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NUR 2513 / NUR2513 Maternal Child Nursing Exam 1|Highly Rated Review| Latest 2022/2023Rasmussen CA$18.69   Add to cart

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NUR 2513 / NUR2513 Maternal Child Nursing Exam 1|Highly Rated Review| Latest 2022/2023Rasmussen

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NUR 2513 / NUR2513 Maternal Child Nursing Exam 1 Review  Betamethasone - used in preterm labor to accelerate the maturity of the baby's lungs  Why is Betamethasone used in preterm labor? - In pre-term labor: baby does not have the surfactant ability to breathe independently with...

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  • May 20, 2022
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  • 2022/2023
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NUR 2513 / NUR2513 Maternal Child
Nursing Exam 1 Review
❖ Betamethasone


- used in preterm labor to accelerate the maturity of the baby's lungs


❖ Why is Betamethasone used in preterm labor?


- In pre-term labor: baby does not have the surfactant ability to breathe
independently without struggling.
- May need O2 assistance or mechanical intervention


❖ Treatment for hyperemesis (excessive vomiting)


- * IV fluids, Zofran IV, IV fluid with vitamins
- Electrolytes impaired due to excessive vomiting in pregnancy
- Not necessarily through the whole pregnancy


❖ Hormone feedback system


- Menstrual cycle


❖ Polyhydramnios


- medical condition describing an excess of amniotic fluid in the amniotic sac.
It is seen in about 1% of pregnancies. It is typically diagnosed when the
amniotic fluid index (AFI) is greater than 24 cm.


❖ Neurological effects of pregnancy

, - Cerebral edema
- Forgetfulness
- Blurry vision at times
- Carpal tunnel from edema to arms and wrists
- Sciatic pain
- Bell's palsy (facial nerves paralyzed, self-limiting)


❖ Cardiovascular effects of pregnancy


- 50% increase in cardiac output
- Heart must work harder to push increased fluid volume around (increased
plasma)
- Heart rate goes up
- BP goes DOWN in 2nd trimester, HR goes up
- WBC goes up
- Platelets stay the same
- H & H goes down


❖ Respiratory effects of pregnancy


- Mom is having to take on the CO2 that baby is sending back to her as waste
products
- Mom is breathing deeper and more rapid
- Harder to catch her breath because diaphragm is being pushed up into chest
- She doesn't have the same lung space to inhale as before
- She breathes differently and tends to sit with shoulders back to expand chest


❖ Urinary effects of pregnancy

, - Urine output increases because of pressure of uterus on bladder in 3rd
trimester
- Increased filtration rate
- Retaining more Na = retain more fluid due to increased volume


❖ GI effects of pregnancy


- Reflux
- Hiccups
- Heartburn
- Stomach capacity changes as it is pushed by growing uterus
- (eat smaller amounts more frequently)
- Constipation from uterine growth, effects of progesterone (slowed peristalsis)
- Increase fiber, fluids and activity




❖ Integumentary effects of pregnancy


- Stretch marks
- Pigmentation changes


❖ Preeclampsia


- everything is shutting down (not just HTN)
- No perfusion to mom's organs (DANGEROUS SITUATION!!!)
- Brain, heart, lungs, kidneys and liver are affected.
- Sudden rise in BP can cause placental abruption
- We must try to get everything to settle down and open blood vessels


❖ Does preeclampsia affect the fetus?

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