Test Bank Safe Maternity & Pediatric Nursing Care Second Edition by Luanne Linnard-Palmer, Exams of Obstetrics

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Test Bank Safe Maternity & Pediatric Nursing

Care Second Edition by Luanne Linnard-Palmer,

ALL bundled to boost and ease your study

Probable signs of pregnancy (chapter 4 terms) - ANSWER Goodell's sign-softening of the cervix. Chadwick's sign-a bluish-purple coloration of the vaginal mucosa and cervix Hegar's sign-softening of the lower uterine segment Ballottement-fetus floats away from the cervix when the cervix is pushed Positive pregnancy test- human chorionic gonadotropin(hCG) detected day 11 of gestation State of carrying a developing embryo or fetus within the female body - ANSWER Phase of pregnancy: Antepartum-before birth(prenatal) Intrapartum-during birth Postpartum-after birth Positive signs of pregnancy - ANSWER •Attributed to the presence of a fetus •Experience health-care provider confirms the presence of a fetus •Signs: fetal heart auscultation by Doppler, fetal movement felt by an experienced practitioner, ultrasound-used to verify an embryo or fetus Presumptive signs of pregnancy - ANSWER •Subjective signs, Least reliable, Due to rapid rise of hormone levels at implantation of Trophoblast •Include: nausea and vomiting, fatigue, urinary frequent, breast enlargement and tenderness Amenorrhea-absences of the menstrual period Quickening-fetal movement felt by the mother after 18-20 weeks

Anemia - ANSWER Is a reduction of red blood cell Hemorrhoids - ANSWER Are swollen and bulging veins in the rectum, they can cause itching, pain and bleeding Melasma - ANSWER Mask of pregnancy, are brownish patches on the forehead, cheeks and nose Lines nigra - ANSWER A hyperpigmented line, may extend from the symphysis pubis to the fundus, on the breast the areola May darken Striae gravidarum (stretch marks) - ANSWER Known as stretch marks occur due to separation of collagen fibers of the connective tissue as the skin expand Pruritic urticarial papules and plaques of pregnancy (PUPPP) - ANSWER Is the most common pregnancy- specific dermatosis, occurring in 1 of 130 to 300 pregnancies Conuvade syndrome - ANSWER Sympathetic response to the pregnancy, he may gain weight and even experience nausea Nocturia - ANSWER Urination during the night Leukorrhea - ANSWER vaginal discharge is normal or becomes more yellow as sign of infection Hyperthermia - ANSWER elevated body heat caused by either fever or artificially with hot tubs, saunas or sunshine Neural tube defects - ANSWER malformations of the brain, spinal cord, or both during embryonic development that often result in lifelong disability or death Thrombosis - ANSWER is a blood clot, usually in the lower extremities, that restricts blood flow

morbidity and mortality - ANSWER morbidity (illness) and mortality (death) Chorioretinitis - ANSWER inflammation of the choroid and retina of the eye Hydrocephalus - ANSWER increase fluid in the brain Pneumonitis - ANSWER inflammation of the lungs, is a complication that is likely to occur with the adult pregnant patient Pica - ANSWER compulsive eating of nonnutritive substances such as clay or ice there are three common forms of Pica: Geophagy: the ingestion of soil, clay or similar substance Amylophagy: the ingestion of raw starch or similar substances Pagophagy: the ingestion of ice or freezer frost Varicose veins - ANSWER swollen veins raised above the surface of the skin Dysuria - ANSWER painful urination Vena caval syndrome - ANSWER Causes mom to become hypotensive while supine Kegel exercise - ANSWER help patient to strengthen her perineal muscles Maturational crisis - ANSWER pregnancy and childbirth is covered a life transition Antepartal period (chapter 5 terms) - ANSWER for a pregnant women this period begins with conception and ends with the onset labor

Gravida - ANSWER Refers to the number of times a woman has been pregnant, regardless of the outcome Para - ANSWER refers to a women who has produced a viable infant regardless of whether the fetus was alive at birth Viability - ANSWER is defined as a newborn weighting at least 500g or greater than 20 weeks gestation Naegele's Rule - ANSWER subtract 3 month from the first day of the last menstrual period and then add 7 days, which will indicate the approximated date of delivery Iithotomy position - ANSWER in this position the patient lies on her back, thighs flexed on the abdomen, legs on thighs, thighs abducted Papanicoalaou (PAP) test - ANSWER screens for cervical cancer Bimanual Exam - ANSWER an exam in which the doctor inserts two fingers in the vagina while placing the other hand on top of the lower part of the abdomen in order to feel for any abnormalities and to check the size, shape, and mobility of the uterus Diagonal conjugate - ANSWER the distance from the lower posterior border of the symphysis pubis to the sacral promontory Obstetric conjugate - ANSWER this diameter extends from the sacral promontory to the inner border of the symphysis pubis and measures Ischial tuberosity diameter - ANSWER the smallest dimension of the pelvis, it should be at least 10cm to allow the fetus head to pass through the pelvis Amniocentesis - ANSWER needle puncture of the amniotic sac to withdraw amniotic fluid for analysis, to diagnose Dow's syndrome, cystic fibrosis, spina bifida and other genetic disorder

The laboratory tests performed on a patient indicate macrocytosis, anemia, leukopenia, and thrombocytopenia. Which of the following disorders is the patient most likely to have? - ANSWER complete blood count(CBC)- to determine overall health and to detect anemias antibody screen-to determine whether the mother has been expose to fetal blood blood typing and Rh-to identify which blood type:A, B, AB, or O and Rh status rubella titer-to determine whether patient has immunity or will need the immunization after giving birth varicella titer-to determine immunity to varicella or need to vaccinate after birth Continuous of Laboratory test - ANSWER hepatitis B-to determine presence of the antigen and to detect infection Nocturia (chapter 6 terms) - ANSWER urination during the night Morbidity - ANSWER incidence of a specific notifiable disease Mortality - ANSWER the state of being subject to death Polyhydramnios - ANSWER excessive amniotic fluid Oligohydramnios - ANSWER too little amniotic fluid Hyperemesis gravidarum (chapter 7 terms) - ANSWER excessive vomiting during pregnancy pass 20 weeks Pre-eclampsia - ANSWER an increase in blood pressure, protein in the urine and edema after 20m weeks of gestation ketones - ANSWER chemical substances that the body produces when it does not have enough insulin in the blood, to monitor the use of fat stores to provide energy to the mother and her fetus Abortion - ANSWER is used to describe a pregnancy loss or termination prior to the fetus being viable

Viable - ANSWER a fetus able to live outside of the uterus Dilation and curettage (D&C) - ANSWER widening the cervix and scraping off the endometrial lining of the uterus Ectopic pregnancy - ANSWER occurs when the fertilization ovum implants outside the uterus Salpingostomy - ANSWER a small linear incision made into the fallopian tube to remove the products of conception Salpingectomy - ANSWER removal of the fallopian tube Hydatidiform mole - ANSWER is a genetic abnormality that occurs during early placental attachment and fetal development Choriocarcinoma - ANSWER a fast-growing cancer that can develop in the uterus following a molar pregnancy Placenta previa - ANSWER the abnormal implantation of the placenta in the lower portion of the uterus Placenta abruptio - ANSWER premature separation of the placenta from the wall of the uterus Placenta accreta - ANSWER occurs when the placenta is attached too deeply into the wall of the uterus, causing complications with removal, direct implantation into myometrium without intervening decidua -

severe bleeding at birth, need hysterectomy. Hysterectomy - ANSWER surgical removal of the uterus Isoimmunization - ANSWER If fetal Rh-positive blood leaks into the Rh-negative mother's circulation, her body may respond by making antibodies to destroy the Rh-positive erythrocytes.

Eclampsia - ANSWER most serious form of toxemia during pregnancy(onset of seizures) Insulin resistance - ANSWER the condition in which a normal amount of insulin produces a subnormal effect in muscle, adipose, and liver cells, resulting in an elevated fasting glucose; a metabolic consequence of obesity that precedes type 2 diabetes. Perfusion - ANSWER The supply of oxygen to and removal of wastes from the cells and tissues of the body as a result of the flow of blood through the capillaries.