Exam (elaborations)
NURS 222 Exam #1 Questions And Verified Detailed Answers
- Course
- Institution
NURS 222 Exam #1 Questions And Verified Detailed Answers ...
[Show more]
Content preview
NURS 222 Exam #1 Questions And Verified DetailedAnswers 2024-2025
What are some of the S/Sx in the
reproductive system we may evaluate in the antepartum period?
breast tenderness, increased discharge
What does the HELLP acronym stand for?
hemolysis, elevated liver enzymes, low platelet levels
6 Ways to Show Appreciation for Your Child's Teacher
HELLP syndrome
Acronym used to designate the changes in labs that can occur as a complication of
severe preeclampsia
preeclampsia
Multisystem hypertensive disease unique to pregnancy - concerned about seizures
preeclampsia maternal disease & s/sx onset
Inflammatory response triggered leading to endothelial damage, vasospasm, altered
hemostasis & activation of the coagulation system affecting the brain, liver, kidneys &
vascular system - results in high BP
early-onset of preeclampsia
< 34 weeks gestation & associated with more SEVERE disease
late-onset of preeclampsia
> 34 weeks gestation, more favorable maternal & fetal outcomes
is there an antidote for magnesium sulfate?
yes, calcium
preeclampsia medications
- Magnesium Sulfate
- Antihypertensives
,- Anticonvulsants
avoid antihypertensives with clients who have
asthma/HF
BPP: batman
B - breathing
A - amniotic fluid volume
T - tone
M - movement
A - and
N - NST
preeclampsia primary goal
control BP and prevent seizures & cerebral hemorrhage
Induced birth is indicated
avoid taking Magnesium sulfate with clients who have
pulmonary edema
new-onset post pregnancy preeclampsia
post pregnancy HTN development
preeclampsia risks to baby
- IUGR
- prematurity
- intolerance to labor d/t ↓ placental perfusion
- stillbirth
↑ risk for disease as an adult d/t IUGR
preeclampsia risks to mom
- cerebral edema/hemorrhage/stroke
- disseminated intravascular coagulation (DIC)
- pulmonary edema
,- congestive HF
- abruptio placenta
Chronic HTN
HTN (BP > 140/90) before conception
common risk factors of a high-risk pregnancy
- Pre-existing health conditions
- History of prior pregnancy complications
- Complications that arise during pregnancy
- Obesity, high BMI, excessive weight gain
- Multiple gestation
- Age < 18 or advanced maternal age > 35
pregestational diabetes - risks to mother
causes a lot of cardiac problems (preeclampsia)
contributing factors to insulin resistance
Insulin desensitizing hormones produced by the placenta
screen for gestational diabetes through
urine test
gestational diabetes medical management
- managed by diet and exercise
- glycemic control
If a maternal patient has gestational diabetes what should they monitor for after birth?
type 2 diabetes mellitus
oral glucose challenge test (screening)
- non-fasting, 1 hour test
50g oral, draw BG after 1 hour
positive if BG 135-140 mg/dL, then go to step 2
glucose tolerance test levels
, fasting: > 95, 1 hour: > 180, 2 hour: > 155, 3 hour: > 140
If 2 or more levels are above threshold, GDM is diagnosed
glucose tolerance test (diagnostic)
fasting 8-12 hours prior to lab draw
come in and have fasting BG level drawn
- 100g oral glucose consumed then, BG drawn at 1, 2, & 3 hours
what is the 2 step-screening method for gestational diabetes?
- oral glucose challenge test (screening)
- glucose tolerance test (diagnostic)
gestational diabetes routine screening is at
24-28 weeks (2nd trimester)
gestational diabetes - risks to the baby
- macrosomia
- hypoglycemia
- no congenital anomalies
Preconception care is key to
↓ risks in pregestational diabetes
too much ______ can be a teratogen and affect organ development during first 3-8 weeks
sugar
pregestational diabetes -risks to the baby
- congenital defects: hear, CNS
- growth disturbances, macrosomia
- hypoglycemia
treatment goals and management strategies for gestational diabetes
- maintain euglycemia control
- minimize complications
- prevent prematurity
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now