Maternal Child Nursing Care in Canada, Final Exam 2024 update with correct
questions and answers pass rate high/ Maternal Child Nursing Care in Canada,
Final Exam 2024 update with correct questions and answers pass rate high
What are risks associated with mothers experiencing gestational diabetes? -
CORRECT ANSWER-perinatal mortability, congenital malformations,
hypertension, preterm delivery, large for gestational age infants, increased risk
for shoulder dystocia, hydramnios, infection, ketoacidosis, hypoglycemia,
stillbirth, congenital malformations, macrosomia
What is placenta previa? - CORRECT ANSWER-The placenta partially or
completely covers the cervical os
What is the primary sign of placenta previa? - CORRECT ANSWER-Painless bright
red vaginal bleeding
How is placenta previa diagnosed? - CORRECT ANSWER-ultrasound
What are complications of placenta previa? - CORRECT ANSWER-increased risk
of placenta accreta, increta, percreta, hemmorhage
How is placenta previa managed? - CORRECT ANSWER-Reducing activity and
close obsersation; q2 week ultrasounds, antepartum steroids to promote fetal
lung maturity
What is pre-eclampsia? - CORRECT ANSWER-Hypertensive disorder most
commonly defined by new onset proteinuria; contributes to significant fetal
growth restrictions and increased occurance of placental abruption. Can be
severe and non-severe.
,How does aortic stenosis affect the cardiovascular system of the infant? -
CORRECT ANSWER-Resistance to blood flow in the left ventricle, decreased
cardiac output, left ventricular hypertrophy and pulmonary vascular congestion
An obstructive defect
How does pulmonic stenosis affect the cardiovascular system of the infant? -
CORRECT ANSWER-Narrowing at the entrance to the pulmonary artery causes
right ventricular hypertrophy and decreased pulmonary blood flow.
An obstructive defect
What is tetraology of fallot? - CORRECT ANSWER-Includes four defects: A
ventricular septal defect, pulmonic stenosis, overriding aorta and right
ventricular hypertrophy
How is pre-eclampsia treated? - CORRECT ANSWER-Pre-eclampsia is treated
using consistent assessment of BP, antihypertensive therapy, eating a nutritious
diet, limiting salty foods and ensuring hydration; administering magnesium
sulphate to prevent or control seizures
What are complications of maternal hypertension? - CORRECT ANSWER-
Maternal death, acute renal failure, pulmonary edema, HELLP syndrome,
cerebral edema with seizures
, What is normal involution? - CORRECT ANSWER-Return of the uterus to a non-
pregnant state following birth, begins immediately after expulsion of the
placenta.
Where should the uterus be at the end of labour? - CORRECT ANSWER-midline,
~2cm below level of umbilicus with the fundus resting on sacral promontory
12 hours after birth, where should the uterus be? - CORRECT ANSWER-~1cm
above umbilicus
How big should the uterus be 24 hours after birth? - CORRECT ANSWER-The
same size as it was at 20 weeks gestation.
How many cm should the fundus descent every 24 hours after birth? - CORRECT
ANSWER-1-2 cm
At ___ weeks postpartum, the uterus should no longer be palpable. - CORRECT
ANSWER-2
What are the two main functions of the placenta? - CORRECT ANSWER-
Endocrine: Produces hormones to maintain pregnancy, support embryo, and
fetus
Metabolic: Respiration, nutrition, excretion and storage.
What is the purpose of hCG? - CORRECT ANSWER-To preserve the function of
the ovarian corpus luteum.
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