N230 Olol Info From Rationales From Nclex

Front 1

How early can pregnancy be detected?

Back 1

8 wks, b/c hCG is produced by the syncytiotrophoblast produces it. these levels rise rapidly until 20 wks then they fall and stay low for remainder of gestation -

Front 2

Important facts about hCG

Back 2

confirm pregnancy, elevate at 8-10 days then decline after 20 wks
chorionic villi produce hCG and maintains the corpus luteum's production of progesterone and estrogen
placenta takes over the production at 8-10 wks gestation

Front 3

When is an amnioinfusion called for?

Back 3

when there is meconium stained ambiotic fluid as the only symptom

Front 4

Tocolytic drugs are used for?

Back 4

arresting preterm labor

Front 5

Placental transport of substances to and from the fetus begins?

Back 5

5th week

Front 6

Describe the secretion levels of progesteron and estrogen?

Back 6

Until the 7th mth of pregnancy both e & p are secreted in progressively greater amts. Btw the 7th & 9th mths, e secretion continues while p secretion drops slightly. This increasing e-p ration promotes the onset of uterine contractions

Front 7

What is scientific name of stretch marks

Back 7

striae gravidarium

Front 8

what is Linea nigra?

Back 8

is a dark line that extends from the umbilicus or above to the mons pubis. In a primigravid (1st preg) client it develops in the 3rd mth. In multigravid client, before the 3rd mth

Front 9

Proliferating trophoblast cells produce?

Back 9

abnormally high hCG levels and cause a hydatidiform mole

Front 10

During ea prenatal checkup what should the nurse assess?

Back 10

wgt,BP, fundal hgt and edema

Front 11

Why should the nurse check for edema?

Back 11

could be sign of PIH. If edema is present then the nurse should also check BP and proteinuria-other signs of PIH

Front 12

When is Hb checked?

Back 12

1st prenatal visit
then again 24-28 wks gestation
then again at 36 wks

Front 13

When is the pelvis measured and Rh factor checked?

Back 13

1st prenatal visit

Front 14

What causes pain and pulling in a pregnant women.

Back 14

the uterus deviates to the right, this shift or dextrorotation is due to the presence of the rectosigmoid colon in the left lower quandrant.

Front 15

What drug is given for morning sickness?

Back 15

Emetrol- Phosphorated carbohydrate solution-

Front 16

If a pregnant client becomes dizzy, pale, and light-headed while lying supine what could this be and what to do about it?

Back 16

Inferior vena cava syndrome and place client on left side

Front 17

With a client with DM what are the s/s of a UTI or vaginal infection?

Back 17

Glycouria - the hormonal changes of preg. change the vaginal and bladder PH

Front 18

in a client with DM, insulin requirements?

Back 18

usually decrease during the 1st trimester, then rise again during the 2nd and 3rd. During labor insulin requ. diminish from extreme energy expenditure

Front 19

Where are fetal sounds heard best during the 1st trimester?

Back 19

above the symphysis pubis

Front 20

What is the only sign assessed in the 1st four wks of preg.?

Back 20

Breast sensitivity

Front 21

What are the POSITIVE signs of pregnancy?

Back 21

fetal heartbeat and fetal movement on palpatation

Front 22

What is the primary nursing diagnosis for a ruptured ectopic pregnancy?

Back 22

deficiet fluid balance
-causes hemorrage and requires immediate surgical intervention

Front 23

S/S of abrupto placentae? What does the nurse do?

Back 23

has PIH, then has abd. pain and vaginal bleeding
evalute the mother's well being by evaluating VS; ausculate the fetal heart sounds; monitor the amt of blood loss, and evaluate volume status by monitoring intake and output, if fetus is in distress then prompt C=section (not vaginal del) is performed

Front 24

What is gestational trophoblastic dx?

Back 24

when the fetus fails to develop beyond the primitive stage. causes excessive nausea, vomiting, uterine enlargment beyond age of gest.(ex 20 cm fundal), absence of fetal tones, and vaginal spotting

Front 25

What is the 1st thing a client should do before an amniocentesis? What position should she be in?

Back 25

void- could cause bladder perferation if full

Supine during procedure, on left side afterward

Front 26

What are the POSITIVE signs of pregnancy?

Back 26

fetal heartbeat and fetal movement on palpatation

Front 27

What is the primary nursing diagnosis for a ruptured ectopic pregnancy?

Back 27

deficiet fluid balance
-causes hemorrage and requires immediate surgical intervention

Front 28

S/S of abrupto placentae? What does the nurse do?

Back 28

has PIH, then has abd. pain and vaginal bleeding
evalute the mother's well being by evaluating VS; ausculate the fetal heart sounds; monitor the amt of blood loss, and evaluate volume status by monitoring intake and output, if fetus is in distress then prompt C=section (not vaginal del) is performed

Front 29

What is gestational trophoblastic dx?

Back 29

when the fetus fails to develop beyond the primitive stage. causes excessive nausea, vomiting, uterine enlargment beyond age of gest.(ex 20 cm fundal), absence of fetal tones, and vaginal spotting

Front 30

What is the 1st thing a client should do before an amniocentesis? What position should she be in?

Back 30

void- could cause bladder perferation if full

Supine during procedure, on left side afterward

Front 31

What causes increased cardiac output during pregnancy?

Back 31

Increased plasma volume which expands the uterine vascular bed.