Exam (elaborations)
NUR 353 Exam 2 Questions And 100% Correct Answers
- Course
- Institution
NUR 353 Exam 2 Questions And 100% Correct Answers...
[Show more]
Content preview
NUR 353 Exam 2 Questions And 100% Correct AnswersA nurse is performing an assessment on a patient with preeclampsia who delivered 12
hours ago.
Which of the following assessments would be indicative that the condition has not
resolved yet?
a. blood pressure reading at prenatal baseline
b. adequate urinary output and no proteinuria
c. presence of 1-2+ deep tendon reflexes
d. patient complaints of blurred vision and headache - ANSWER D
A nurse is performing the admission assessment of a client at 38 weeks gestation who is
diagnosed with severe preeclampsia.
Which of the following findings is consistent with the diagnosis of severe
preeclampsia?
_
a. Polyuria
b. Absence of clonus
c. Epigastric pain
d. Tachycardia - ANSWER C
What is a therapeutic purpose for administering magnesium sulfate to clients with
preeclampsia and eclampsia?
_
a. To enhance patellar reflexes and increase respiratory efficiency
b. To prevent and treat convulsions
c. To decrease blood pressure readings
d. To prevent a boggy uterus and lessen lochial flow - ANSWER B
,A nurse working for a prenatal clinic is reviewing results from recent one-hour oral
glucose tolerance tests.
Which one of the 4 pregnant clients must be scheduled for a follow-up, diagnostic
three-hour glucose tolerance test?
a. One hour GTT result: 115 mg/dl
a. One hour GTT result: 95 mg/dl
b. One hour GTT result: 125 mg/dl
c. One hour GTT result: 160 mg/dl
d. One hour GTT result: 180 mg/dl - ANSWER D
A nurse is caring for a client who is at 30 weeks gestation and who has just been
diagnosed with gestational diabetes.
The client has many questions about the risks to her baby with GDM.
What is the best explanation by the nurse for why her fetus is at risk for macrosomia and
hypoglycemia at delivery?
a. To prevent macrosomia, you should only gain 11-20 lbs. total during this pregnancy.
b. When your blood sugar levels are too high, the insulin that you make can cross the
placenta and affect your baby's metabolism.
c. Excess sugar (glucose) can cross the placenta to your baby. This can cause your
baby to be overweight and can also lead to your baby's blood glucose becoming
abnormally low right after birth.
d. Your baby can be born with diabetes. - ANSWER C
What are three classic clinical manifestations of preeclampsia? - ANSWER 1.
Proteinuria
2. Epigastric pain
3. Headaches
,Pathophysiology of preeclampsia. - ANSWER In a normal pregnancy, spiral arteries
widen to improve perfusion to the placenta. In a preeclamptic pregnancy, the spiral
arteries do widen, but not nearly as much which decreases blood flow to the placenta.
Your brain perceives hypo perfusion, and your brain thinks that you are bleeding out.
Your brain is going to release vasoconstrictor hormones and try to reroute that blood to
vital organs such as the heart, brain, lungs, etc. The baby is not considered one of those
vital organs by your brain. This leads to vasoconstriction. Due to this vasoconstriction,
your blood pressure would be elevated. Over time, this elevation in BP causes tears and
wear in your vessels, making little holes in the vessels. Your brain signals for a
lipoprotein to be released in an attempt to repair the vessels, but they cannot. The
lipoprotein leaks out from the vessels into the intravascular space. The proteins attract
water that creates edema. Liver necrosis can occur long-term due to the initiation of the
clotting cascade by the brain causing hypoxia, then ischemia, then necrosis.
Hypertensive disorder of pregnancy whereby the woman has an elevated blood
pressure at 140/90 mmHg or greater recorded on two different occasions at least 4
hours apart. Proteinuria is absent. - ANSWER Gestational hypertension
This occurs when expulsion of the products of conception occurs. Premature cervical
dilations. A cause of bleeding during pregnancy. - ANSWER Cervical insufficiency
What is considered a short cervix? - ANSWER Less than 25 mm in length
True or false. Dehydration stimulates uterine contractions. - ANSWER True
Client education for a pregnant woman who has cervical insufficiency. (3) - ANSWER 1.
Client will be on activity restriction or bed rest.
2. Hydrate more, because dehydration stimulates uterine contractions.
3. Avoid intercourse, tampons, and douching. Anything that can be inserted into the
vagina.
List two risk factors for cervical insufficiency. - ANSWER 1. History of cervical trauma
(Cervical tears, excessive dilations, surgical procedures.)
2. Congenital structural defects
, List four expected findings for cervical insufficiency. - ANSWER 1. Increase in pelvic
pressure or urge to push.
2. Pink stained vaginal discharge or bleeding
3. Water may break
4. Miscarriage (Uterus contracts with the expulsion of the fetus)
Presence of cervical funneling - ANSWER Beaking
An impaired glucose tolerance with first onset or recognition during pregnancy. -
ANWER Gestational diabetes mellitus (GDM)
List four laboratory tests conducted on a pregnant woman suspected to have GDM. -
ANWER 1. Routine urinalysis for testing glycosuria
2. 1 hour GTT
3. 3 hour oral GTT
4. Urine test to check the presence of ketones in the urine
List three interventions for a patient who is experiencing gestational hypertension. -
ANSWER 1. Antihypertensive medications
2. Diet
3. Exercise
What change in deep tendon reflexes is exhibited in preeclampsia? - ANSWER
Hyperreflexia
What level is a positive 1-hour GTT? - ANSWER Over 140 mg/dL
Do you have to fast for a 1-hour GTT? - ANSWER No, but you do have to fast for a 3-hour
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Chrisyuis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now