NURSG 5432-400 Module 3 Questions
With Complete Solutions
What can medications be taken for during pregnancy? - CORRECT ANSWERS N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition & dosing? - CORRECT
ANSWERS In third trimester:
Renal blood flow is doubled; renal excretion is accelerated
Tone & mobility of bowel decreases which prolongs drug effects
What are some adverse effects of heparin during pregnancy? - CORRECT ANSWERS
Osteoporosis
What are the adverse effects of prostaglandins during pregnancy? - CORRECT ANSWERS
Stimulate uterine contractions
What are adverse effects of pain relievers during delivery? - CORRECT ANSWERS Depress
respiration in neonates
What birth defects can be caused by teratogenic medications? - CORRECT ANSWERS Gross
malformations:
Cleft palate, clubfoot, & hydrocephalus
,Neurobehavior & metabolic anomalies
Congenital anomalies <1%
What is the most critical time during pregnancy to avoid medications? - CORRECT ANSWERS
Embryonic period: Weeks 3-8 is when gross malformations produced by teratogens
What are the 3 stages of development? - CORRECT ANSWERS Conception through week 2
Embryonic period: Week 3-8 when gross malformations can be produced (organ development)
Fetal period: Week 9-delivery when functions are disrupted
What is the PLLR? - CORRECT ANSWERS Pregnancy & lactation labeling rule provides the
prescriber w/ relevant information for critical decision-making when treating pregnant or lactating
women
What immunizations can be administered during pregnancy? - CORRECT ANSWERS Viruses
that are killed or inactivated:
Influenza
TDaP (protects infant from pertussis); given w/ q pregnancy
Which immunizations are contraindicated during pregnancy? - CORRECT ANSWERS Live
attenuated vaccines; should avoid trying to get pregnant 28 d after vaccine:
Nasal spray influenza
MMR
Varicella
,HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)
Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox
When is the TDaP administered during pregnancy? - CORRECT ANSWERS Between 27-36
weeks; optimizing duration of antibody protection until after birth
Which vaccines can be given under special conditions? - CORRECT ANSWERS HepB
Inactivated polio
HepA
Yellow fever
What is included in the Women's health assessment? - CORRECT ANSWERS Complete PX
Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
Nutrition
Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations
Diagnostics
, What is preventive care during pregnancy? - CORRECT ANSWERS Nutrition: Maintain avg
body wt for ht
Folic acid (0.4mg/d)
Exercise
Smoking Cessation
What symptoms occur during first trimester (up to 12 weeks) of pregnancy? - CORRECT ANSWERS
Amenorrhea
N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency
What symptoms occur during second trimester (13-27 weeks)? - CORRECT ANSWERS Fetal
movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
Syncopal episodes
What symptoms occur during third trimester (28-40 weeks)? - CORRECT ANSWERS
Abdominal growth
Braxton-Hicks
Return of urinary frequency w/descent of presenting part
With Complete Solutions
What can medications be taken for during pregnancy? - CORRECT ANSWERS N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition & dosing? - CORRECT
ANSWERS In third trimester:
Renal blood flow is doubled; renal excretion is accelerated
Tone & mobility of bowel decreases which prolongs drug effects
What are some adverse effects of heparin during pregnancy? - CORRECT ANSWERS
Osteoporosis
What are the adverse effects of prostaglandins during pregnancy? - CORRECT ANSWERS
Stimulate uterine contractions
What are adverse effects of pain relievers during delivery? - CORRECT ANSWERS Depress
respiration in neonates
What birth defects can be caused by teratogenic medications? - CORRECT ANSWERS Gross
malformations:
Cleft palate, clubfoot, & hydrocephalus
,Neurobehavior & metabolic anomalies
Congenital anomalies <1%
What is the most critical time during pregnancy to avoid medications? - CORRECT ANSWERS
Embryonic period: Weeks 3-8 is when gross malformations produced by teratogens
What are the 3 stages of development? - CORRECT ANSWERS Conception through week 2
Embryonic period: Week 3-8 when gross malformations can be produced (organ development)
Fetal period: Week 9-delivery when functions are disrupted
What is the PLLR? - CORRECT ANSWERS Pregnancy & lactation labeling rule provides the
prescriber w/ relevant information for critical decision-making when treating pregnant or lactating
women
What immunizations can be administered during pregnancy? - CORRECT ANSWERS Viruses
that are killed or inactivated:
Influenza
TDaP (protects infant from pertussis); given w/ q pregnancy
Which immunizations are contraindicated during pregnancy? - CORRECT ANSWERS Live
attenuated vaccines; should avoid trying to get pregnant 28 d after vaccine:
Nasal spray influenza
MMR
Varicella
,HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)
Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox
When is the TDaP administered during pregnancy? - CORRECT ANSWERS Between 27-36
weeks; optimizing duration of antibody protection until after birth
Which vaccines can be given under special conditions? - CORRECT ANSWERS HepB
Inactivated polio
HepA
Yellow fever
What is included in the Women's health assessment? - CORRECT ANSWERS Complete PX
Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
Nutrition
Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations
Diagnostics
, What is preventive care during pregnancy? - CORRECT ANSWERS Nutrition: Maintain avg
body wt for ht
Folic acid (0.4mg/d)
Exercise
Smoking Cessation
What symptoms occur during first trimester (up to 12 weeks) of pregnancy? - CORRECT ANSWERS
Amenorrhea
N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency
What symptoms occur during second trimester (13-27 weeks)? - CORRECT ANSWERS Fetal
movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
Syncopal episodes
What symptoms occur during third trimester (28-40 weeks)? - CORRECT ANSWERS
Abdominal growth
Braxton-Hicks
Return of urinary frequency w/descent of presenting part
