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NUR 211 ( LATEST 2024 / 2025 ) FINAL 2 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 211 ( LATEST 2024 / 2025 ) FINAL 2 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 211 Final 21. What is preeclampsia?
Answer
pregnancy induced hypertension
2. what are some S/s of preeclampsia
Answer
-high blood pressure
-protein in their urine
-swelling, headaches
-blurred vision
3. what are some nursing interventions for preeclampsia
Answer
-monitor BP
-monitor DTR (clonus response)
-monitor fetal activity
-frequent rest periods, maybe bedrest --
Monitor neurological status (seizures)--monitor urine
4. If you begin to have with preeclampsia, you're considered to have
eclampsia.
Answer
seizures
5. what food would you tell your patient to consume more of as to not put them at risk for
preeclampsia
Answer
protein
6. What are some complications your patient might experience with preeclampsia
,Answer
-Fetal growth restriction
-Preterm birth
-Placental abruption
7. what is gestational diabetes
Answer
Occurs in pregnancy in clients not previously diagnosed as a diabetic
8. What are some risk factors for your Gestational diabetic patient
Answer
- >35
-BMI> 30
-non-white
-history of LGA para
-glycosuria
9. what are some S/S of gestational diabetes
Answer
-excessive thirst
-Hunger
-weight loss
-frequent urination
-blurred vision
-frequent UTI's
-LGA fetus
10. Gestational diabetes interventions
Answer
-diet
-insulin
-exercise
-monitor weight
,- check BGL
-Monitor for signs of infection
11. In GDM, a higher amount of blood glucose passes through the placenta into the fetal
circulation. As a result, extra glucose in the fetus is stored as body fat causing
Answer
macrosomia
**birth weight greater then 4000g (8.9 lbs)
12. woman with type 1 diabetes usually returns to levels of
insulin administration
Answer
prepregnant
13. Substance abuse places the pregnancy at risk for
Answer
abruptio placentae
14. Complications of gestational hypertension
Answer
1. Abruptio placentae
2. Disseminated intravascular coagulation
3. Thrombocytopenia
**all blood related
15. What is abruptio placentae?
Answer
premature separation of the placenta from the uterine wall
16. When does abruptio placentae usually occur?
Answer
after 20 weeks of gestation, which is usually in 3rd trimester
, 17. what is the leading cause of maternal death
Answer
abruptio placenta
18. abruptio placenta risk factors
Answer
Ï Maternal hypertension (chronic or gestational) Ï Blunt external abdominal trauma (motor-
vehicle crash, maternal battering)
Ï Cocaine use resulting in vasoconstriction Ï Previous incidents of abruptio placenta
Ï Cigarette smoking
19. Abruptio placentae expected findings
Answer
-sudden onset of intense-localized uterine pain with dark red vaginal bleeding
-area of uterine tenderness can be localized or diffuse over the uterus and boardlike
-contractions with hypertonicity
-fetal distress
-clinical findings of hypovolemic shock
20. Abruptio placentae laboratory tests
Answer
* Hgb and Hct decreased
* Coagulation factors decreased
* Clotting defects (disseminated intravascular coagulation)
* Cross and type match for possible blood transfusions
* Kleihauer-Betke test (used to detect fetal blood in maternal circulation)
21. Abruptio placentae nursing care
Answer
-palpate uterus for tenderness and tone,
-measure fundal height
-assess FHR
-Immediate birth is the management
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