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NURG 603; MODULE 10 COMPLICATIONS OF PREGNANCY EXAM
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NURG 603; MODULE 10 COMPLICATIONS OFPREGNANCY EXAM 2024-2025
25-35 lbs - ANSWER What is the recommended weight gain for a person with an
appropriate BMI?
11-20 lbs - ANSWER What is the recommended weight gain for a person who is
obese?
28-40 lbs - ANSWER What is the recommended weight gain for an underweight
person?
1. increased caloric intake
2. less physical activity
3. pre-eclampsia
4. gestational diabetes - ANSWER What are 4 causes for excessive weight gain in
pregnancy?
1. 1st or 3rd trimester - Hgb <11 and Hct <33%.
2. 2nd trimester - Hgb <10.5 and Hct< 32%. - ANSWER What is the definition of
anemia for pregnant women?
>100 - ANSWER MCV for macrocytic anaemia?
80-100 - ANSWER MCV for normocytic anemia?
<80 - ANSWER MCV for microcytic anemia?
1. IDA
2. Ferrous sulfate 300 mg - ANSWER What is the most common type of anemia in
pregnancy and what is the most appropriate treatment for this type of anaemia?
Continue treatment for approximately 3 months after Hgb values return to normal
,to replenish iron stores. - ANSWER How long should you treat IDA?
1. Parenteral therapy
2. Erythropoietin
3. Blood transfusion - ANSWER If empiric therapy for Iron Deficiency Anemia
fails, what should you do next (3)?
1. lean, red meat
2. poultry
3. fish
4. iron-fortified breakfast cereals
5. dark green leafy vegetables
6. dried beans and peas - ANSWER What should you tell your patients to eat if
they are anemic (6)?
- ANSWER What should you tell your patients to avoid if they are anemic?
27 mg/day - ANSWER What dosage of iron should be used to treat anemia in
pregnancy?
1. pallor
2. easy fatigability
3. HA
4. palpitations
5. tachycardia
6. dyspnea
7. angular stomatitis
8. glossitis
9. koilonychia (spoon nails) - ANSWER What are the 9 symptoms of iron
deficiency anemia in pregnancy?
, Hct < 33% - ANSWER When would you start a pregnant woman on iron
supplements (what should her HCT be when you start iron)?
1. hgb < 6-7
2. history of postpartum hemorrhage
3. plans to have an operative delivery - ANSWER Blood transfusions in pregnancy
are rare. What are the criteria for transfusion and why (3)?
sickle cell anemia - ANSWER ___ is an autosomal recessive disorder in which an
abnormal Hgb leads to chronic hemolytic anemia with numerous clinical
consequences; presence of abnormal hemoglobin (Hb S) in RBC?
Hemoglobin SC disease - ANSWER Persons with what type of sickle cell are more
likely to have a pulmonary embolism during pregnancy?
1. 3-hour 100-g OGTT after overnight fasting
2. Diagnosis of GDM > or = 2 thresholds are met or exceeded - ANSWER How is
diabetes diagnosed in pregnancy?
1. collect hgb a1c
2. consider GTT - ANSWER If you have a patient that presents for their 1st
prenatal visit and they have 3+ glucosuria at 8 weeks gestation, what would you do
(2)?
24-28 weeks when the woman has fasted for 8 hours. - ANSWER What is the
appropriate time for glucose testing in pregnancy?
1. 1 hour - 50g
2. 3 hour - 100g - ANSWER What is the appropriate glucose load for a 1 hr gtt and
3 hr gtt?
1. Carpenter - 95
2. NDDA - 105
3. IADPSG - 92 - ANSWER What is an appropriate fasting glucose prior to GTT?
1. Carpenter - 180
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