Exam (elaborations)
NURS 3031 final exam: weeks 7-11 Questions With Complete Solutions
- Course
- NURS 3031
- Institution
- Trent University (TrentU )
NURS 3031 final exam: weeks 7-11 Questions With Complete Solutions
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NURS 3031 final exam: weeks 7-11 Questions WithComplete Solutions
___ is most commonly associated w/ adverse events during
childbirth; hazards? Correct Answers -oxytocin; most common
errors associated are dose related
-hazards= fetal distress (#1)
-if diabetes is developed as result of HPL...
__________________
-what is client at increased risk for?? Correct Answers -after
pregnancy and birth of the fetus the GDM will often go away
-developing type 2 DM later on in life
-patients who have iron deficiency anemia during early
pregnancy are at increased risk for ...
-iron deficiency during what semester does not carry the same
risks??? Correct Answers -preterm birth and low birthweight
infants
-3rd trimester
"baby blues"/perinatal mood disorder Correct Answers -a mild
postpartum mood disorder that goes away on its own
-report to healthcare provider if feeling lasts longer then 2 weeks
(not normal)
3 major causes of maternal death Correct Answers
hypertensive disorders, infection, hemorrhage
abnormal uterine activity: dystochia (different types) Correct
Answers -hypertonic uterine dysfunction
,-hypotonic uterine dysfunction
-alteration in secondary powers
-abnormal labour patters
administer ___ w/in ___ Correct Answers -Rho (D) immune
globulin
-48hrs of the pregnancy loss
after birth, a precipitate decrease in ____ and _____ levels
triggers release of... Correct Answers -estrogen and
progesterone levels
-prolactin from anterior pituitary gland
after birth, symptoms of preeclampsia may resolve... Correct
Answers quickly (usually w/in 48hrs) however hypertension
may persist and client should be monitored from 3-6 days after
giving birth
amniocentesis indications for use Correct Answers -genetic
concerns
-fetal maturity
-fetal hemolytic disease
-late in pregnancy
amniocentesis; earliest it can be performed Correct Answers -
Performed to obtain amniotic fluid which contains fetal cells to
test for chromosomal problems
-16 weeks
,Amniotomy (AROM) Correct Answers artificial rupture of
membranes; performed by primary healthcare provider (not
nurse)
antepartum testing for the 1st trimester; what does it and does
not provide estimate for? Correct Answers -ultrasound for
nuchal translucency
-maternal biochemical markers
-provides estimate of having a baby w/ down syndrome,
Trisomy 13 or 18
-does not give estimate for neural tube defects
antepartum testing for the 2nd trimester Correct Answers -
assess for neural tube defects
Appropriate for gestational age (AGA) Correct Answers infant
whose birth weight falls between 10th and 90th percentiles on
intrauterine growth charts
augmentation of labour; what is it implemented for? Correct
Answers -Stimulation of uterine contractions after labour has
started spontaneously but progression has been unsatisfactory
-management of hypotonic uterine dysfunction
benefits of breastfeeding for baby Correct Answers -easily
digested
-immunoglobulin A helps w/ immune system (less likely to get
ear and GI infections)
-decreased risk of SIDs, food allergy, asthma
, benefits of breastfeeding for mother Correct Answers -
financially inexpensive
-bonding and convenience
-oxytocin is released to help contract uterus
-weight loss from burning extra calories
Buprenorphine (Suboxone); may cause withdrawal symptoms...
Correct Answers -opioid replacement
-30-60hrs after birth and last up to 28days
cardiovascular signs in preterm infants Correct Answers -
Hypovolemia (prolonged capillary refill -longer than 3s, pallor,
poor muscle tone, lethargy, tachycardia then bradycardia,
continued RDS despite resp support, hypotension)
-difficulty feeding
chronic villus sampling (CVS) Correct Answers -performed
between 10-13 weeks gestation
-for genetic studies
clinical manifestations of miscarriage Correct Answers -
dependent on duration of pregnancy
-bleeding, cramping (mild-severe)
-may have passing of fetal tissue and cervical dilation
clinical manifestations of RDS Correct Answers -Nasal flaring
-retractions
-grunting
-tachypnea (>60 resps/min)
-cyanosis
-crackles
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