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WorksheetsNew OB Content - Bleeding in Pregnancy
Total questions: 99
Worksheet time: 2hrs 27mins
Anika arrives at the clinic and tells the nurse she is experiencing bleeding during her pregnancy. What are important questions the nurse needs to ask Anika?
Lily is a nurse working in a women's health clinic. She encounters several patients experiencing pregnancy loss. What are the different types of miscarriage that Lily might see? Describe what is happening during each stage of miscarriage. What medical interventions are appropriate for each stage of miscarriage?
Anika, a 28-year-old woman, presents to the emergency department with severe lower abdominal pain and vaginal bleeding. She mentions that her last menstrual period was six weeks ago. The doctor suspects an ectopic pregnancy.
What is an ectopic pregnancy? Where are ectopic pregnancies most likely to implant? What are the signs and symptoms of an ectopic pregnancy? What are the appropriate medical interventions for ectopic pregnancy?
Lily, a 28-year-old woman, visits her doctor after experiencing abnormal vaginal bleeding and severe nausea during her first trimester of pregnancy. An ultrasound reveals a "snowstorm" appearance in her uterus, and her hCG levels are much higher than expected for her gestational age. The doctor suspects a hydatidiform mole (molar pregnancy).
What is a hydatidiform mole (molar pregnancy)? What are the signs and symptoms of a molar pregnancy? What is the recommended follow-up for a molar pregnancy? Why?
Maya, a 32-year-old pregnant woman in her third trimester, comes to the clinic with painless vaginal bleeding. Her ultrasound shows that her placenta is covering the cervical os. Based on this scenario, what is placenta previa? When is a placenta previa usually diagnosed? What are the classic signs and symptoms of a placenta previa? What are the management options for a previa? When would a provider decide to keep a patient like Maya in the hospital vs at home vs delivery?
Aria, a 32-year-old pregnant woman in her third trimester, suddenly develops severe abdominal pain and vaginal bleeding. She is rushed to the emergency department. Based on her symptoms, what is a placental abruption? What are the classic signs and symptoms of an abruption? What is the management option for a classic abruption?
Abigail, who is 34 weeks pregnant, suddenly experiences severe abdominal pain and vaginal bleeding. At the hospital, the doctor suspects a condition where the placenta separates from the uterus before the baby is delivered. What is this condition called?
Premature separation (detachment) of placenta prior to delivery of the fetus
Premature rupture of membranes
Placenta previa
Ectopic pregnancy
Oliver, a pregnant woman, was involved in a minor car accident where she experienced blunt trauma to her abdomen. Which of the following could be a cause of placental abruption in her case?
Blunt trauma to abdomen
High blood pressure
Diabetes
Infection
Sophia, a 32-year-old pregnant woman, visits her doctor for a prenatal checkup. The doctor wants to discuss her risk factors for placental abruption.
List two risk factors for placental abruption that the doctor might mention to Sophia.
Grace, a medical student, is studying for her obstetrics exam. She comes across a case where she needs to classify types of placental abruption. Which of the following are recognized types of placental abruption?
Complete vs partial
Concealed vs apparent
Both A and B
None of the above
Charlotte, a pregnant woman, arrives at the hospital complaining of intense contractions, abdominal pain, and decreased fetal movement. What is a symptom of placental abruption?
Intense contractions
Abdominal pain
Decreased fetal movement
All of the above
During a surgical procedure, Dr. Evelyn observes that the uterus appears purple and ecchymotic. She notes blood accumulation between (a) and the uterine wall, identifying the condition as Couvelaire Uterus.
Emma, who is pregnant, experiences significant blood loss due to an accident. How does this blood loss affect her fetus? What changes might you observe in the fetal heart rate (FHR)?
Scarlett, a 45-year-old woman, is admitted to the hospital with severe sepsis. During her stay, she develops unexplained bruising and bleeding from her IV sites. The doctors suspect she may have DIC.
What is DIC? How is DIC treated?
Charlotte, a patient in the hospital, begins to experience unusually heavy bleeding from her gums, nose, surgical incision, IV site, and phlebotomy sites. Her lab results show decreased platelets and fibrinogen, prolonged PT and PTT, decreased urine output, and she is showing signs of hemorrhagic shock. These findings are consistent with DIC.
True
False
Jackson is studying for his medical exams and comes across the terms 'preterm birth' and 'post-term birth.' He wants to know how these are defined. Can you help him by defining preterm and post-term birth?
(a)
Maya, a nurse in the neonatal unit, is caring for a preterm newborn. She knows that preterm newborns are at increased risk for respiratory complications. Why is this the case, and what signs of respiratory distress should Maya watch for in the newborn?
(a)
Avery is a preterm newborn in the neonatal intensive care unit. What factor increases Avery's risk for developing necrotizing enterocolitis (NEC)?
(a)
Maya is worried about getting sick from germs at school. How can she prevent the risk of infection?
Isla is a nurse caring for a preterm newborn in the neonatal intensive care unit. She is making sure the baby is kept in a neutral thermal environment. Why is this important for the preterm newborn?
Grace is a nurse in the neonatal unit. She is caring for a newborn who was born to a mother with IDDM after a prolonged labor. The baby is showing signs such as jitteriness, irritability, lethargy, grunting, sweating, apnea, and seizures. What could be causing these symptoms in the newborn?
(a)
Olivia is a medical student studying for her pediatrics exam. She comes across a question asking about TORCH labs. What does TORCH stand for?
(a)
Lily is a nurse in a neonatal intensive care unit. She is caring for two newborns: one develops sepsis within the first 48 hours of life, and the other develops sepsis after 7 days. What is the difference between early and late onset sepsis?
Charlotte is a nurse in a maternity ward. She notices that some newborns develop yellowish skin a few days after birth, while others show more severe symptoms soon after delivery. She wants to understand the difference between physiologic and pathologic jaundice in these babies. How can jaundice be prevented, and what are the treatment options?
Olivia has just given birth and her baby is placed on her chest for skin-to-skin contact. What are the benefits of kangaroo care/skin-to-skin?
(a)
Grace, a neonatal nurse, is caring for a newborn who was exposed to opioids in utero. The infant is exhibiting signs of neonatal abstinence syndrome (NAS). How should Grace assess the symptoms, and what nursing interventions should she consider?
(a)
Olivia, a nurse in the maternity ward, is caring for a family who has just experienced infant loss. How can Olivia facilitate the grieving process for the family?
(a)
Aria, a 28-year-old woman, is in her second trimester of pregnancy. She visits her doctor after experiencing a painless dilation of her cervix, which leads to a preterm birth. There are no other apparent causes for this event. What condition is Aria experiencing, and how is it treated?
(a)
Jackson is reviewing patient records in the maternity ward. He needs to identify which births are considered preterm. Fill in the blank: Any birth that occurs between ____ and ____ weeks gestation is considered preterm birth.
(a)
Samuel is reviewing medical records in the maternity ward. He needs to identify which babies are considered late-preterm. Fill in the blank: Any birth that occurs between ____ and ____ weeks gestation is considered late-preterm birth.
(a)
Rohan is a medical student learning about preterm labor. His instructor asks him to list any three risk factors for preterm labor from the following categories: Demographics, Medical Conditions, Pregnancy related conditions.
Aria, a pregnant woman, arrives at the hospital with complaints of regular contractions and lower abdominal pain before 37 weeks of gestation. How is preterm labor diagnosed?
Mia is pregnant and her doctor is concerned about the risk of preterm delivery. What interventions are available to prevent preterm delivery? List at least two interventions.
Daniel is a doctor in a maternity ward. He considers using magnesium sulfate for fetal neuroprotection, but only for short term use (<48 hours). Is this appropriate?
True
False
Hannah is a nurse in a maternity ward. She administers magnesium sulfate to a patient to help relax the uterus and manage preterm labor. Magnesium sulfate acts as a CNS depressant and relaxes smooth muscle, including the uterus.
True
False
Anika, who is pregnant, is admitted to the hospital with severe preeclampsia. The doctor prescribes Magnesium Sulfate. What is the primary use of Magnesium Sulfate in her pregnancy?
(a)
Sophia is reviewing the side effects of Magnesium Sulfate for her pharmacology exam. Which of the following is NOT a side effect of Magnesium Sulfate?
Hot flashes
Sweating
Hypocalcemia
Hypertension
Zoe is a patient in the hospital who has been started on Magnesium Sulfate therapy. What should be monitored in Zoe while she is receiving Magnesium Sulfate?
FHR
Deep tendon reflexes
LOC
Serum magnesium level
Grace, a nurse, is caring for a patient who develops signs of Magnesium Sulfate toxicity. She recalls that Calcium gluconate is the antidote for Magnesium Sulfate toxicity.
True
False
Emma is experiencing premature uterine contractions during her pregnancy. Her doctor wants to prescribe a medication that relaxes smooth muscles, including the uterus, by blocking calcium. Which drug is most appropriate for Emma?
(a)
Kai was prescribed Procardia for his condition. After a few days, he started experiencing a side effect. Which of the following is most likely the side effect he experienced?
Hypertension
Dizziness
Bradycardia
Hyperglycemia
Henry is a patient who has been prescribed Procardia. What is a nursing consideration for Henry?
Monitor maternal VS
Monitor blood glucose
Monitor serum potassium
Monitor urine output
Anika is prescribed Terbutaline for her condition. How often should she take her medication?
(a)
David, a patient with asthma, is prescribed Terbutaline. After taking the medication, he reports experiencing a certain side effect. Which of the following is most likely?
Bradycardia
Chest discomfort
Hypotension
Hyperkalemia
Nora is a pregnant woman at risk of preterm delivery. Her doctor administers betamethasone to help the baby's lungs mature. Betamethasone stimulates fetal lung maturity by releasing enzymes that produce lung surfactant.
True
False
William was prescribed Terbutaline for his condition. What is a serious adverse effect he should be aware of?
(a)
Mia is a neonatologist who is considering the use of betamethasone for her patients. She wants to know if betamethasone decreases the need for resuscitative/respiratory support and leads to shorter NICU stays.
True
False
Ava is a pregnant woman at 28 weeks gestation who is at risk for preterm birth. What is one of the most cost-effective ways to decrease morbidity and mortality associated with preterm labor (PTL) in her case?
(a)
Michael is a healthcare provider caring for a pregnant woman at 28 weeks gestation who is at risk for preterm birth. What is recommended for women at risk for preterm birth between 24-36 weeks gestation?
(a)
Sophia is pregnant and at risk for preterm birth. Her doctor recommends corticosteroid administration. What side effects should Sophia be aware of?
(a)
What is the major risk factor associated with PPROM (preterm premature rupture of membranes)?
(a)
Why is a multifetal pregnancy considered high-risk?
(a)
What is the focus of treatment for hyperemesis gravidarum?
(a)
What are contributing factors to dysfunctional labor/labor dystocia?
(a)
What risk factors may predispose a woman to a long, difficult, or abnormal labor?
(a)
What is the difference between malposition and malpresentation?
What are important nursing considerations before, during, and after an external cephalic version (ECV) procedure?
What are the common indications for an operative vaginal birth (forceps or vacuum-assisted)?
What is the difference between caput and cephalohematoma?
What are common indications and complications of a C-section delivery?
Who is not a candidate for a vaginal birth after cesarean (VBAC) and why?
What happens in a shoulder dystocia delivery and what are the priority nursing actions/interventions?
What are the signs of a prolapsed umbilical cord (a.k.a. cord prolapse) and what are the priority nursing interventions?
What are the risks for and signs of a uterine rupture?
What is the most frequent cause of uterine rupture?
Infection
Fetal macrosomnia
Scarred uterus from previous C-sections
Short pregnancy interval
Fill in the blank: Abnormal (a) tracing is a sign of uterine rupture.
Which of the following is NOT a sign or symptom of uterine rupture?
Loss of fetal station
Uterine tenderness
Increased fetal movement
Cessation of contractions
A patient may feel a 'pop' during uterine rupture.
True
False
Fill in the blank: Nursing consideration for uterine rupture includes starting (a) and administering O2.
Which of the following is a possible outcome of uterine rupture?
May lead to hysterectomy
May lead to appendectomy
May lead to tonsillectomy
May lead to cholecystectomy
What was anaphylactoid syndrome of pregnancy previously termed?
Amniotic fluid embolism
Placental abruption
Eclampsia
HELLP syndrome
Fill in the blank: Anaphylactoid syndrome of pregnancy is an anaphylactic-like reaction to (a) when it enters the maternal circulation.
Acute onset of hypotension, hypoxia, cardiovascular collapse, and coagulopathy are features of anaphylactoid syndrome of pregnancy.
True
False
What are the components of the epidemiological triangle? How do they relate? Give an example.
What is surveillance and how are data collected?
Review the epidemiological study types.
Know the difference between endemic, epidemic, and pandemic.
Give examples of the natural and built environments.
Describe each environmental area and the health impact: Air, Water, Global warming & climate change, Harmful environmental substances, Food safety.
What is the nurse’s role in environmental health?
What does the mnemonic I PREPARE stand for and how is it used to conduct environmental assessments?
Describe each stage of a disaster. What nursing tasks are done during each stage?
Give examples of natural and human-made disasters.
What is START triage? What are the steps? How are people assessed?
What is sheltering in place? Explain how the decision is made.
Which agencies are involved in disasters? How do they contribute?
How can nurses work to improve maternal and infant health? List at least two ways.
What is the normal condition of the breast during postpartum care?
(a)
What is the expected finding for the uterus postpartum?
(a)
What are the normal findings for bowels during postpartum care?
(a)
What is the normal finding for the bladder during postpartum care?
(a)
What are the three types of lochia and their normal durations?
(a)
Normal lochia is scant to moderate amount with earthy smell.
True
False
Which of the following is NOT a way nurses can improve maternal and infant health?
A) Treat and listen to patients with respect
B) Ignore mental health screenings
C) Give resources
D) Screen for interpersonal violence
Fill in the blank: The normal color of urine postpartum is (a) .
What is considered non-normal in postpartum vaginal discharge?
(a)
What is considered normal after an episiotomy?
(a)
What is not normal after an episiotomy?
(a)
Who should receive RhoGAM administration?
(a)
