100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 406 ( LATEST 2024 / 2025 ) EXAM 2 | PASSED | A+ RATED GUIDE | NEW FULL EXAM $17.99   Add to cart

Exam (elaborations)

NUR 406 ( LATEST 2024 / 2025 ) EXAM 2 | PASSED | A+ RATED GUIDE | NEW FULL EXAM

 1 view  0 purchase
  • Course
  • NUR 406 EXA
  • Institution
  • NUR 406 EXA

NUR 406 ( LATEST 2024 / 2025 ) EXAM 2 | PASSED | A+ RATED GUIDE | NEW FULL EXAM

Preview 4 out of 31  pages

  • October 24, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 406 EXA
  • NUR 406 EXA
avatar-seller
gradexam
NUR 406 EXAM 2

1. (eg.,Rh incompatibility, diabetes, preeclampsia, basic information r/t to the TORCH
infections, preterm labor),

Answer


2. Goals of care of high risk pregnancies
Answer
• foster growth and development and mother and baby

• minimize maternal, fetal and neonatal mortality

3. Pregnancy Complications
Answer
Identify/distinguish normal complications/ ab- normal assessment findings



4. Pregnancy Complications
Answer
General pathophysiology behind complications (basic mechanisms, general lab assessments-
not specifics/details- more clinical judgement oriented)



5. Pregnancy Complications
Answer
· Appropriate nursing care/interventions vs. in- appropriate nursing care/interventions for both
normal and abnormal find- ings



6. Pregnancy Complications
Answer

,· Includes medications with focus on those dis- cussed in lecture/lab/clinical


7. Pregnancy Complications
Answer
· Diabetes during pregnancy (gestational or pre- viously existing)

The "normal" pregnant woman has an increases resistance to insulin beginning in the 2nd half
of pregnancy.

• placenta produces more hormones, which increase resistance to insulin, demand rises 3x
• body actually produces more insulin while pregnant, but hormones produced by the placenta
increase the body's resistance to the insulin

8. Gestational Diabetes
Answer
Diabetic pregnant women can't increase their production of insulin

- pancreas unable to produce sufficient insulin
- insulin not being used effectively

Especially complicates 2nd and 3rd trimester when insulin demands increase Pathophysiology
• without adequate insulin; glucose circulates blood stream unable to enter cells, energy
starved cells break down fats and proteins for energy causing; ketosis from fat wasting, negative
nitrogen balance from protein breakdown and muscle tissue wasting
• high levels of glucose spill over into the urine; glycosuria

9. Assessing for Diabetes in pregnancy
Answer
All women screened Complications; fetal HTN, macrosomnia, polyhydramnios, infection, still
birth

Screening



- done at every prenatal visit (glucose urine test)

,1 hour Glucose Tolerance Test
• done in the office between 24-28 weeks, oral glucose test advised

> If results abnormal; 3 hour glucose test done
- instruct pt to eat high CHO diet x 3 days then fast overnight (150 g a day)


-screen late in the 1st trimester if theres a history of insulin resistance, age >40, prior stillbirth,
miscarriage or large/malformed infant

10. Assess for 4 cardinal signs of diabetes;
Answer
polydipsia, polyuria, polyphagia, weight loss

11. Management of Diabetes in pregnancy
Answer
Strict regulation of maternal glucose levels is essential to optimal perinatal outcome.

• manage diabetes preconceptually
• insulin is drug of choice during pregnancy
• careful review of oral hypoglycemic agents (some are contraindicated) Instruct on use of
insulin with incidences of N & V???

• dietary control is key
• fasting 70-100
• <120 2 hours after meals

large fluctuations in blood sugar can jeopardize the fetus

****bed time snack most important - protein and complex carbs to prevent hypo- glycemia
during sleep

• encourage compliance to med regimen, prenatal visits, dietary changes, etc

12. How to evaluate fetoplacental functioning?
Answer
Alpha Fetoprotein Screening at 16-20 weeks

, Monitor fetal activity starting at 28 weeks

Assess fetal growth with an ultrasound at 18 and 28 weeks

Fundal height
- macrosomia
- polyhydramnios
- IUGR

Administer nonstress test
- start at 28 weeks, weekly
- twice weekly at 32 weeks
- if nonreactive, the biophysical profile is done

Assessment of fetal maturity
-L/S ratio (lung development) amniocentesis

may be falsely elevated in a diabetic, may need to be as high as 3

Answer
1

13. Anemia during pregnancy
Answer
Pregnancy may exacerbate preexisting anemia

• Fe- deficiency and megaloblastic anemia may be caused by pregnancy
• Hemodilution - physiologic anemia of pregnancy 1000 mg extra Fe needed during pregnancy
Inadequate Hgb < 11

If not supplied by iron supplements, maternal risk for infection and hemorrhage increase, risk of
prematurity, stillborn, hypoxia, and death

Supplement with ferrous sulfate 30-60 mg a day between meals with orange juice
**

14. Bleeding in Pregnancy
Answer
1st and 2nd trimesters;

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 gradexam. 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)

67163 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart