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Exam (elaborations)

Exam 3: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 3: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION BPP (biophysical profile) Answer: antepartal fetal surveillance that evaluates 5 parameters of fetal well-being: FHR, breathing movements, body movements, tone closure of hand , volume of AFI QUESTION hyperemesis gravidarum Answer: severe nausea and vomiting in pregnancy that can cause severe dehydration in the mother and fetus, weight loss 5% of pre-pregnacy weight Meds; antiemetics, vitamins, TPN QUESTION abortion Answer: spontaneous or intentional termination of pregnancy QUESTION threatened abortion Answer: bleeding with the threat of miscarriage QUESTION Inevitable abortion Answer: bleeding and cramping with cervical dilation but no passage of tissue QUESTION incomplete abortion Answer: incomplete expulsion of the products of conception QUESTION ectopic pregnancy Answer: A pregnancy outside of the womb, usually in a fallopian tube s/s lower abdominal pain, bleeding QUESTION maifestations of hypovolemic shock Answer: • Fetal heart rate changes (increased, decreased, less fluctuation) • Rising, weak pulse (tachycardia) • Rising respiratory rate (tachypnea) • Shallow, irregular respirations; air hunger • Falling blood pressure (hypotension) • Decreased or absent urinary output (usually less than 30 mL/hr) • Pale skin or mucous membranes • Cold, clammy skin • Faintness • Thirst QUESTION Hyaditidiform Mole Findings Answer: -Excessive vomiting -Larger than expected uterine growth -vaginal bleeding -symptoms of HTN QUESTION gestational hypertension Answer: potentially life-threatening condition of high blood pressure; usually develops after the 20th week of pregnancy and is characterized by edema and proteinuria QUESTION Preeclampsia and eclampsia Answer: Most common hypertensive disorder; develops during pregnancy and is characterized by elevated blood pressure, edema and proteinuria; characterized by an increase BP of 30mmHg systolic and/or diastolic increase of 15mmHg diastolic; 10 weeks gestation or 48 hours post delivery; major cause of maternal death, fetal hypoxia and death; predominately primigravida QUESTION Magnesium sulfate during pregnacy Answer: Anticonvulsant to prevent seizures, could be from eclampsia Can cause resp depression, toxicity, low UOP, loss of deep tendon reflexes, inhibits uterine contractions Calcium gluconate; antidote QUESTION Rh negative blood Answer: ONLY receive Rh - Negative blood, autosomal recessive QUESTION Rh positive blood Answer: CAN receive Rh positive and negative blood, dominant QUESTION Rh incompatibility Answer: If mother is Rh- and baby is Rh+

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Examl 3:l NU170/l NUl 170l (Latestl 2025/l
2026l Update)l Maternal-Childl Nursingl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen

Q:l BPPl (biophysicall profile)
Answer:
antepartall fetall surveillancel thatl evaluatesl 5l parametersl ofl fetall well-being:l FHR,l
breathingl movements,l bodyl movements,l tonel closurel ofl handl ,l volumel ofl AFI

Q:l hyperemesisl gravidarum
Answer:
severel nauseal andl vomitingl inl pregnancyl thatl canl causel severel dehydrationl inl thel
motherl andl fetus,l weightl lossl >5%l ofl pre-pregnacyl weightl
Meds;l antiemetics,l vitamins,l TPN

Q:l abortion
Answer:
spontaneousl orl intentionall terminationl ofl pregnancy

Q:l threatenedl abortion
Answer:
bleedingl withl thel threatl ofl miscarriage

Q:l Inevitablel abortion
Answer:
bleedingl andl crampingl withl cervicall dilationl butl nol passagel ofl tissue

Q:l incompletel abortion
Answer:

,incompletel expulsionl ofl thel productsl ofl conception

Q:l ectopicl pregnancy
Answer:
Al pregnancyl outsidel ofl thel womb,l usuallyl inl al fallopianl tube
s/sl lowerl abdominall pain,l bleeding

Q:l maifestationsl ofl hypovolemicl shock
Answer:
•l Fetall heartl ratel changesl (increased,l decreased,l lessl fluctuation)l
•l Rising,l weakl pulsel (tachycardia)
•l Risingl respiratoryl ratel (tachypnea)
•l Shallow,l irregularl respirations;l airl hunger
•l Fallingl bloodl pressurel (hypotension)
•l Decreasedl orl absentl urinaryl outputl (usuallyl lessl thanl 30l mL/hr)
•l Palel skinl orl mucousl membranes
•l Cold,l clammyl skin
•l Faintness
•l Thirst

Q:l Hyaditidiforml Molel Findings
Answer:
-Excessivel vomiting
-Largerl thanl expectedl uterinel growth
-vaginall bleeding
-symptomsl ofl HTN

Q:l gestationall hypertension
Answer:
potentiallyl life-threateningl conditionl ofl highl bloodl pressure;l usuallyl developsl afterl thel
20thl weekl ofl pregnancyl andl isl characterizedl byl edemal andl proteinuria

Q:l Preeclampsial andl eclampsia
Answer:
Mostl commonl hypertensivel disorder;l developsl duringl pregnancyl andl isl characterizedl byl
elevatedl bloodl pressure,l edemal andl proteinuria;l characterizedl byl anl increasel BPl ofl

,30mmHgl systolicl and/orl diastolicl increasel ofl 15mmHgl diastolic;l 10l weeksl gestationl orl
48l hoursl postl delivery;l majorl causel ofl maternall death,l fetall hypoxial andl death;l
predominatelyl primigravida

Q:l Magnesiuml sulfatel duringl pregnacy
Answer:
Anticonvulsantl tol preventl seizures,l couldl bel froml eclampsial
Canl causel respl depression,l toxicity,l lowl UOP,l lossl ofl deepl tendonl reflexes,l inhibitsl
uterinel contractionsl
Calciuml gluconate;l antidote

Q:l Rhl negativel blood
Answer:
ONLYl receivel Rhl -l Negativel blood,l autosomall recessive

Q:l Rhl positivel blood
Answer:
CANl receivel Rhl positivel andl negativel blood,l dominant

Q:l Rhl incompatibility
Answer:
Ifl motherl isl Rh-l andl babyl isl Rh+

Q:l Isoimmunization
Answer:
Ifl fetall Rh-positivel bloodl leaksl intol thel Rh-negativel mother'sl circulation,l herl bodyl mayl
respondl byl makingl antibodiesl tol destroyl thel Rh-positivel erythrocytes.

Q:l erythroblastosisl fetalis
Answer:
al disorderl thatl resultsl froml thel incompatibilityl ofl al fetusl withl Rh-positivel bloodl andl al
motherl withl Rh-negativel blood,l causingl redl bloodl celll destructionl inl thel fetus;l al bloodl
transfusionl isl necessaryl tol savel thel fetus

, Q:l gestationall diabetes
Answer:
al forml ofl diabetesl mellitusl thatl occursl duringl somel pregnancies,l ifl truel GDMl glucosel
usuallyl returnsl tol normall byl 6l weeksl PP

Q:l RFl forl gestationall diabetes
Answer:
ol Maternall obesityl (>90l kgl orl 198l lbs)
ol Largel infantl (>4000l gl orl aboutl 9l lbs)
ol Maternall agel olderl thanl 25l years
ol Previousl unexplainedl stillbirthl orl
infantl havingl congenitall abnormalities
ol Historyl ofl GDMl inl al previousl
pregnancy
ol Familyl historyl ofl DM

Q:l GDMl dxl testing
Answer:
ol Checkedl atl 24-28l weeks
ol Donel earlierl ifl riskl factorsl present
ol Motherl drinksl 50l gl glucosel drink
ol Fastingl notl necessary
ol Bloodl samplel takenl atl 1l hourl afterl drinkl ingested
ol 130-140l positivel
ol Ifl positivel 3-hourl GTTl orderedl tol confirm-unlessl onel hourl isl greaterl thanl 200l mg/dl

Q:l GDMl treatment
Answer:
Avoidl largel mealsl andl smalll carbs,l snackl beforel bedl
Checkl glucosel throughtl thel dayl perl order,l before/afterl exersize,l monitorl forl ketones

Q:l carel duringl laborl ofl thel womanl withl GDM
Answer:
Intravenousl infusionl ofl dextrosel mayl bel needed
Regularl insulin
Assessl bloodl glucosel levelsl hourlyl andl adjustl insulinl administrationl accordingly

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