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NURSG 5432-400 Module 3 Exam Questions And Answers 2025 Update.
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©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM. 1 NURSG 5432-400 Module 3 Exam Questions And Answers 2025 Update. What can medications be taken for during pregnancy? - AnswerN/V Constipation Preeclampsia Chronic Disorders Infectious Diseases/ CA Drug abuse What are the physiologic change...

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  • March 6, 2025
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  • 2024/2025
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NURSG 5432-400 Module 3 Exam Questions
And Answers 2025 Update.


What can medications be taken for during pregnancy? - Answer✔N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition & dosing? -
Answer✔In third trimester:
Renal blood flow is doubled; renal excretion is accelerated
Tone & mobility of bowel decreases which prolongs drug effects

What are some adverse effects of heparin during pregnancy? - Answer✔Osteoporosis

What are the adverse effects of prostaglandins during pregnancy? - Answer✔Stimulate uterine
contractions

What are adverse effects of pain relievers during delivery? - Answer✔Depress respiration in
neonates

What birth defects can be caused by teratogenic medications? - Answer✔Gross malformations:
Cleft palate, clubfoot, & hydrocephalus
Neurobehavior & metabolic anomalies
Congenital anomalies <1%

What is the most critical time during pregnancy to avoid medications? - Answer✔Embryonic
period: Weeks 3-8 is when gross malformations produced by teratogens

What are the 3 stages of development? - Answer✔Conception through week 2

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,©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.




Embryonic period: Week 3-8 when gross malformations can be produced (organ development)


Fetal period: Week 9-delivery when functions are disrupted

What is the PLLR? - Answer✔Pregnancy & lactation labeling rule provides the prescriber w/
relevant information for critical decision-making when treating pregnant or lactating women

What immunizations can be administered during pregnancy? - Answer✔Viruses that are killed
or inactivated:
Influenza


TDaP (protects infant from pertussis); given w/ q pregnancy

Which immunizations are contraindicated during pregnancy? - Answer✔Live attenuated
vaccines; should avoid trying to get pregnant 28 d after vaccine:
Nasal spray influenza
MMR
Varicella
HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)
Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox

When is the TDaP administered during pregnancy? - Answer✔Between 27-36 weeks; optimizing
duration of antibody protection until after birth

Which vaccines can be given under special conditions? - Answer✔HepB
Inactivated polio
HepA
Yellow fever

What is included in the Women's health assessment? - Answer✔Complete PX


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,©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.


Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
Nutrition
Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations
Diagnostics

What is preventive care during pregnancy? - Answer✔Nutrition: Maintain avg body wt for ht


Folic acid (0.4mg/d)


Exercise


Smoking Cessation
What symptoms occur during first trimester (up to 12 weeks) of pregnancy? -
Answer✔Amenorrhea
N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency

What symptoms occur during second trimester (13-27 weeks)? - Answer✔Fetal movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
Syncopal episodes

What symptoms occur during third trimester (28-40 weeks)? - Answer✔Abdominal growth
Braxton-Hicks
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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:08PM.


Return of urinary frequency w/descent of presenting part
Increased respiratory effort until descent

What is expected during the first trimester PE? - Answer✔Softening of cervix (Goodell's sign)
Cervical cyanosis (Chadwick's Sign)
Softening of cervicouterine junction (Hegar's sign)
Breast enlargement
Fetal heart tones by 10-12 weeks

What is expected during the second trimester PE? - Answer✔Striae
Fundus palpable at umbilicus @ 20 wks; grows 1 cm/wk
Leopold maneuvers after 20 wks

What is expected during the third trimester PE? - Answer✔Lightening 3-4 wks prior to delivery
Loss of mucus plug
Increase Braxton-Hicks
Contractions/rupture of membranes

What diagnostics are done first trimester? - Answer✔Pregnancy test
CBC
UA
U-Preg
Blood type, Rh, antibody screen
Rubella titer
Syphilis
Chlamydia
HIV
Hep B
Sickle cell
TB Skin test
Hep C & gonorrhea
Glucose screen if @ risk


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