NURS 332 - Exam 3 Revision Questions And Answers
(study guide) 2023-2024
cardiac decompensation symptoms - ans- -subjective: fatigue, breathing difficulties, smothering feeling,
frequent cough, palpitations, generalized edema
-objective: irregular, weak, rapid pulse, generalized edema, crackles in lungs, orthopnea, tachypnea,
most frequent cough, lip and nail bed cyanosis
What are three things that can prevent straining of the heart with bowel movements? - ans- 1. Colase
2. high fiber diet and fluids
3. avoiding the Valsalva maneuver
What position should the woman be in intrapartum with cardiac decompensation? - ans- side lying with
the HOB elevated, also avoid stirrups (they impact the popliteal artery)
uterotonic medication and indications - ans- -methergine
-raises BP so take it before
-other: Petocin
tocolytic medication and indications - ans- -Terbutaline
-given to stop contraction
-SE: increased HR
What birth control to avoid with cardiac decompensation? - ans- -estrogen
-give only progesterone birth control or barrier method
-24-48 hours are the most difficult
, -2 week period where cardiac decompensation may occur
chlamydia symptoms - ans- -spotting, postcoital bleeding, mucoid or purulent discharge, dysuria, can be
asymptomatic
-baby: conjunctivitis and pneumonia
When should the patient get tested for chlamydia? - ans- -annually
-during pregnancy in the first trimester, and retested in the third trimester
-if positive, retest in 3-4 weeks and 3 moths after
chlamydia treatment - ans- -Azthromycin during pregnancy
-Doxycycline
Gonorrhea symptoms - ans- -often asymptomatic
-can have purulent discharge, irregular periods, pain in lower abdomen, if rectal - backache, bloody
stool, rectal itchiness, fullness, pressure, diarrhea, swollen labia
-in pregnancy: PPROM, preterm birth, chorio, IUGR, sepsis, blindness in newborn
Gonorrhea screening and diagnosis - ans- -during first trimester and then at 36 weeks
Gonorrhea treatment - ans- -Ceftriaxone treatment
-erythromycin to prevent blindness in babies
Syphilis symptoms - ans- -primary (5-90 days after infection): painless papule to an ulcer or lesion
-secondary (6 weeks to 6 months): maculopapular rash on palms and soles, fever, headache, malaise,
condylomata lata (broad painless pink gray wartlike lesions)
-tertiary: develops in one third of women infected, neurologic, cardiovascular, musculoskeletal,
