NURS 629 Exam 3 (OB/GYN) Questions With 100% Correct Answers Graded A+
What antibiotics are safe for UTI during pregnancy?
Macrobid, Ampicillin, Keflex, Pyridium
What antibiotic is unsafe during preganancy?
Bactrim (<13 w or >36 w)
Are oral hypoglycemics okay in pregnancy?
NO!!!...
NURS 629 Exam 3 (OB/GYN) Questions With
100% Correct Answers Graded A+
What antibiotics are safe for UTI during pregnancy?
Macrobid, Ampicillin, Keflex, Pyridium
What antibiotic is unsafe during preganancy?
Bactrim (<13 w or >36 w)
Are oral hypoglycemics okay in pregnancy?
NO!!!
What medication do you use to treat DM during pregnancy?
Insulin
Name the 5 infant risk factors for an infant with a DM mother
1. NTD
2. Cardiac Defects
3. Macrosomia
4. Intra-Uterine Growth Restrictions
5. Hyperbili
What complications can Macrosomia cause to an infant?
Truncal Fat, Shoulder Dystocia, Hypoglycemia, Hyperglycemia (Delay in lung maturation), Hypoxia
(Cerebal Palsy)
How is the 1 hour glucose test performed?
24-28 weeks drink 50G of glucose (BS >140)
How is the 3 hour glucose test performed?
High carb 2 day diet, NPO after midnight, FBS then drink 100G of glucose (FBS >105 or 2 of the
following: 190 at 1 hr, 165 at 2 hr, 145 at 3 hr)
What is the treatment of PIH or chronic HTN during pregnancy?
ACE contraindicated, Betablockers can cause low birth weight the safest (Lobateolol)
Name the classic TRIad for Preeclampsia
1. HTN
2. Edema
3. Proteinuria
What do you see in MILD Preeclampsia?
BP >140/>90
1+ Proteinuria
No HA
, How do you treat MILD Preeclampsia?
Increase protein, document fetal activity, weekly NST
What do you see in SEVERE Preeclampsia?
BP >160/>110
3+ Proteinuria
HA
Decreased output
Visual disturbances
Thrombocytopenia
How do you treat SEVERE Preeclampsia?
Deliver the baby, rest, decrease stimuli, mag sulfate, medications (Apresoline)
What are visual signs and symptoms of Eclampsia?
Facial twitching, tonic clonic seizures, pulmonary edema, circulatory/renal failure
What are signs and symptoms of HELLP syndrome?
RUQ pain, N/V, edema, increased liver enzymes, decreased H&H & platelets
What is the treatment of HELLP and Eclampsia?
Deliver the baby, bed rest, mag sulfate (Valium or Phenobarb if mg is not effective after 2 hrs),
Steriods (Fetal lung maturity), Hydralazine (SEVERE)
What is the treatment of Hyperemesis Gravidarum?
IV fluids, tpn, antiemetics (B6, unisom, antihestamines), diet as tolerated
What education do you need to give about quad screening?
It is not a diagnostic. It is an assessment tool and will be referred to a specialist if positive.
What can early bleeding indicate?
Miscarriage, ectopic pregnancy, incompetent cervix
Explain the 3 types of spontaneous abortions
1. Threatened - Vaginal bleeding occurs
2. Inevitable - Membranes rupture and cervix dilates
3. Incomplete - Some products of conception have remained
How do you manage a THREATENED abortion?
Check fetus by ultrasound, bed rest, no sex for 2 weeks after bleeding stops, no false reassurance of
outcome
Treatment for an INEVITABLE abortion
Check for complete vs incomplete via ultrasound, analgesia for d&c, RhoGAM if negative blood type
(avoid future issues with future preganancy)
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