NUR 353 REP Questions And Answers
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A pnurse pis passessing pa ppatient pwith ppreeclampsia pwho pdelivered p12 phours pago.
Which pof pthe pfollowing passessments pwould pindicate pthat pthe pcondition phas pnot pyet
presolved?
p
a. pblood ppressure preading pat pprenatal pbaseline
b. padequate purinary poutput pand pno pproteinuria
c. ppresence pof p1-2+ pdeep ptendon preflexes
d. ppatient pcomplaints pof pblurred pvision pand pheadache p- pcorrect panswer. p p p pD
A pnurse pis pcompleting pthe padmission passessment pof pa pclient pwho pis pat p38 pweeks
pgestation pand phas psevere ppreeclampsia.
a. pPolyuria
b. pAbsence pof pclonus
c. pEpigastric ppain
d. pTachycardia p- pcorrect panswer. p p p pC
Why pis pmagnesium psulfate pis pgiven pto pwomen pwith ppreeclampsia pand peclampsia?
p
a. pTo pimprove ppatellar preflexes pand pincrease prespiratory pefficiency
b. pTo pprevent pand ptreat pconvulsions
c. pTo pdecrease pblood ppressure preadings
d. pTo pprevent pa pboggy puterus pand plessen plochial pflow p- pcorrect panswer. p p p pB
A pnurse pin pa pprenatal pclinic pis previewing presults pfrom precent pone-hour poral pglucose
ptolerance ptests. p
Which pone pof pthe p4 ppregnant pclients pneeds pto pbe pscheduled pfor pa pfollow-up, pdiagnostic
pthree-hour pglucose ptolerance ptest?
p
,a. pOne phour pGTT presult: p115 pmg/dl
b. pOne phour pGTT presult: p95 pmg/dl
c. pOne phour pGTT presult: p125 pmg/dl
d. pOne phour pGTT presult: p160 pmg/dl p- pcorrect panswer. p p p pD
A pnurse pis pcaring pfor pa pclient pat p30 pweeks pgestation pwho phas pjust pbeen pdiagnosed pwith
pgestational pdiabetes.
The pclient phas pa plot pof pquestions pabout pthe prisks pto pher pbaby pwith pGDM.
What pis pthe pbest pexplanation pby pthe pnurse pfor pwhy pher pfetus pis pat prisk pfor pmacrosomia
pand phypoglycemia pat pdelivery?
p
d. pYour pbaby pmay pbe pborn pwith pdiabetes. p- pcorrect panswer. p p p pC
A pnurse pis padministering pmagnesium psulfate pIV pto pa pclient pwho phas psevere
ppreeclampsia pfor pseizure pprophylaxis. pWhich pof pthe pfollowing pindicates pmagnesium
psulfate ptoxicity? p(Select pall pthat papply.)
a. pRR pless pthan p12/min
b. pUrinary poutput pless pthan p30 pmL/hr
c. pHyperreflexic pdeep-tendon preflexes
d. pDecrease pLOC
e. pFlushing pand psweating p- pcorrect panswer. p p p pA pB pD
The pnurse pis ppreparing pto pdischarge pa p30-year-old pwoman pwho phas pexperienced pa
pmiscarriage pat p10 pweeks pof pgestation. pWhich pstatement pby pthe pwoman pwould pindicate
pa pcorrect punderstanding pof pthe pdischarge pinstructions?
p
a. p"I pwill pnot pexperience pmood pswings psince pI pwas ponly pat p10 pweeks pof pgestation."
b. p"I pwill pavoid psexual pintercourse pfor p6 pweeks pand ppregnancy pfor p6 pmonths."
c. p"I pshould peat pfoods pthat pare phigh pin piron pand pprotein pto phelp pmy pbody pheal."
d. p"I pshould pexpect pthe pbleeding pto pbe pheavy pand pbright pred pfor pat pleast p1 pweek." p-
pcorrect panswer. p p p pC p(After pa pmiscarriage pa pwoman pmay pexperience pmood pswings pand
A pwoman pwith psevere ppreeclampsia pis preceiving pa pmagnesium psulfate pinfusion. pThe
pnurse pbecomes pconcerned pafter passessment pwhen pthe pwoman pexhibits:
p
, a. pa psleepy, psedated paffect.
b. pa prespiratory prate pof p10 pbreaths/min.
c. pdeep ptendon preflexes pof p2+.
d. pabsent pankle pclonus. p- pcorrect panswer. p p p pB p(Because pmagnesium psulfate pis pa
pcentral pnervous psystem p(CNS) pdepressant, pthe pclient pwill pmost plikely pbecome psedated
pwhen pthe pinfusion pis pinitiated. pA prespiratory prate pof p10 pbreaths/min pindicates pthat pthe
pclient pis pexperiencing prespiratory pdepression p(bradypnea) pfrom pmagnesium ptoxicity.
pDeep ptendon preflexes pof p2+ pare pa pnormal pfinding. pAbsent pankle pclonus pis pa pnormal
pfinding.)
A pwoman pwith psevere ppreeclampsia pis pbeing ptreated pwith pan pIV pinfusion pof pmagnesium
psulfate. pThis ptreatment pis pconsidered psuccessful pif:
p
a. pblood ppressure pis preduced pto pprepregnant pbaseline.
b. pseizures pdo pnot poccur.
c. pdeep ptendon preflexes pbecome phypotonic.
d. pdiuresis preduces pfluid pretention. p- pcorrect panswer. p p p pB p(A ptemporary pdecrease pin
pblood ppressure pcan poccur; phowever, pthis pis pnot pthe ppurpose pof padministering pthis
pmedication. pMagnesium psulfate pis pa pcentral pnervous psystem p(CNS) pdepressant pgiven
pprimarily pto pprevent pseizures. pHypotonia pis pa psign pof pan pexcessive pserum plevel pof
pclonus. pThe pnurse pcalls pthe pphysician, panticipating pan porder pfor:
p
a. phydralazine.
b. pmagnesium psulfate pbolus
c. pdiazepam.
d. pcalcium pgluconate. p- pcorrect panswer. p p p pA p(Hydralazine pis pan pantihypertensive
pcommonly pused pto ptreat phypertension pin psevere ppreeclampsia. pAn padditional pbolus pof
pDiazepam psometimes pis pused pto pstop por pshorten peclamptic pseizures. pCalcium
pgluconate pis pused pas pthe pantidote pfor pmagnesium psulfate ptoxicity. pThe pclient pis pnot
pcurrently pdisplaying pany psigns por psymptoms pof pmagnesium ptoxicity.)
The pmost pprevalent pclinical pmanifestation pof pabruptio pplacentae p(as popposed pto
pplacenta pprevia) pis:
p
a. pbleeding.
b. pintense pabdominal ppain.
c. puterine pactivity.
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