NUR 432 Exam 2 study guide question with
accurate answers
a great majority of spontaneous abortions occur before how many weeks
gestation Correct Answer-8 weeks
a woman is experiencing dark red bleeding, board like abdomen, sudden
shock, frequent DIC and abdominal tenderness. what might she be
experiencing? Correct Answer-placental abruption
Acrocyanosis Correct Answer-blueish color in extremities, normal
finding in newborn and can last up to 24 hrs
alpha-fetopreotein test Correct Answer-maternal screening to screen for
neural tube defects and downs syndrome
if it comes back high, further screening is done
sometimes there are false positives
antidote for mag sulfate Correct Answer-calcium gluconate
autosomal dominant vs autosomal recessive Correct Answer-dominant is
50% and recessive is 25%
babinski's reflex Correct Answer-done on the outside of the foot, toes
should flare
,biggest concern with an ectopic pregnancy Correct Answer-hemorrhage
cephalahematoma, what causes it Correct Answer-blood pooling
between skill and external covering, prone for jaundice, may be caused
by vacuum delivery
cerclage Correct Answer-suturing the cervix, used for incompetent
cervix, taken out when baby is term
challenges with breast feeding Correct Answer-nipple cracking and pain,
mastitis, more time consuming, dad might feel less involved, mom
doesn't produce enough milk in some cases, inverted or flat nipples, no
meds, alcohol or drug use, alterations in diet
characteristics of a full term baby Correct Answer-wrinkles and well
flexed extremities
characteristics of a preterm baby Correct Answer-skin is not wrinkled,
smooth. skin is translucent and red. not much flexion (flaccid)
characteristics of an overterm baby Correct Answer-peeling skin, over
wrinkly
cheesy gray-white substance that covers the newborn skin Correct
Answer-vernix caseosa
, chronic hypertension Correct Answer-mother comes into a pregnancy
with hypertension already
clinical manifestations of hydratiform molar pregnancy and how is it
managed Correct Answer-vag bleeding (brown), or bright red, scant or
profuse, uterus may or may not be enlarged, anemia from blood loss,
excessive N/V or hyperemesis and abdominal cramping
manage: suction curettage, Rh-rhogram will be needed, weekly hCG
levels until levels drop to normal and remain normal for 3 consecutive
weeks, then only for 6 months and every 2 months for tear, and avoid
pregnancy for 1 year (oral contraceptives)
cold stress Correct Answer-Increased oxygen consumption and
respiratory rate, Can lead to metabolic acidosis, Maintaining the body
temperature will prevent this
conduction Correct Answer-loss of heat from the body surface to cooler
surfaces in direct contact
contraindications of breastfeeding Correct Answer-HIV positive,
untreated TB, maternal illegal drug use, infant with galactosemia
during first trimester, glucose levels are reduced and insulin response is
enhanced. what adjustments need to be made for type 1 diabetics Correct
Answer-the pregnant mother needs less insulin in first trimester
accurate answers
a great majority of spontaneous abortions occur before how many weeks
gestation Correct Answer-8 weeks
a woman is experiencing dark red bleeding, board like abdomen, sudden
shock, frequent DIC and abdominal tenderness. what might she be
experiencing? Correct Answer-placental abruption
Acrocyanosis Correct Answer-blueish color in extremities, normal
finding in newborn and can last up to 24 hrs
alpha-fetopreotein test Correct Answer-maternal screening to screen for
neural tube defects and downs syndrome
if it comes back high, further screening is done
sometimes there are false positives
antidote for mag sulfate Correct Answer-calcium gluconate
autosomal dominant vs autosomal recessive Correct Answer-dominant is
50% and recessive is 25%
babinski's reflex Correct Answer-done on the outside of the foot, toes
should flare
,biggest concern with an ectopic pregnancy Correct Answer-hemorrhage
cephalahematoma, what causes it Correct Answer-blood pooling
between skill and external covering, prone for jaundice, may be caused
by vacuum delivery
cerclage Correct Answer-suturing the cervix, used for incompetent
cervix, taken out when baby is term
challenges with breast feeding Correct Answer-nipple cracking and pain,
mastitis, more time consuming, dad might feel less involved, mom
doesn't produce enough milk in some cases, inverted or flat nipples, no
meds, alcohol or drug use, alterations in diet
characteristics of a full term baby Correct Answer-wrinkles and well
flexed extremities
characteristics of a preterm baby Correct Answer-skin is not wrinkled,
smooth. skin is translucent and red. not much flexion (flaccid)
characteristics of an overterm baby Correct Answer-peeling skin, over
wrinkly
cheesy gray-white substance that covers the newborn skin Correct
Answer-vernix caseosa
, chronic hypertension Correct Answer-mother comes into a pregnancy
with hypertension already
clinical manifestations of hydratiform molar pregnancy and how is it
managed Correct Answer-vag bleeding (brown), or bright red, scant or
profuse, uterus may or may not be enlarged, anemia from blood loss,
excessive N/V or hyperemesis and abdominal cramping
manage: suction curettage, Rh-rhogram will be needed, weekly hCG
levels until levels drop to normal and remain normal for 3 consecutive
weeks, then only for 6 months and every 2 months for tear, and avoid
pregnancy for 1 year (oral contraceptives)
cold stress Correct Answer-Increased oxygen consumption and
respiratory rate, Can lead to metabolic acidosis, Maintaining the body
temperature will prevent this
conduction Correct Answer-loss of heat from the body surface to cooler
surfaces in direct contact
contraindications of breastfeeding Correct Answer-HIV positive,
untreated TB, maternal illegal drug use, infant with galactosemia
during first trimester, glucose levels are reduced and insulin response is
enhanced. what adjustments need to be made for type 1 diabetics Correct
Answer-the pregnant mother needs less insulin in first trimester
