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NURS 222 Exam #1 Questions And Verified Detailed Answers

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NURS 222 Exam #1 Questions And Verified Detailed Answers ...

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  • September 27, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 222
  • NURS 222
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NURS 222 Exam #1 Questions And Verified Detailed
Answers 2024-2025


What are some of the S/Sx in the

reproductive system we may evaluate in the antepartum period?

breast tenderness, increased discharge

What does the HELLP acronym stand for?

hemolysis, elevated liver enzymes, low platelet levels

6 Ways to Show Appreciation for Your Child's Teacher

HELLP syndrome

Acronym used to designate the changes in labs that can occur as a complication of
severe preeclampsia

preeclampsia

Multisystem hypertensive disease unique to pregnancy - concerned about seizures

preeclampsia maternal disease & s/sx onset

Inflammatory response triggered leading to endothelial damage, vasospasm, altered
hemostasis & activation of the coagulation system affecting the brain, liver, kidneys &
vascular system - results in high BP

early-onset of preeclampsia

< 34 weeks gestation & associated with more SEVERE disease

late-onset of preeclampsia

> 34 weeks gestation, more favorable maternal & fetal outcomes

is there an antidote for magnesium sulfate?

yes, calcium

preeclampsia medications

- Magnesium Sulfate

- Antihypertensives

,- Anticonvulsants

avoid antihypertensives with clients who have

asthma/HF

BPP: batman

B - breathing

A - amniotic fluid volume

T - tone

M - movement

A - and

N - NST

preeclampsia primary goal

control BP and prevent seizures & cerebral hemorrhage

Induced birth is indicated

avoid taking Magnesium sulfate with clients who have

pulmonary edema

new-onset post pregnancy preeclampsia

post pregnancy HTN development

preeclampsia risks to baby

- IUGR

- prematurity

- intolerance to labor d/t ↓ placental perfusion

- stillbirth

↑ risk for disease as an adult d/t IUGR

preeclampsia risks to mom

- cerebral edema/hemorrhage/stroke

- disseminated intravascular coagulation (DIC)

- pulmonary edema

,- congestive HF

- abruptio placenta

Chronic HTN

HTN (BP > 140/90) before conception

common risk factors of a high-risk pregnancy

- Pre-existing health conditions

- History of prior pregnancy complications

- Complications that arise during pregnancy

- Obesity, high BMI, excessive weight gain

- Multiple gestation

- Age < 18 or advanced maternal age > 35

pregestational diabetes - risks to mother

causes a lot of cardiac problems (preeclampsia)

contributing factors to insulin resistance

Insulin desensitizing hormones produced by the placenta

screen for gestational diabetes through

urine test

gestational diabetes medical management

- managed by diet and exercise

- glycemic control

If a maternal patient has gestational diabetes what should they monitor for after birth?

type 2 diabetes mellitus

oral glucose challenge test (screening)

- non-fasting, 1 hour test

50g oral, draw BG after 1 hour

positive if BG 135-140 mg/dL, then go to step 2

glucose tolerance test levels

, fasting: > 95, 1 hour: > 180, 2 hour: > 155, 3 hour: > 140

If 2 or more levels are above threshold, GDM is diagnosed

glucose tolerance test (diagnostic)

fasting 8-12 hours prior to lab draw

come in and have fasting BG level drawn

- 100g oral glucose consumed then, BG drawn at 1, 2, & 3 hours

what is the 2 step-screening method for gestational diabetes?

- oral glucose challenge test (screening)

- glucose tolerance test (diagnostic)

gestational diabetes routine screening is at

24-28 weeks (2nd trimester)

gestational diabetes - risks to the baby

- macrosomia

- hypoglycemia

- no congenital anomalies

Preconception care is key to

↓ risks in pregestational diabetes

too much ______ can be a teratogen and affect organ development during first 3-8 weeks

sugar

pregestational diabetes -risks to the baby

- congenital defects: hear, CNS

- growth disturbances, macrosomia

- hypoglycemia

treatment goals and management strategies for gestational diabetes

- maintain euglycemia control

- minimize complications

- prevent prematurity

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