NRSG 3302 PREGNANCY AT RISK EXAM
ALL QUESTIONS AND 100% CORRECT
ANSWERS!!
What are risk factors that make it more likely for a woman to experience complications
with pregnancy?
Existing health conditions: HTN, Diabetes, PCOS, Obseitiy, Zika, Autoimmune conditions
Lifestyle: Nutrition (vegetarian), Substance abuse
Genetics and environmental
Socioeconomic: low income, paritiy (>5 pregnancy) and age (<18 and 35<)
Hx of infection, preE, stillbirth, CV issue
NO PRENATAL CARE IS BIGGEST RISK FACTOR
What are examples of pre-gestational issues of pregnancy?
Heart disease
Substance abuse
Diabetes
Anemia
HIV/AIDs
What are examples of gestational issues of pregnancy?
Hypertensive disorders
Ectopic pregnancy
Rh alloimunization
Herpes
, Gbs +
Gestational trophoblastic
Why is cardiac disease an issue in pregnancy?
Increased heart demand during pregnancy can exacerbate underlying conditions
What are the signs of cardiac decompensation that can indicate worsening heart disease?
Progressive generalize edema
Crackles at base of lungs
Rapid, weak irregular pulse (>100 bmp)
Difficulty catching breath
Cough
Fatigue
What are the emphasized nursing cares in labor/delivery?
EKG/FHR monitoring
Anticoagulants + pain management + antibiotics
O2/pulse oximetry
Opitimize placental perfusion
No methergine
Avoid fluid overload
What is the most frequently missed diagnosis?
Substance abuse
What is the concern for the neonate with substance using mother?
Withdrawal syndrome
How can alcohol affect pregnancy?
Abnormal brain/neuron development
LBW
Prematurity
Fetal alcohol syndrome
ALL QUESTIONS AND 100% CORRECT
ANSWERS!!
What are risk factors that make it more likely for a woman to experience complications
with pregnancy?
Existing health conditions: HTN, Diabetes, PCOS, Obseitiy, Zika, Autoimmune conditions
Lifestyle: Nutrition (vegetarian), Substance abuse
Genetics and environmental
Socioeconomic: low income, paritiy (>5 pregnancy) and age (<18 and 35<)
Hx of infection, preE, stillbirth, CV issue
NO PRENATAL CARE IS BIGGEST RISK FACTOR
What are examples of pre-gestational issues of pregnancy?
Heart disease
Substance abuse
Diabetes
Anemia
HIV/AIDs
What are examples of gestational issues of pregnancy?
Hypertensive disorders
Ectopic pregnancy
Rh alloimunization
Herpes
, Gbs +
Gestational trophoblastic
Why is cardiac disease an issue in pregnancy?
Increased heart demand during pregnancy can exacerbate underlying conditions
What are the signs of cardiac decompensation that can indicate worsening heart disease?
Progressive generalize edema
Crackles at base of lungs
Rapid, weak irregular pulse (>100 bmp)
Difficulty catching breath
Cough
Fatigue
What are the emphasized nursing cares in labor/delivery?
EKG/FHR monitoring
Anticoagulants + pain management + antibiotics
O2/pulse oximetry
Opitimize placental perfusion
No methergine
Avoid fluid overload
What is the most frequently missed diagnosis?
Substance abuse
What is the concern for the neonate with substance using mother?
Withdrawal syndrome
How can alcohol affect pregnancy?
Abnormal brain/neuron development
LBW
Prematurity
Fetal alcohol syndrome
