100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Nurs 354 Exam 3 100% Correct!! $14.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Nurs 354
  4.  
  5. Nurs 354

Exam (elaborations)

Nurs 354 Exam 3 100% Correct!!
 0 purchase
  • Course
  • Nurs 354
  • Institution
  • Nurs 354

What are the three possible types of diabetes in pregnancy? - ANSWERS1. pre-existing type 1 diabetes (insulin dependent); typically diagnosed in childhood 2. pre-existing type 2 diabetes (insulin resistant); typically diagnosed in adulthood 3. gestational diabetes; occurs only in pregnancy; u...

[Show more]

Preview 3 out of 16  pages

Document information

  • November 20, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 354 exam 3 100 correct
  • what are the three possible types of diabetes in p

Written for

  • Nurs 354
  • Nurs 354

Seller

avatar-seller
papersmaster01

Reviews received

Content preview

Nurs 354 Exam 3 100% Correct!!

What are the three possible types of diabetes in pregnancy? - ANSWERS1. pre-existing
type 1 diabetes (insulin dependent); typically diagnosed in childhood

2. pre-existing type 2 diabetes (insulin resistant); typically diagnosed in adulthood

3. gestational diabetes; occurs only in pregnancy; usually goes away once the baby is
born; typically doesn't develop until halfway through the pregnancy

What are maternal effects of pre-existing diabetes? - ANSWERS-higher risk for
spontaneous abortion, hypertension, preeclampsia, UTIs
-hydramnios
-labor dystocia (dysfunctional labor)
-ketoacidosis develops earlier

What are fetal effects of pre-existing diabetes? - ANSWERS-congenital malformations
-fetal size (macrosomia - fetus size over 4000g (8lbs.13oz) or SGA - small for
gestational age)

What effects can display on newborns of diabetic mothers? - ANSWERS-hypoglycemia
(insulin doesn't cross placenta but oral diabetic meds do); fetal pancreas is producing
insulin to combat maternal hyperglycemia, which still happens after the fetus is born,
causing hypoglycemia
-hypocalcemia
-hyperbilirubinemia
-respiratory distress syndrome

What is gestational diabetes? What is a primary cause? - ANSWERSdiabetes
diagnosed in the second or third trimester of pregnancy that was not clearly overt
diabetes before gestation

cause:
-placental hormones can cause increased insulin resistance

What are some risk factors for gestational diabetes? - ANSWERS-over age 35
-obesity
-multiple gestation (more than one fetus)
-prior gestational diabetes
-history of large infants

,T/F: Gestational diabetes can cause congenital malformations in the fetus -
ANSWERSFalse; because gestational diabetes develops after the first trimester (after
20 weeks), it is NOT associated with major congenital malformations of the fetus

When are gestational diabetes screenings typically done during pregnancy? What are
the types of screenings? - ANSWERSdone between 24-28 weeks of gestation

glucose challenge test (GCT or 1-hour test) is done first, then oral glucose tolerance
test (OGTT or 3-hour test)

What is the glucose challenge test (GCT)? - ANSWERSscreening tool for gestational
diabetes; aka 1 hour test (will be the initial test given)

fasting is not necessary before testing; 50g of oral glucose solution is given to the client
and a blood sample is taken 1 hour later

if blood glucose is 140 mg/dL, 3-hour OGTT is recommended

What is the oral glucose tolerance test (OGTT)? - ANSWERSgold standard screening
for diagnosing gestational diabetes; fasting is required from midnight on the day prior to
the test

fasting blood glucose level is drawn; then client ingests 100g of oral glucose solution
and plasma glucose levels are determined at 1, 2, and 3 hours

What implementations for gestational diabetes should be done during pregnancy?
Postpartum? - ANSWERSduring pregnancy:
-monitor blood glucose levels
-maintain stable glucose levels (insulin drip as needed)

postpartum:
-rarely is there a need to monitor maternal glucose levels postpartum
-re-evaluate insulin needs

What are signs/symptoms we can assess for cardiac disease in pregnant patients? -
ANSWERS-higher levels of fatigue
-coughing/shortness of breath
-s/s of congestive heart failure (dependent edema, crackles)
-factors that may increase cardiac workload

What implementations can be made to help treat pregnant patients with cardiac
disease? What implementations during labor? - ANSWERSpregnant patients:
-limit physical activity
-avoid excessive weight gain
-prevent anemia (iron supplements, vitamin C)
-prevent infection

, during labor:
-shorten 2nd stage (pushing)
-minimize vagal nerve stimulation (valsalva)

How is HIV transmitted? How can it be transmitted to the baby (perinatally)? -
ANSWERSit can be transmitted through sexual exposure or infected blood/tissue

perinatal exposure can happen via maternal secretions, such as breastfeeding

What care can we give to HIV patients antepartum? During labor? -
ANSWERSantepartum:
-give antiretroviral medications

during labor:
-give IV Zidovudine
-no artificial rupture of membranes (AROM)
-no internal monitoring

What care can we give to newborns of HIV-infected mothers? - ANSWERS-carefully
bathe the infant before any vaccinations given
-note that just because mother is positive does not mean that the baby is as well
-undergo neonatal testing and/or prophylaxis as prescribed

What medications are given for the treatment of gonorrhea prophylactically? What is
given to the newborn? - ANSWERSerythromycin is given prophylactically

eye ointment is given to newborns to prevent blindness in those exposed to gonorrhea
from mother; given in the 1st hour after birth (state law - must be given to every
newborn)

Why is it important to catch syphilis early in pregnancy? What is given to treat this? -
ANSWERSsyphilis (VDRL/RDR) is important to catch early because it can cause many
congenital malformations while the fetus is developing

treat mother with penicillin to prevent these malformations

What are TORCH infections? - ANSWERSperinatal infections that account for 2-3% of
congenital anomalies in pregnant women

T - toxoplasmosis
O - other (syphilis, varicella, parvovirus)
R - rubella
C - cytomegalovirus
H - herpes

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 papersmaster01. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$14.99
  • (0)
Add to cart
Added