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Final Exam Review (OB section) - NUR 220 - CCTC actual Exam questions and answers 2025
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Final Exam Review (OB section) - NUR 220 - CCTC actual Exam questions and answers 2025
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Final Exam Review (OB section) -NUR 220 - CCTC actual Exam
questions and answers 2025
latest update.
Gestational Diabetes Mellitus (GDM) - answer the mother can
usually handle her blood sugar needs on own but when she becomes
pregnant - the pancreas may not be able to keep up with her needs
and the fetus's needs
What is a major complication for the fetus that results from GDM? -
answer Macrosomia - the fetus grows too big leading to
complications
Diagnosis of GDM - answer Glucose Tolerance test (GTT) at about 25-
27 wks. gestation: 1hr & 3hr tests
· 1 hr test
o No fasting
o 130-140mg/dL or = more testing needed (3hr test)
o Under 130 mg/dL = normal no additional testing needed
· 3 hr test
o Require fasting
o No caffeine or smoking
o Glucose will be tested at 1 hr, 2 hrs., and 3 hrs.
treatment for GDM - answer Insulin
Diet control
,Can a pregnant woman have oral anti diabetics? - answer no
most are contraindicated during pregnancy
Pre-eclampsia - answer increased BP and proteinuria (+1)
with pre-eclampsia assessment: - answer headache
blurred vision
hyperreflexia
edema
epigastric pain
eclampsia - answer Severe preeclampsia symptoms with seizure
activity or coma
eclampsia is usually preceded by - answer headache
severe epigastric pain
hyperreflexia
hemoconcentration
HELLP syndrome - answer hemolysis, elevated liver enzymes, low
platelets
Treatment for pre-eclampsia - answer -Bed rest, vitals Q1hr, listen to
lungs, I&O, DTR
-Administer magnesium sulfate [Antidote- calcium gluconate]
-hydralazine
-methydopa
-nifedipine
, Can you give ACE inhibitors or ARBs to pregnant women with pre-
eclampsia? - answer no
contraindicated
signs of magnesium sulfate toxicity - answer Absent DTRs,
RR <14,
decreased LOC,
severe hypotension muscle relaxation,
urine output of <30 ml/hr
#1 cause of preterm labor - answer infections
Oxytocin (Pitocin) - nursing management - answer - monitor BP &
pulse
- hypertonicity of uterus
- FHR
When should you stop an oxytocin infusion? - answer -fetal
bradycardia and late or variable decelerations
-contractions less then q 2 minutes
-duration longer than 90 seconds
what should you do if you noticed adverse effect's with oxytocin? -
answer STOP
S - Stop infusion
T - Turn on left side
O - O2 admin
P - Provider should be called
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