OB Exam 2 Jeopardy

Placental abruption

A 24-year old client at 32 weeks gestation with a history of cocaine use is admitted to the hospital because of vaginal bleeding, what condition is she at risk for?

Preeclampsia

A 32-year old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. The assessments during this visit include: B/P - 140/90, P-80, 2+ edema of the ankles and feet, headache, proteinuria, and visual disturbances. What condition does the nurse suspect?

5

A client who recently underwent a cervical cerclage during the 2nd trimester should call her provider if she has contractions that are ________________minutes apart?

miscarriage (spontaneous abortion)

A pregnancy that ends as a result of natural causes before 20 weeks of gestation is defined as _______?

4+

A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. What should the nurse document the patellar reflexes as?

> than or = to 0.3mg/dl

A protein/creatinine ratio of ______mg/dl is classified as proteinuria in a pre-eclamptic patient?

Intrauterine growth restriction (IUGR).

A stable or decreased fundal height can indicate ______?

22

After what gestational week is an ultrasound less reliable for dating because of variability in fetal size?

ectopic pregnancy

An ___________ is one in which the fertilized ovum is implanted outside the uterine cavity?

Hypoglycemia

Dizziness, blurred vision, Hunger are signs of _____________?

Estrogen

Hyperemesis gravidarum is thought to be related to high levels of what hormone?

Decrease

Insulin needs will ___________ during the first trimester?

supine hypotension

Pallor, dizziness, faintness, tachycardia, nausea, clammy skin are signs of what condition?

100-129

Post meal glucose level during pregnancy should be in what range?

accepting the idea of pregnancy

The first step in adapting to the maternal role is _________?

10

The nurse is instructing a preeclamptic patient about monitoring the movements of her fetus to determine fetal well-being. How many movements should the woman expect in 1 hour if her testing is normal?

Propylthiouracil (PTU)

The primary treatment of hyperthyroidism during pregnancy is drug therapy. Which medication is prescribed most often in the U.S.?

Naegele's rule

This is the name of the method for calculating the EDB/EDC/EDD?

Biophysical profile (BPP).

This type of testing is frequently used in the late second and third trimester because it is a reliable predictor of fetal well-being?

3D Ultasound

This type of ultrasound image is usually displayed in sepia tones rather than in black and white.

2:1

What L/S ratio is indicative of fetal lung maturity?

Hemolysis, elevated liver enzymes, and low platelet count.

What does the acronym HELLP stand for?

the onset of seizure activity or coma

What is the main difference between pre-ecclampsia and ecclampsia?

Couvade syndrome

What is the phenomenon of expectant fathers' experiencing pregnancy-like symptoms called?

hydatidiform mole (molar pregnancy)

________________ is a benign proliferative growth of the placental trophoblast in which the chorionic villi develop into edematous, cystic, avascular transparent vesicles that hang in a grapelike cluster?