Author Question: An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her ... (Read 46 times)

HCHenry · **on:** Jul 22, 2018

An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This prescribed treatment is an example of which type of care?

a. Antenatal diagnostics
b. Primary prevention
c. Secondary prevention
d. Collaborative intervention

Question 2

The emergency department nursing assessment of a pregnant female at 35 weeks gestation reveals back pain, blood pressure 150/92, and leaking of clear fluid from the vagina. Which complication of pregnancy does the nurse suspect?

a. Ectopic pregnancy
b. Spontaneous abortion
c. Premature rupture of membranes
d. Supine hypotension

ecabral0 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
An example of collaborative intervention relating to reproductive health would be managing fetal intrauterine growth restriction by serial ultrasounds. This type of diagnostic maternal/fetal monitoring is performed to determine the best time for delivery due to potential fetal nutritional, circulatory, or pulmonary compromise. A cesarean section (operative delivery) may be performed if maternal or fetal conditions indicate that delivery is necessary. Antenatal diagnostics refers to prior to pregnancy. An example of primary prevention is teaching a high school class about reproductive health. An example of secondary prevention is prenatal care in the second trimester of pregnancy to prevent problems for the developing fetus.

Answer to Question 2

ANS: C
Leaking of clear fluid from the vagina with back pain and elevated BP is associated with premature rupture of membranes, a complication of pregnancy. An ectopic pregnancy usually manifests as unilateral pain early in the pregnancy. Vaginal bleeding is a classic sign of miscarriage, or spontaneous abortion, not leaking of clear fluid. This patient's blood pressure is elevated. Supine hypotension occurs when the woman is lying supine; then low blood pressure occurs due to the decrease in venous return from the gravid uterus placing pressure on the vena cava.