A woman who has had no prenatal care was assessed and found to ...

[Awilson837]

A woman who has had no prenatal care was assessed and found to have hydramnios on admission to the labor unit and has since delivered a baby weighing 4500 grams. Which of the following complications of pregnancy likely contributed to these findings?
 
  a. Pyelonephritis
  b. Pregnancy-induced hypertension
  c. Gestational diabetes
  d. Abruptio placentae

Question 2

The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks' gestation in her first pregnancy.
 
  She is worried about having her baby too soon, and she is experiencing uterine contractions every 10 to 15 minutes. The fetal heart rate is 136 beats per minute. A vaginal examination performed by the health-care provider reveals that the cervix is closed, long, and posterior. The most likely diagnosis would be:
  a. Preterm labor
  b. Term labor
  c. Back labor
  d. Braxton-Hicks contractions

[DHRUVSHAH]

Answer to Question 1

ANS: c
Feedback
a. Pyelonephritis does not lead to the development of hydramnios or macrosomia.
b. Pregnancy-induced hypertension does not lead to the development of hydramnios or macrosomia.
c. Untreated gestational diabetics often have hydramnios and often deliver macrosomic babies.
d. Abruptio placentae does not lead to the development of hydramnios or macrosomia.

Answer to Question 2

ANS: d
Feedback
a. Preterm labor (PTL) is defined as regular uterine contractions and cervical dilation before the end of the 36th week of gestation. Many patients present with preterm contractions, but only those who demonstrate changes in the cervix are diagnosed with preterm labor.
b. Term labor occurs after 37 weeks' gestation.
c. There is no indication in this scenario that this is back labor.
d. Braxton-Hicks contractions are regular contractions occurring after the third month of pregnancy. They may be mistaken for regular labor, but unlike true labor, the contractions do not grow consistently longer, stronger, and closer together, and the cervix is not dilated. Some patients present with preterm contractions, but only those who demonstrate changes in the cervix are diagnosed with preterm labor.

[Awilson837]

Thank you

[DHRUVSHAH]

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