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NUR 353 Exam 2 Questions With Correct Answers

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NUR 353 Exam 2 Questions With Correct Answers A nurse is assessing a patient with preeclampsia who delivered 12 hours ago. Which of the following assessments would indicate that the condition has not yet resolved? a. blood pressure reading at prenatal baseline b. adequate urinary output and no...

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  • October 18, 2024
  • 120
  • 2024/2025
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  • NUR 353
  • NUR 353
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©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM



NUR 353 Exam 2 Questions With Correct
Answers


A nurse is assessing a patient with preeclampsia who delivered 12 hours ago.

Which of the following assessments would indicate that the condition has not yet resolved?




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 completing the admission assessment of a client who is at 38 weeks gestation and has

severe preeclampsia.

Which one of the following findings is consistent with the diagnosis of severe preeclampsia?




a. Polyuria

b. Absence of clonus

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


c. Epigastric pain


d. Tachycardia - answer✔C


Why is magnesium sulfate is given to women with preeclampsia and eclampsia?




a. To improve 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 in a prenatal clinic is reviewing results from recent one-hour oral glucose tolerance tests.

Which one of the 4 pregnant clients needs to be scheduled for a follow-up, diagnostic three-hour

glucose tolerance test?




a. One hour GTT result: 115 mg/dl

b. One hour GTT result: 95 mg/dl

c. One hour GTT result: 125 mg/dl


d. One hour GTT result: 160 mg/dl - answer✔D

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


A nurse is caring for a client at 30 weeks gestation who has just been diagnosed with gestational

diabetes.

The client has a lot of 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. Extra sugar (glucose) can cross the placenta to your baby. This may cause your baby to gain

extra weight and to have sudden low blood glucose after birth.


d. Your baby may 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

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


perfusion, and your brain thinks that you are bleeding out. Your brain is going to release

vasoconstrictor hormones and try to redirect that blood to vital organs, such as the heart, brain,

lungs, etc. Your brain doesn't think of the baby as a vital organ. This vasoconstriction leads to an

increase in blood pressure. Over time, this increase in BP causes wear and tear in your blood

vessels, leading to little holes in the vessels. Your brain stimulates a lipoprotein to be released to

try to repair the vessels, but they are not able to. The lipoprotein leaks out from the vessels and

into the intravascular space. The proteins attract water which causes 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 length 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 experiencing cervical insufficiency. (3) - answer✔1.

Client will be on activity restriction or bed rest.

2. Hydrate more, because dehydration stimulates uterine contractions.

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