NURS 326 Reproductive Health Final
Exam 3 with Detailed Answers 2026
diabetes risks to a pregnancy
macrosomia, IUGR, miscarriages, preterm labor, infections, shoulder dystocia
congenital malformations: neural tube and cardiac defects
interventions for a diabetic pregnant person
diet/nutrition, exercise, insulin, monitoring blood glucose, urine testing, close
surveillance of baby
mode of birth for insulin dependent diabetes mellitus
usually a scheduled delivery date, either an induction or c-section
diabetes postpartum
breastfeeding is encouraged
insulin needs will plummet after birth of placenta
baby goes to NICU for monitoring: will have trouble regulating blood sugar
cannot take OCPs, should use condoms or IUD
group B strep
all pregnant women are screened for this at 36 weeks
if positive or unknown, treat with 2 dosed of abx once water breaks
can lead to infant pneumonia, sepsis, encephalitis, or death
zika virus in pregnant women
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virus from a mosquito that can cause fetal microcephaly
monitor with ultrasound and avoid travel to high risk areas when pregnant
substance use in pregnancy
alcohol, nicotine, caffeine, marijuana, cocaine, meth, opiates
all cause potential fetal defects as well as infant being born with withdrawal
neonatal abstinence scoring
high-pitched cry, poor sleeping, poor feeding, jerking, yawning, sneezing, watery
stools
classifications of HTN in pregnancy
gestational hypertension, preeclampsia, eclampsia, chronic hypertension
chronic HTN
hypertension that is present before pregnancy, elevated in the first trimester
lasts after 12 weeks postpartum
gestational HTN
blood pressure over 140/90 that develops after week 20 of pregnancy, but returns to
normal by week 6 postpartum
may progress to preeclampsia
preeclampsia
BP elevation, proteinuria, edema
mild: 140/90 or greater that develops after 20 weeks pregnancy and accompanied
by proteinuria
severe: 160/110 or greater on 2+ occasions, proteinuria with decreased urine
output, generalized edema
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