Maternity exam2

During the second trimester, the pregnant person may experience leg cramps. What physiological changes cause this?

Pressure of the uterus on pelvic nerves

Which statement made by a pregnant person indicates that they understand the expected physiological adaptations to pregnancy?

“These are expected body changes, and there are ways I can stay comfortable during them.”

When is increased fatigue noted in pregnancy?

First and third trimester

A pregnant person in the first trimester has a craving for clay. What is this condition known as?

Pica

Which is not a common discomfort of the pregnant person in the second trimester?

Braxton Hicks contractions

A person has a diagnosis of ectopic pregnancy. Which medication would the nurse anticipate administering?

Methotrexate

What surgical intervention is appropriate for a patient with cervical insufficiency?

Cervical cerclage

What are complications of placenta abruption? Select all that apply.

Shock, Disseminated intravascular coagulation (DIC)

A nurse is assessing a birthing person. Which assessment finding would indicate placenta previa?

Painless, bright red bleeding

What are risk factors for placenta abruption? Select all that apply.

Cocaine use, Smoking, Hypertension, Age of birthing person over 35 years

Which are symptoms of ectopic pregnancy? Select all that apply.

Abdominal pain, Vaginal bleeding, Amenorrhea

What is the most common location for ovum implantation in an ectopic pregnancy?

Fallopian tube

What are risk factors for ectopic pregnancy? Select all that apply.

History of gonorrhea, Current smoker, Pelvic inflammatory disease (PID)

Which medication would be prescribed for a stable patient diagnosed with an ectopic pregnancy?

Methotrexate

A patient arrives to the unit from the operating room after having surgery related to a ruptured ectopic pregnancy. What is the nurse’s priority assessment?

Hemodynamic stability

A pregnant person arrives to the clinic with a blood pressure of 176/96 mm Hg and reports a headache and blurred vision. What does the nurse suspect?

Preeclampsia with severe features

Which is not a risk factor for developing preeclampsia?

Hypothyroidism

Why would a person with preeclampsia or eclampsia be on a magnesium sulfate infusion?

To prevent seizures

A patient with preeclampsia develops seizures. What is the nurse’s priority intervention?

Protect the airway.

What is the hallmark sign of eclampsia?

Seizure