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NURSG 5432 400 Module 3 Questions And Answers With Verified Solutions

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  • NURS 5342
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  • NURS 5342

NURSG 5432 400 Module 3 Questions And Answers With Verified Solutions What can medications be taken for during pregnancy? ANS N/V Constipation Preeclampsia Chronic Disorders Infectious Diseases/ CA Drug abuse What are the physiologic changes during pregnancy & impact on drug disposition ...

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  • October 21, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 5342
  • NURS 5342
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NURSG 5432 400 Module 3 Questions And Answers
With Verified Solutions
What can medications be taken for during pregnancy? ANS N/V

Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA

Drug abuse



What are the physiologic changes during pregnancy & impact on drug disposition & dosing? ANS In third
trimester:
Renal blood flow is doubled; renal excretion is accelerated
Tone & mobility of bowel decreases which prolongs drug effects



What are some adverse effects of heparin during pregnancy? ANS Osteoporosis



What are the adverse effects of prostaglandins during pregnancy? ANS Stimulate uterine contractions



What are adverse effects of pain relievers during delivery? ANS Depress respiration in neonates



What birth defects can be caused by teratogenic medications? ANS Gross malformations:

Cleft palate, clubfoot, & hydrocephalus

Neurobehavior & metabolic anomalies
Congenital anomalies <1%



What is the most critical time during pregnancy to avoid medications? ANS Embryonic period: Weeks 3-8
is when gross malformations produced by teratogens



What are the 3 stages of development? ANS Conception through week 2

,Embryonic period: Week 3-8 when gross malformations can be produced (organ development)


Fetal period: Week 9-delivery when functions are disrupted



What is the PLLR? ANS Pregnancy & lactation labeling rule provides the prescriber w/ relevant
information for critical decision-making when treating pregnant or lactating women



What immunizations can be administered during pregnancy? ANS Viruses that are killed or inactivated:

Influenza


TDaP (protects infant from pertussis); given w/ q pregnancy



Which immunizations are contraindicated during pregnancy? ANS Live attenuated vaccines; should avoid
trying to get pregnant 28 d after vaccine:
Nasal spray influenza
MMR

Varicella
HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)

Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox



When is the TDaP administered during pregnancy? ANS Between 27-36 weeks; optimizing duration of
antibody protection until after birth



Which vaccines can be given under special conditions? ANS HepB

Inactivated polio
HepA

Yellow fever

,What is included in the Women's health assessment? ANS Complete PX

Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
Nutrition

Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations

Diagnostics



What is preventive care during pregnancy? ANS Nutrition: Maintain avg body wt for ht



Folic acid (0.4mg/d)


Exercise


Smoking Cessation



What symptoms occur during first trimester (up to 12 weeks) of pregnancy? ANS Amenorrhea

N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency



What symptoms occur during second trimester (13-27 weeks)? ANS Fetal movement

Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)

, Syncopal episodes



What symptoms occur during third trimester (28-40 weeks)? ANS Abdominal growth

Braxton-Hicks
Return of urinary frequency w/descent of presenting part
Increased respiratory effort until descent



What is expected during the first trimester PE? ANS Softening of cervix (Goodell's sign)

Cervical cyanosis (Chadwick's Sign)
Softening of cervicouterine junction (Hegar's sign)

Breast enlargement
Fetal heart tones by 10-12 weeks



What is expected during the second trimester PE? ANS Striae

Fundus palpable at umbilicus @ 20 wks; grows 1 cm/wk
Leopold maneuvers after 20 wks



What is expected during the third trimester PE? ANS Lightening 3-4 wks prior to delivery

Loss of mucus plug
Increase Braxton-Hicks
Contractions/rupture of membranes



What diagnostics are done first trimester? ANS Pregnancy test

CBC
UA
U-Preg

Blood type, Rh, antibody screen
Rubella titer
Syphilis
Chlamydia

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