NURl 254/l NUR254l Examl 1l –l (Newl
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Reviewl |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
pregestationall diabetes
Answer:
Diabetesl thatl existedl beforel pregnancy
-typel 1l orl typel 2
glucosel crossesl placenta,l insulinl doesl not
-fetusl producesl insulinl aroundl 10l weeks
Treatment
-insulinl isl preferred
Firstl trimesterl (7-15l weeks)
-pronel tol hypoglycemial duel tol increasedl metabolicl rate
Secondl &l thirdl trimesterl
-insulinl needsl mayl doublel orl quadruple
QUESTION
pregestationall diabetesl risks
,Answer:
Maternal
-Preeclampsia
-Perinatall death
-Polyhydramniosl (tool muchl amnioticl fluid)
-Preterml birth
-postpartuml hemorrhage
-infectionl
-Cl section
Fetal
-unexplainedl fetall death
-Congenitall anomalies
-Macrosomicl fetus
-hypoglycemia
-respiratoryl distress
QUESTION
gestationall diabetes
Answer:
Riskl Factors
-obesity
-familyl hx
-agel >35
-comorbidities
-previousl infantl >9lbsl atl birth
Treatment
Firstl step:l dietl andl exercise
secondl step:l insulin
orall medsl notl oftenl usedl becausel theyl crossl thel placenta,l insulinl doesl notl
greaterl riskl forl developingl diabetesl laterl inl life
,QUESTION
preterml laborl diagnosis
Answer:
20-36l 6/7l weeks
contractions
progressivel cervicall changel (l effacementl andl dilation)
QUESTION
Riskl factorsl forl preterml labor
Answer:
Hxl ofl previousl prematurel birth
Multiplel gestation
2ndl trimesterl bleeding
africanl americanl race
lowl pregnancyl weight
genitall tractl infections
smoking
QUESTION
signsl ofl PTL
Answer:
-Menstruall likel cramping
-Contractions-abdomenl hardensl everyl 10l minl orl less
, -Constantl orl irregularl lowl backache
-Pelvicl pressure
-Increasedl vaginall dischargel orl bleeding
-rupturel ofl amnioticl membranes
-signsl ofl UTI
QUESTION
treatmentl ofl PTL
Answer:
Lifestylel modifications:l decreasel activity,l lifting,l ridingl longl distances
Tocolyticl medicationsl (relaxl smoothl muscles)
-terbutaline:l orall orl SCl (mustl takel pulse,l ifl >120l hold)
-magl sulfate
-Indocinl (NSAID)
-procardia
QUESTION
Terbutaline
Answer:
Usesl tol relaxl uterinel smoothl musclel tol inhibitl uterinel activity
QUESTION
Thel fivel P's
Answer:
Passengerl (fetusl andl placenta)
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Reviewl |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
pregestationall diabetes
Answer:
Diabetesl thatl existedl beforel pregnancy
-typel 1l orl typel 2
glucosel crossesl placenta,l insulinl doesl not
-fetusl producesl insulinl aroundl 10l weeks
Treatment
-insulinl isl preferred
Firstl trimesterl (7-15l weeks)
-pronel tol hypoglycemial duel tol increasedl metabolicl rate
Secondl &l thirdl trimesterl
-insulinl needsl mayl doublel orl quadruple
QUESTION
pregestationall diabetesl risks
,Answer:
Maternal
-Preeclampsia
-Perinatall death
-Polyhydramniosl (tool muchl amnioticl fluid)
-Preterml birth
-postpartuml hemorrhage
-infectionl
-Cl section
Fetal
-unexplainedl fetall death
-Congenitall anomalies
-Macrosomicl fetus
-hypoglycemia
-respiratoryl distress
QUESTION
gestationall diabetes
Answer:
Riskl Factors
-obesity
-familyl hx
-agel >35
-comorbidities
-previousl infantl >9lbsl atl birth
Treatment
Firstl step:l dietl andl exercise
secondl step:l insulin
orall medsl notl oftenl usedl becausel theyl crossl thel placenta,l insulinl doesl notl
greaterl riskl forl developingl diabetesl laterl inl life
,QUESTION
preterml laborl diagnosis
Answer:
20-36l 6/7l weeks
contractions
progressivel cervicall changel (l effacementl andl dilation)
QUESTION
Riskl factorsl forl preterml labor
Answer:
Hxl ofl previousl prematurel birth
Multiplel gestation
2ndl trimesterl bleeding
africanl americanl race
lowl pregnancyl weight
genitall tractl infections
smoking
QUESTION
signsl ofl PTL
Answer:
-Menstruall likel cramping
-Contractions-abdomenl hardensl everyl 10l minl orl less
, -Constantl orl irregularl lowl backache
-Pelvicl pressure
-Increasedl vaginall dischargel orl bleeding
-rupturel ofl amnioticl membranes
-signsl ofl UTI
QUESTION
treatmentl ofl PTL
Answer:
Lifestylel modifications:l decreasel activity,l lifting,l ridingl longl distances
Tocolyticl medicationsl (relaxl smoothl muscles)
-terbutaline:l orall orl SCl (mustl takel pulse,l ifl >120l hold)
-magl sulfate
-Indocinl (NSAID)
-procardia
QUESTION
Terbutaline
Answer:
Usesl tol relaxl uterinel smoothl musclel tol inhibitl uterinel activity
QUESTION
Thel fivel P's
Answer:
Passengerl (fetusl andl placenta)
