NUR 235 test 2 UPDATED ACTUAL Questions and CORRECT Answers
1. heart disease - take antibiotics prophylactically prior to procedures.
- 28-32 weeks greatest concern
- decrease stress on the heart.
-heparin only anticoag
2. HIV/AIDS antiretrovirals 14 weeks, throughout pregnancy, and to newborn. newborn treat-
ed up to 6 weeks.
- no invasive procedure: episiotomy, forceps, amniocentesis, vacuum
3. toxoplasmosis cat litter, gardening, raw meat.
4. rubella (German MMR- cant have live vaccine, don't get pregnant for 1 month after shot. get shot
measles) after birth.
5. Cytomegalovrius herpes family but spread through droplet.
6. herpes (HSV) cold sores and open active herpes on vagina can spread to baby.
No vaginal delivery.
7. gonorrhea -can cause blindness to baby
- dysuria, yello/ green discharge
-tx: ceft and azithromycin
8. chlamydia -can cause blindness in baby
-dysuria, itching, purulent/ grey/ white discharge
tx. azithromycin or amoxicillin during pregnancy.
9. what to give baby erythromycin
after birth to pre-
vent opthalmia
10. Trichomoniases parasite: dysuria, itching, green/ yellow discharge
- tx. metronidazole
,11. Intrapartum an- - GBS- 37 weeks
tibiotic prophy- -maternal fever >100.4
laxis -ROM for 18+ hours
12. mother risk - infection,
when diabetic - polyhydramnios,
-diflcult labor,
-PPH (postpartum hemorrhage),
-ketoacidosis
13. baby at risk when -spontaneous abortion
mother is diabet- -still birth
ic -congenital abnormalities
-polycythemia
-neonatal respiratory distress
- hypoglycemia
14. when to get - decrease during 1st but increase during 2-3rd.
insulin during
pregnancy
15. teaching for ges- -home monitoring
tational diabetes -sick
-importance of follow ups
-s/s hypoglycemia
-increased risk of diabetes later- 5 years
16. treatment for - diet and exercise first before insulin (small frequent meals)
gestational dia-
betes
17.
, glucola screen- - 50g glucose load followed by 1 hour blood test- no fasting
ing: gestational -positive is >130
diabetes -need the 3 hour test.
18. 3 hour gluose - overnight fasting- needs to be at 100 load and serum, monitor every hour for 3
test: gestational hours.
diabetes
19. early pregnancy - spontaneous abortion, ectopic pregnancy, molar , incompetent cervix
bleeding
20. late pregnancy placenta previa or placenta abruption
bleeding
21. priority question - how far along are you?
for pregnant pa- -how much blood?
tient thats bleed- - are you in any pain?
ing.
22. spontaneous threatened, inevitable, incomplete, complete, missed,
abortions
23. threatened abor- -closed cervix
tion -minimal pain/ contractions
-minimal bleeding
-tx: no sex and bedtrest
24. inevitable abor- -open cervix
tion -moderate pain/ contractions
-moderate bleeding
-tx. RhoGam
25. incomplete abor- -open cervix
tion - severe pain/ contractions
1. heart disease - take antibiotics prophylactically prior to procedures.
- 28-32 weeks greatest concern
- decrease stress on the heart.
-heparin only anticoag
2. HIV/AIDS antiretrovirals 14 weeks, throughout pregnancy, and to newborn. newborn treat-
ed up to 6 weeks.
- no invasive procedure: episiotomy, forceps, amniocentesis, vacuum
3. toxoplasmosis cat litter, gardening, raw meat.
4. rubella (German MMR- cant have live vaccine, don't get pregnant for 1 month after shot. get shot
measles) after birth.
5. Cytomegalovrius herpes family but spread through droplet.
6. herpes (HSV) cold sores and open active herpes on vagina can spread to baby.
No vaginal delivery.
7. gonorrhea -can cause blindness to baby
- dysuria, yello/ green discharge
-tx: ceft and azithromycin
8. chlamydia -can cause blindness in baby
-dysuria, itching, purulent/ grey/ white discharge
tx. azithromycin or amoxicillin during pregnancy.
9. what to give baby erythromycin
after birth to pre-
vent opthalmia
10. Trichomoniases parasite: dysuria, itching, green/ yellow discharge
- tx. metronidazole
,11. Intrapartum an- - GBS- 37 weeks
tibiotic prophy- -maternal fever >100.4
laxis -ROM for 18+ hours
12. mother risk - infection,
when diabetic - polyhydramnios,
-diflcult labor,
-PPH (postpartum hemorrhage),
-ketoacidosis
13. baby at risk when -spontaneous abortion
mother is diabet- -still birth
ic -congenital abnormalities
-polycythemia
-neonatal respiratory distress
- hypoglycemia
14. when to get - decrease during 1st but increase during 2-3rd.
insulin during
pregnancy
15. teaching for ges- -home monitoring
tational diabetes -sick
-importance of follow ups
-s/s hypoglycemia
-increased risk of diabetes later- 5 years
16. treatment for - diet and exercise first before insulin (small frequent meals)
gestational dia-
betes
17.
, glucola screen- - 50g glucose load followed by 1 hour blood test- no fasting
ing: gestational -positive is >130
diabetes -need the 3 hour test.
18. 3 hour gluose - overnight fasting- needs to be at 100 load and serum, monitor every hour for 3
test: gestational hours.
diabetes
19. early pregnancy - spontaneous abortion, ectopic pregnancy, molar , incompetent cervix
bleeding
20. late pregnancy placenta previa or placenta abruption
bleeding
21. priority question - how far along are you?
for pregnant pa- -how much blood?
tient thats bleed- - are you in any pain?
ing.
22. spontaneous threatened, inevitable, incomplete, complete, missed,
abortions
23. threatened abor- -closed cervix
tion -minimal pain/ contractions
-minimal bleeding
-tx: no sex and bedtrest
24. inevitable abor- -open cervix
tion -moderate pain/ contractions
-moderate bleeding
-tx. RhoGam
25. incomplete abor- -open cervix
tion - severe pain/ contractions
