h
The nurse teaches a client about side effects that necessarily discontinuation of oral contraceptives. Which statement made by the client indicates that the teaching was effective?
"I'll stop taking the pills if I have chest pain"
A 28-year old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate?
"Oral contraceptives can cause thrombophlebitis "
Mild to moderate dehydration- how much ORS
50ml/kg
Severe dehydration in toddlers, how much ORS should be given?
60ml/h
Severe dehydration in older children, how much ORS should be given?
90ml/h
Family strengths
Ability to cope with normative and non normative life transitions and changes.
Mifepristone
Activated uterine contractions and causes abortion; voluntary termination of pregnancy aka abortion pill
What to do when child have mild to moderate dehydration and have episodes of loose stool and vomiting?
Add 10ml/kg
Which fetal Heart rate indicated expected cardiac activity?
Between 110-160 beats per minute;meets high oxygen demand of the fetus
Which genetic testing tool help detect protein abnormalities in the fetus?
Biochemical testing;
Oral contraceptives are prescribed for a client who smoked heavy, which is a major immediate risk to the client?
Blood clots
Which assessment finding would the nurse question for a client who is considering oral contraceptives?
Blood clots, heart disease, breast cancer, impaired liver function, undiagnosed vaginal bleeding, smoking more than 15 cigarettes per day
Vitamin d deficiency s/s
Bone and dental problems and fractures
A client is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect?
Breakthrough bleeding
Nifedipine
Calcium channel blocker used to maintain a pregnancy in preterm labor
Which intervention does the nurse implement while providing nutrition and hydration to a comatose child? 4x
Carefully monitor the IV fluids infusions Regularly examine the skin and the mucous membranes Evaluate the child's pituitary function tests Monitor feedings when a ng tube is used
Which technique is used to assess genetic abnormalities in a 12 week old fetus?
Chronic villus sampling: reveals presence of genetic abnormalities at an early stage of pregnancy very accurately
Doppler blood flow analysis detect what type of disorders in fetus?
Circulatory disorders
Which medication used to promote fertility would the nurse identify as a potential cause of esophageal burns?
Clomiphene
The nurse is obtaining consent from an unemancipated minor to perform an abortion. When would the nurse consider the consent-giving process to be appropriately completed?
Consent has been given specifically by a court Self consent has been granted by a court order Consent has been obtained from at least one parent of the minor
Which recommendation would the nurse provide the parent of a school age child who is receiving oral rehydration solution (ORS) for acute diarrhea and mild dehydration, but now has occasional episodes of vomiting?
Continue to give the child ORS frequently in small amounts
Contraindicated if membranes are ruptured?
Contraction stress test (CST)
Which patient statement would prompt the nurse to provide additional education regarding in vitro fertilization (IVF)
The fertilized embryo is placed into the fallopian tube
What type of testing helps detect abnormalities in chromosomes
Cytogenetic testing
Methotrexate
Cytotoxic medication that can cause early abortion by blocking folic acid on fetal celld
Which does the nurse recognizes as a strength in the family systems theory?
Is useful for families of varying and in various stages of their life cycle
What does the NST do?
It helps detect the effect of insulin and glucose levels on the fetus
The nurse in the women's health clinic is counseling clients about oral contraception. Which information is accurate about the estrogen compost of the oral contraceptive?
It inhibits secretion of follicle stimulating hormone.
A nurse providing care for the Antepartum woman would understand which information about the contraction stress test (CST)?
It is considered negative if no late deceleration are observed with the contractions
Down syndrome in 2-3 trimester
Low levels of MSAFP( maternal serum alpha- fetoprotein) and. Uncoagulated estriol
The nurse identifies which medication as an abortion pill?
Mifepristone
Which medication may be prescribed to induce abortion in a pregnant client?
Misoprostol Mifepristone Methotrexate
The client at 7wks gestation elects to undergo an induced medical abortion. Which teaching would the nurse provide regarding use of misoprostol for medical abortion?
Misoprostol causes the uterus to expel the products of conception
Cramp like pain
Mittelschmerz
Which secondary symptoms would the nurse advise a patient to monitor for that signals the fertile period?
Mittelschmerz Vuvlar fullness Mid cycle spotting Pelvic become tender and softer Increased labidio
What type of testing is the analysis of nucleic acids?
Molecular testing
At least 3 uterine contractions in a 10 min period, with no late or significant variable decelerations
Negative CST; usually resume routine of weekly testing schedule
A client is trying to become pregnant. The nurse would teach the client that a blood test for progesterone to evaluate fertility would be performed at which time?
One week after ovulation
A client is concerned about taking hormones for birth control. Which contraceptives have a hormonal component?
Oral contraceptives Transdermal agent 3-month Injections
A pregnant patient in the first trimester reports spotting of blood and mild uterine cramping. Which will the nurse assess?
Progesterone levels Transvaginal ultrasound HCG levels
Which change in pulmonary function during pregnancy facilitates the transport of CO2 from the fetus to the patient and O2 release from the patient to the fetus?
Progesterone plays a role in decreasing the base excess and the pH increasing in the patient.
Which type of abortion is effective in the first trimester?(wk1-12)
Surgical aspiration, use of medications such as methotrexate, mifepristone, and misoprostol
Which clinical signs would the nurse recognizing indicates severe dehydration in an infant
Tachycardia Absent tears Parched mucous membranes Capillary refill >4secs Sunken eyes Sunken fontanel
Which is the most likely reason for referring a pregnant pt in the third trimester for transvaginal and trans abdominal ultrasound scanning?
To determine the risk of preterm labor
Which is associated with in vitro fertilization- embryo transfer?(IVF-ET)
Tubal pregnancy; due to the increased risk of it occuring
Non normative
Unexpected life events such as a disaster or death of a chils
Fetal echocardiography
Used to detect fetal cardiac abnormalities
Indomethacin
Used to maintain a pregnancy during preterm labor;; opposite effect of misoprostol
Vibroscoustic stimulations
Used with non stress test(NST)
Dinoprostone
Uterine stimulant that produces labor by softening the cervix and enhancing uterine muscle tone; also it is used to induce an abortion ; only available for vaginal use
Which surgery is associated with permanent contraception?
Vasectomy and tubal ligation
Coitus interrupts
Withdrawal contraceptive method
Ecomap
diagram used to identify the direction and intensity of family relationships between members and/or community institutions of importance to the family
Methylergonovine
ergot alkaloid used to treat postpartum hemorrhage
Misoprostol
synthetic prostaglandin usually given with mifepristone for early abortion
In which category affecting fertility would endometriosis be placed
tubal factors; endometriosis have adhesions and inflammatory changes block tubal transport
Which statement would the nurse tell the client in regards to a dinoprostone suppository before having a vacuum curettage abortion for a fetal demise?
"After the suppository has been inserted, you will need to lie flat in for a set amount of time"
Which contraception- related statement made by an adolescent with irregular menstruation indicates the need for further education?
"The calendar method of oral contraceptions is most suitable for me" "Condoms do not offer protection against STI" "Oral contraceptions pills offer protection against STI"
Methotrexate
Administer in the presence of ectopic pregnancy and is an antineoplastic agent
The nurse is assessing the nutritional status of a child. The observations documented are flaking and scalding skin and dry thin hair. Which does the nurse interpret about nutritional status of the child?
Deficiency of proteins, calories, and vitamin A
Vitamin c deficiency s/s
Delayed wound healing, dental problem, muscle aches
The nurse at the fertility clinic is counseling a couple about the tests that will be necessary to determine the cause of infertility. Which tests will likely be used in the initial evaluation of the woman's organs of reproduction?
Hysterosalpingogram
CST is invasive if stimulation is by ________ but not by______.
IV Oxytocin; nipple stimulations
What should be given when child can't tolerate ORS when there is severe dehydration?
IV fluid should be given
Which procedure involves the removal of ovaries by laparoscopy, fertilization with sperm and the resulting embryos being returned to the woman's uterus?
IVF
Kleihauer-Betke test(KB test)
Identify fetal to maternal bleeding; usually after trauma
A nurse is assessing a pregnant woman in her second trimester. Which cardiovascular system changes would the nurse consider normal
Increase Pulse rate Decreased BP after 20wks, stayed same before More audible s1 and s2 heart sounds Increased RBC production
Which factor can fetch the accuracy of the temperature as an indicator of hormonal changes and fertility when using the basal body temperature method of contraception?
Stress or infection
Which type of family is characterized by the ability to communicate with one another in a way that emphasizes positive interactions?
Strong families
L/S ratio (lecithin/sphingomyelin) detect what type of disorders in fetus?
Pulmonary disorders
The nurse is counseling a 34- year old client who has requested a prescription for oral contraceptives. Which condition would warrant the additional discussion?
Hypertension; due to a side effect of oral bc is hypertension
The nurse is providing teaching about conception and ovulation to a patient seeking family-planning advice. Which statement by the patient on the timing of conception indicates that further teaching is needed?
I can get pregnant up to 7 days after ovulation is false due to the ovum has to be fertilized 24 hours after ovulation
Which is a metabolic change associated with pregnancy?
Maternal production of insulin increases during the first trimester There is enough glucose for the fetus during the 2nd trimester Fasting blood glucose levels will decrease during the 1st trimester
Nifedipine
May cause maternal-fetal problem
Estrogen
May cause thromboembolism
What test is used to evaluate fetal well being in pregnant pts with diabetes?
Non stress week (NST) at 32 gestation
Which clinical finding in a pregnant patient will indicate proper fetal brain development
Normal maternal thyroxine(T4) levels
Inhibin A
Placenta hormone; triple screening
What does an excessive increase in fundal height indicated?
Polyhedra Nico's or multifetal gestations
What does the spotting of blood and mild cramping in first trimester indicates?
Possible threatened miscarriage
