NUR 421 Exam 2 Practice Questions and Correct Answers
2 views 0 purchase
Course
NUR 421
Institution
NUR 421
Placental Previa The placenta is implanted over cervical os rather than the body or fundus of the uterus. C-section is necessary in nearly all women with this condition due to risk of placental hemorrhage.
Gestational Diabetes Mellitus (GDM) Glucose intolerance that did not exist/present prior to ...
NUR 421 Exam 2 Practice Questions and
Correct Answers
Placental Previa ✅The placenta is implanted over cervical os rather than the body or
fundus of the uterus. C-section is necessary in nearly all women with this condition due
to risk of placental hemorrhage.
Gestational Diabetes Mellitus (GDM) ✅Glucose intolerance that did not exist/present
prior to pregnancy.
** Account for ~90% of diabetes in pregnancy
True or False: obesity increases risk of gestational diabetes ✅True:
"About 47% of GBM cases were attributed to being overweight, obese, or extremely
obese" (Durham et al., 2022, p. 175). However, not all overweight or obese women will
develop it.
How does pregnancy affect blood glucose and insulin? ✅The placenta releases
multiple hormones that antagonize/block insulin. The purpose is to prevent so much
glucose from going into mom's cells, and allowing more to go to fetus.
In response to the glucose mom is eating, insulin is being produced as normal, and in
larger amounts in response to the desensitizing hormones. This is how insulin
resistance can become so strong to the point of GDM, since moms need to pump out so
much insulin (although many women manage to maintain euglycemia despite these
changes).
When is DKA the highest risk? ✅DKA occurs in 1% of cases for women with diabetes
during pregnancy (pre-gestational or gestational). The 2nd trimester is when it's most
likely to occur.
How do insulin needs for Type 1 Diabetics change throughout pregnancy? ✅Insulin
needs certainly increase (relating to increased glucose needs & glucose going to baby;
also needing more to be absorbed, plus insulin resistance).
By the end of pregnancy, the woman may need 2-3x the amount of insulin required
before being pregnancy. Between 3-4 Humulin insulin injections may be necessary.
What is the risk of developing T2DM for women who develop GDM during pregnancy?
✅Up to 70% of with GDM will develop Type II Diabetes after birth, but only 30%-50%
will within the first 20 years s/p pregnancy.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
