Normal Pregnancy Complications Alternate Version

Normal Pregnancy Complications Alternate
Version
Shonna, Jasmine, Susan, and Gabriela each have different symptoms. Consider their chief complaints
to help you determine what order you will see them.
Shonna describes bleeding when going to the bathroom HR: 74 B/P: 118/68 R: 18 T: 96.6 1st
Trimester
What questions will you ask Shonna? Select all that apply.
a. What color is the blood?
b. Does this bleeding occur with only urination or with only bowel movements or both?
c. How old are you?
d. Have you ever had these before?
You have determined that Shonna is experiencing hemorrhoids. What medication is appropriate for
her?
What non-pharmaceutical intervention would you recommend for treating Shonna’s hemorrhoids?
a. Avoid straining with stools
b. Kegel exercise
c. Sitz baths
d. Banana consumption
Jasmine is having contractions and also has had increased heartburn HR: 98 B/P: 136/70 R: 16 T:
98.0 3rd Trimester
What questions will you ask Jasmine? Select all that apply.
a. How long are these contractions lasting?
b. Are these contractions consistent and regular?
c. Are you having chest pain?
d. Do you notice the heartburn following meals?
You have determined that Jasmine is having heartburn and Braxton Hicks contractions. What
medication is appropriate for her? Select all that apply.
a. Calcium Carbonate
b. Pepcid
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c. Zantac
d. Zofran
What non-pharmaceutical intervention would you encourage Jasmine to try?
a. Attempt increased activity to determine labor vs. Braxton Hicks
b. Advise the patient to empty her bladder frequently
c. Encourage hydration
d. Provide reassurance that a bloody show is normally associated with Braxton Hicks contractions
Susan describes stools that look like pebbles HR: 78 B/P: 124/64 R: 16 T: 98.5 1st Trimester
What questions will you ask Susan? Select all that apply.
a. Did you have a problem with constipation prior to pregnancy?
b. Do you exercise?
c. What is your fluid intake?
d. Are you taking your PNV’s?
You have determined that Susan is suffering from constipation. What medication is appropriate for
her? Select all that apply.
a. Metamucil
b. Fibercon
c. Colace
What non-pharmaceutical intervention would you recommend for treating Susan’s constipation?
a. Consume foods high in bulk
b. Drink 8-10 glasses of water daily
c. Decrease your exercise
d. Decrease mineral supplement
Gabriela says she is having pelvic pain on both sides HR: 88 B/P: 128/64 R: 18 T: 97.5 2nd Trimester
What questions will you ask Gabriela? Select all that apply.
a. What makes your pain worse/better?
b. Do any contractions accompany this pain?
c. How old are you?
d. What did you eat?
Are the following statements true or false?
a. Objective exam shows cervical dilatation. (false)
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b. An appropriate differential diagnosis would be UTI. (true)
You have determined that Gabriela is suffering from ligament pain. What medication is appropriate for
her?
a. Ibuprofen
b. Tylenol
c. Norco
d. ASA
What non-pharmaceutical intervention would you recommend for treating Gabriela’s ligament pain?
a. warm bath
b. increased exercise
c. heating pads for 30-minute periods
d. frequent resting periods
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