SCHOOL OF HEALTH AND ALLIED HEALTH SCIENCES

Nursing Department

SELF-DIRECTED LEARNING (NUR 146 - CLINICAL AREA)

Name: ____________________________________ Group: _____

Date:________

I. Identify the conditions described below.

___________ 1. An unplanned interruption of pregnancy before the fetus is viable.

___________ 2. Pregnancy in which implantation occurs outside the uterine cavity.
___________ 3. Hypertension of pregnancy that involves hemolysis, high liver enzymes,
and low platelet levels.
___________ 4. Hypertension of pregnancy with blood pressure elevated 30 mmHg systolic
and 15 mmHg diastolic above pregnancy values.
___________ 5. Excessive amniotic fluid formation.
___________ 6. Low implantation of the placenta.
___________ 7. Purse-string sutures applied to prevent recurrence of premature dilatation
and fetal expulsion.
___________ 8. Characterized by presence of uterine contractions and cervical dilatation
before fetal viability.
___________ 9. It is the premature separation of the placenta.
___________ 10. Pregnancy-induced hypertension, proteinuria, and cerebral edema with
seizure.
___________ 11. An abnormal proliferation and degeneration of the trophoblast villi.
___________ 12. An increased in blood sugar level during pregnancy.
___________ 13. A condition in which labor occurs before the end of 37 weeks gestation.
___________ 14. Rupture of fetal membranes with loss of amniotic fluid before 37 weeks of
pregnancy.
___________ 15. It refers to a pregnancy with less than the average amount of amniotic
fluid.

II. Discuss the following:

1. Describe how pregnancy can cause a woman to develop urinary tract infection.

2. Discuss how Oral Glucose Tolerance Test is done to diagnose gestational diabetes.
III. Case Study

Danielle is a 38-year-old secretary who is pregnant with her first child. She is 5 feet,
6 inches tall and weighs 210 pounds. When she presents at the clinic for her 7 th-month visit,
the nurse notes that her blood pressure is 148/92 mmHg. She states she has had ankle
edema for several months now, but lately has noticed swelling in her face and hands.

1. What evaluation data would indicate that the nursing interventions to help control mild
preeclampsia had been effective?

2. What symptoms might signal the development of pregnancy-induced hypertension? How

would you teach a patient to monitor them?

3. What nursing measures would you implement for a patient with pregnancy-induced
hypertension (eclampsia)? What activities would you avoid?