NUR166 Exam Review – 1 (65 Questions)
5 Math Questions – Will show you a vial of medication. How many mg per ml are there?
17 SATA (25% of Exam)
Isoimmunization x3questions – Baby has Rh+ blood and mom has Rh- Blood.
We would give Rhogam shot. We would give Rhogam at 28 weeks and again within 72 hours after birth
or abortion.
The first pregnancy is rarely affected. The SECOND pregnancy would be seriously affected. The mom’s
immune system would make antibodies to fight off the Rh+ pregnancy, thus potentially killing the fetus.
The mom’s immune system would basically think the fetus was a foreign object in the mom’s body that
was there to do harm to the mom’s body. Remember this can also happen with ABO. Where the mother
is O blood and the baby is A or B blood type. This process is called Erythroblastosis Fetalis.
Hyperemesis Gravidarum x 3questions
Biggest Risk is DEHYDRATION for mom and baby in Hyperemesis Gravidarum.
Causes persistent N/V
More than 5% weight loss
High serum Hematocrit
Electrolyte imbalances
Ketonuria
Stress, emotional immaturity, ambivalence about pregnancy.
Nurses will teach patient how to reduce trigger factors and also accurately record daily intake and
output.
TREATMENT for dehydration and electrolytes – ORAL or IV FLUIDS.
Placenta Previa/Abruptio Placentae x 5questions.
Placenta Previa is PAINLESS BLEEDING!
Develops in lower portion of uterus INSTEAD of upper portion.
3 Types are MARGINAL (2-3 cm of cervical opening), PARTIAL (Partially covering cervical opening), TOTAL
(Totally covering cervical opening)
A C-Section is performed if bleeding is extensive and gestation is near term for PARTIAL or TOTAL PREVIA.
Abruptio Placentae is PAINFUL BLEEDING and ROCK HARD ABDOMEN!
The placenta SEPARATES from the uterus.
Causes can be cocaine use, smoking, poor nutrition, trauma to the abdomen, previous history of this
happening, folic acid deficiency.
Bleeding with low back pain.
Most or all of bleeding may be BEHIND THE PLACENTA!
DIC (Disseminated Intravascular Coagulation) is a complex disorder that may complicate abruptio
placentae.
A large blood clot forms behind placenta and takes up all of the mom’s clotting factors.
Clot formation and anticoagulation occur in the mom’s ENTIRE BODY at the same time!
She will bleed from everywhere because clotting factors are gone!
This study source was downloaded by 100000812546443 from CourseHero.com on 06-11-2024 04:53:49 GMT -05:00
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, A C-Section immediately needs to take place. The mom may need blood and clotting factors during c-
section.
Pre-Eclampsia x 5questions
Increased blood pressure that occurs AFTER 20 weeks with protein in the urine, in a woman who has a
baseline of normal blood pressure.
BIRTH IS THE ONLY CURE!
Causes are first pregnancy, obesity, family history of pre-eclampsia, older than 35 years old and younger
than 19 years old, Multifetal pregnancy (Twins, etc), Chronic Hypertension, Renal disease, Diabetes,
Autoimmune Disease, Pregnancies 10 years or more apart.
LABETALOL (Beta blocker)is the drug of choice during pregnancy to help treat. DO NOT GIVE TO PATIENTS
WITH ASTHMA!
Can show as edema (especially ABOVE the waist), unrelenting headache, blurred vision, reduced urine
(Oliguira), Pulmonary Edema.
Hemolysis
Elevated
Liver Enzymes
Low
Platelet counts
Eclampsia is when the mom has a tonic-clonic seizure.
Give MAGNESIUM SULFATE.
(BURP)Monitor for Low Blood Pressure, Low Urine Output, Low Respiratory, No reflexes on knee
(Patella) – THESE ARE TOXIC SYMPTOMS OF MAG SULFATE!
If toxicity of MAG SULFATE – Give CALCIUM GLUCONATE!
Nurtrition x 3 | Understand about prenatal new nutrition.
No Calorie Increase during 1st Trimester.
2nd Trimester go up by 340 calories
3rd Trimester go up by 450 calories.
Protein, Calcium, Iron and Vitamins & Minerals are FOUR NUTRIENTS IMPORTANT IN PREGNANCY!
Need 30 mg PER DAY of IRON. Take iron with VITAMIN C. Do NOT take with Milk because Milk will
decrease absorption of the pill.
Vitamin B6 and GINGER are great for nausea.
Folic Acid – Good for Red and White blood cells, reduces NEURAL TUBE DEFECTS like Spina Bifida and
Anencephaly.
Need 400mcg PER DAY of Folic Acid during 0-4 months.
Need 600-8—mcg PER DAY during 5-9 months.
First Appointment IMPORTANCES –
Blood Type and Rh Factor/Antibody Screen
CBC
H&H
VDRL or RPR (Syphilis sreening)
Rubella Titer
TB skin test or serum blood test
Hep B Screen
HIV Screen
Urinalysis and Culture
This study source was downloaded by 100000812546443 from CourseHero.com on 06-11-2024 04:53:49 GMT -05:00
https://www.coursehero.com/file/87638276/NUR166-Exam-Review-1docx/
5 Math Questions – Will show you a vial of medication. How many mg per ml are there?
17 SATA (25% of Exam)
Isoimmunization x3questions – Baby has Rh+ blood and mom has Rh- Blood.
We would give Rhogam shot. We would give Rhogam at 28 weeks and again within 72 hours after birth
or abortion.
The first pregnancy is rarely affected. The SECOND pregnancy would be seriously affected. The mom’s
immune system would make antibodies to fight off the Rh+ pregnancy, thus potentially killing the fetus.
The mom’s immune system would basically think the fetus was a foreign object in the mom’s body that
was there to do harm to the mom’s body. Remember this can also happen with ABO. Where the mother
is O blood and the baby is A or B blood type. This process is called Erythroblastosis Fetalis.
Hyperemesis Gravidarum x 3questions
Biggest Risk is DEHYDRATION for mom and baby in Hyperemesis Gravidarum.
Causes persistent N/V
More than 5% weight loss
High serum Hematocrit
Electrolyte imbalances
Ketonuria
Stress, emotional immaturity, ambivalence about pregnancy.
Nurses will teach patient how to reduce trigger factors and also accurately record daily intake and
output.
TREATMENT for dehydration and electrolytes – ORAL or IV FLUIDS.
Placenta Previa/Abruptio Placentae x 5questions.
Placenta Previa is PAINLESS BLEEDING!
Develops in lower portion of uterus INSTEAD of upper portion.
3 Types are MARGINAL (2-3 cm of cervical opening), PARTIAL (Partially covering cervical opening), TOTAL
(Totally covering cervical opening)
A C-Section is performed if bleeding is extensive and gestation is near term for PARTIAL or TOTAL PREVIA.
Abruptio Placentae is PAINFUL BLEEDING and ROCK HARD ABDOMEN!
The placenta SEPARATES from the uterus.
Causes can be cocaine use, smoking, poor nutrition, trauma to the abdomen, previous history of this
happening, folic acid deficiency.
Bleeding with low back pain.
Most or all of bleeding may be BEHIND THE PLACENTA!
DIC (Disseminated Intravascular Coagulation) is a complex disorder that may complicate abruptio
placentae.
A large blood clot forms behind placenta and takes up all of the mom’s clotting factors.
Clot formation and anticoagulation occur in the mom’s ENTIRE BODY at the same time!
She will bleed from everywhere because clotting factors are gone!
This study source was downloaded by 100000812546443 from CourseHero.com on 06-11-2024 04:53:49 GMT -05:00
https://www.coursehero.com/file/87638276/NUR166-Exam-Review-1docx/
, A C-Section immediately needs to take place. The mom may need blood and clotting factors during c-
section.
Pre-Eclampsia x 5questions
Increased blood pressure that occurs AFTER 20 weeks with protein in the urine, in a woman who has a
baseline of normal blood pressure.
BIRTH IS THE ONLY CURE!
Causes are first pregnancy, obesity, family history of pre-eclampsia, older than 35 years old and younger
than 19 years old, Multifetal pregnancy (Twins, etc), Chronic Hypertension, Renal disease, Diabetes,
Autoimmune Disease, Pregnancies 10 years or more apart.
LABETALOL (Beta blocker)is the drug of choice during pregnancy to help treat. DO NOT GIVE TO PATIENTS
WITH ASTHMA!
Can show as edema (especially ABOVE the waist), unrelenting headache, blurred vision, reduced urine
(Oliguira), Pulmonary Edema.
Hemolysis
Elevated
Liver Enzymes
Low
Platelet counts
Eclampsia is when the mom has a tonic-clonic seizure.
Give MAGNESIUM SULFATE.
(BURP)Monitor for Low Blood Pressure, Low Urine Output, Low Respiratory, No reflexes on knee
(Patella) – THESE ARE TOXIC SYMPTOMS OF MAG SULFATE!
If toxicity of MAG SULFATE – Give CALCIUM GLUCONATE!
Nurtrition x 3 | Understand about prenatal new nutrition.
No Calorie Increase during 1st Trimester.
2nd Trimester go up by 340 calories
3rd Trimester go up by 450 calories.
Protein, Calcium, Iron and Vitamins & Minerals are FOUR NUTRIENTS IMPORTANT IN PREGNANCY!
Need 30 mg PER DAY of IRON. Take iron with VITAMIN C. Do NOT take with Milk because Milk will
decrease absorption of the pill.
Vitamin B6 and GINGER are great for nausea.
Folic Acid – Good for Red and White blood cells, reduces NEURAL TUBE DEFECTS like Spina Bifida and
Anencephaly.
Need 400mcg PER DAY of Folic Acid during 0-4 months.
Need 600-8—mcg PER DAY during 5-9 months.
First Appointment IMPORTANCES –
Blood Type and Rh Factor/Antibody Screen
CBC
H&H
VDRL or RPR (Syphilis sreening)
Rubella Titer
TB skin test or serum blood test
Hep B Screen
HIV Screen
Urinalysis and Culture
This study source was downloaded by 100000812546443 from CourseHero.com on 06-11-2024 04:53:49 GMT -05:00
https://www.coursehero.com/file/87638276/NUR166-Exam-Review-1docx/
