NURS 629 Exam 3 (OB/GYN) Questions With 100% Correct Answers

NURS 629 Exam 3 (OB/GYN) Questions With 100% Correct Answers What antibiotics are safe for UTI during pregnancy? - answerMacrobid, Ampicillin, Keflex, Pyridium What antibiotic is unsafe during preganancy? - answerBactrim (<13 w or >36 w) Are oral hypoglycemics okay in pregnancy? - answerNO!!! What medication do you use to treat DM during pregnancy? - answerInsulin Name the 5 infant risk factors for an infant with a DM mother - answer1. NTD 2. Cardiac Defects 3. Macrosomia 4. Intra-Uterine Growth Restrictions 5. Hyperbili What complications can Macrosomia cause to an infant? - answerTruncal Fat, Shoulder Dystocia, Hypoglycemia, Hyperglycemia (Delay in lung maturation), Hypoxia (Cerebal Palsy) How is the 1 hour glucose test performed? - answer24-28 weeks drink 50G of glucose (BS >140) How is the 3 hour glucose test performed? - answerHigh carb 2 day diet, NPO after midnight, FBS then drink 100G of glucose (FBS >105 or 2 of the following: 190 at 1 hr, 165 at 2 hr, 145 at 3 hr) What is the treatment of PIH or chronic HTN during pregnancy? - answerACE contraindicated, Betablockers can cause low birth weight the safest (Lobateolol) Name the classic TRIad for Preeclampsia - answer1. HTN 2. Edema 3. Proteinuria What do you see in MILD Preeclampsia? - answerBP >140/>90 1+ Proteinuria No HA How do you treat MILD Preeclampsia? - answerIncrease protein, document fetal activity, weekly NST What do you see in SEVERE Preeclampsia? - answerBP >160/>110 3+ Proteinuria HA Decreased output Visual disturbances Thrombocytopenia How do you treat SEVERE Preeclampsia? - answerDeliver the baby, rest, decrease stimuli, mag sulfate, medications (Apresoline) What are visual signs and symptoms of Eclampsia? - answerFacial twitching, tonic clonic seizures, pulmonary edema, circulatory/renal failure What are signs and symptoms of HELLP syndrome? - answerRUQ pain, N/V, edema, increased liver enzymes, decreased H&H & platelets What is the treatment of HELLP and Eclampsia? - answerDeliver the baby, bed rest, mag sulfate (Valium or Phenobarb if mg is not effective after 2 hrs), Steriods (Fetal lung maturity), Hydralazine (SEVERE) What is the treatment of Hyperemesis Gravidarum? - answerIV fluids, tpn, antiemetics (B6, unisom, antihestamines), diet as tolerated What education do you need to give about quad screening? - answerIt is not a diagnostic. It is an assessment tool and will be referred to a specialist if positive. What can early bleeding indicate? - answerMiscarriage, ectopic pregnancy, incompetent cervix Explain the 3 types of spontaneous abortions - answer1. Threatened - Vaginal bleeding occurs 2. Inevitable - Membranes rupture and cervix dilates 3. Incomplete - Some products of conception have remained How do you manage a THREATENED abortion? - answerCheck fetus by ultrasound, bed rest, no sex for 2 weeks after bleeding stops, no false reassurance of outcome