NUR 226 EXAM 1 TEST QUESTIONS
AND CORRECT ANSWERS
What are the 3 P's of DM? ✅Polyuria (increased urination), Polydipsia (increased
thirst), Polyphagia (increased hunger)
RN can delgate to LPN... ✅Meds (no IV or blood products, or high risk), NG tube
feedings, wound dressings, trach care
RN cannot delegate tasks that... ✅DELEGATE, EVALUATE, ASSESS OR PLAN
GDM testing consists of... ✅50g of oral glucose with an initial blood draw prior followed
by a blood draw one hour after
IV infiltration ✅Coolness, pain, blanching of the skin
IV phlebitis ✅Inflammation of the vein, redness, warmth
If you fail Step #1 in GDM testing, what is the next step? ✅100g of oral glucose with a
blood draw prior, then draws at 1, 2 and 3 hours post
How do you get the DX for GDM? ✅2 or more abnormal results
Insulin needs during labor first trimester... ✅Generally decline
Insulin needs during second and third trimester... ✅increase
Insulin needs during labor.... ✅depends on maternal BG
Insulin needs postpartum... ✅decline quickly
Early pregnancy is defined as.... ✅1 to 20 weeks
Full term is.... ✅38-42 weeks
Preterm is.... ✅<38 weeks
Post-term is... ✅>42 weeks
Neonatal hypoglycemia... ✅Maternal glucose ends at birth, but insulin continues
, Signs and symptoms of neonatal hypoglycemia.... ✅Hypotonia (weak muscle tone),
lethargy, jitteriness, irritability, hypothermia
Treatment for neonatal hypoglycemia... ✅Early feeding, immediately after delivery
Hydramnios ✅Excess amniotic fluid
Macrosomnia ✅Large for gestational age
Intrauterine growth restriction ✅Small for gestational age
Surfactant ✅Lines and lubricates lungs to prevent collapse
Neonatal lab values ✅hypocalcemia <7; hypoglycemia <47; hyperbilirubemia
Maternal testing with GDM ✅16 weeks- aFP screening for neurotubal deficits
18 weeks- US to assess physical deficits
20 weeks- echo for cardiac defects
GDM screening at 24-28 weeks for low-risk
High-risk testing is sooner
Pregnancy planning to prevent neurotubal deficits ✅400 mcg of folic acid
Types of nursing DX ✅Actual
Potential/At-risk
Health promotion "readiness"
Pregnancy caloric intake increases by.... ✅30 kcal/kg/day
RN can delegate to CNA... ✅I+O, vitals (but not before med intervention), toileting,
bathing, ambulation
Macrodrip ✅10-20 drops/min
Microdrip ✅60 drops/min
Isotonic solution ✅Equal solute
ex: 0.9% NS, LR
Uses: Fluid loss from blood loss, trauma, dehydration
Hypotonic solution ✅Low concentration
ex: 3-5% NS
Uses: Replace electrolytes, treat shock, hyponatremia
AND CORRECT ANSWERS
What are the 3 P's of DM? ✅Polyuria (increased urination), Polydipsia (increased
thirst), Polyphagia (increased hunger)
RN can delgate to LPN... ✅Meds (no IV or blood products, or high risk), NG tube
feedings, wound dressings, trach care
RN cannot delegate tasks that... ✅DELEGATE, EVALUATE, ASSESS OR PLAN
GDM testing consists of... ✅50g of oral glucose with an initial blood draw prior followed
by a blood draw one hour after
IV infiltration ✅Coolness, pain, blanching of the skin
IV phlebitis ✅Inflammation of the vein, redness, warmth
If you fail Step #1 in GDM testing, what is the next step? ✅100g of oral glucose with a
blood draw prior, then draws at 1, 2 and 3 hours post
How do you get the DX for GDM? ✅2 or more abnormal results
Insulin needs during labor first trimester... ✅Generally decline
Insulin needs during second and third trimester... ✅increase
Insulin needs during labor.... ✅depends on maternal BG
Insulin needs postpartum... ✅decline quickly
Early pregnancy is defined as.... ✅1 to 20 weeks
Full term is.... ✅38-42 weeks
Preterm is.... ✅<38 weeks
Post-term is... ✅>42 weeks
Neonatal hypoglycemia... ✅Maternal glucose ends at birth, but insulin continues
, Signs and symptoms of neonatal hypoglycemia.... ✅Hypotonia (weak muscle tone),
lethargy, jitteriness, irritability, hypothermia
Treatment for neonatal hypoglycemia... ✅Early feeding, immediately after delivery
Hydramnios ✅Excess amniotic fluid
Macrosomnia ✅Large for gestational age
Intrauterine growth restriction ✅Small for gestational age
Surfactant ✅Lines and lubricates lungs to prevent collapse
Neonatal lab values ✅hypocalcemia <7; hypoglycemia <47; hyperbilirubemia
Maternal testing with GDM ✅16 weeks- aFP screening for neurotubal deficits
18 weeks- US to assess physical deficits
20 weeks- echo for cardiac defects
GDM screening at 24-28 weeks for low-risk
High-risk testing is sooner
Pregnancy planning to prevent neurotubal deficits ✅400 mcg of folic acid
Types of nursing DX ✅Actual
Potential/At-risk
Health promotion "readiness"
Pregnancy caloric intake increases by.... ✅30 kcal/kg/day
RN can delegate to CNA... ✅I+O, vitals (but not before med intervention), toileting,
bathing, ambulation
Macrodrip ✅10-20 drops/min
Microdrip ✅60 drops/min
Isotonic solution ✅Equal solute
ex: 0.9% NS, LR
Uses: Fluid loss from blood loss, trauma, dehydration
Hypotonic solution ✅Low concentration
ex: 3-5% NS
Uses: Replace electrolytes, treat shock, hyponatremia
