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NU 170/ NU170 Exam 3– Maternal-Child Nursing Guide | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NU 170/ NU170 Exam 3– Maternal-Child Nursing Guide | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A 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+ QUESTION Isoimmunization Answer: If fetal Rh-positive blood leaks into the Rh-negative mother's circulation, her body may respond by making antibodies to destroy the Rh-positive erythrocytes. QUESTION erythroblastosis fetalis Answer: a disorder that results from the incompatibility of a fetus with Rh-positive blood and a mother with Rh-negative blood, causing red blood cell destruction in the fetus; a blood transfusion is necessary to save the fetus QUESTION gestational diabetes Answer: a form of diabetes mellitus that occurs during some pregnancies, if true GDM glucose usually returns to normal by 6 weeks PP QUESTION RF for gestational diabetes Answer: o Maternal obesity (90 kg or 198 lbs) o Large infant (4000 g or about 9 lbs) o Maternal age older than 25 years o Previous unexplained stillbirth or infant having congenital abnormalities o History of GDM in a previous pregnancy o Family history of DM QUESTION GDM dx testing Answer: o Checked at 24-28 weeks o Done earlier if risk factors present o Mother drinks 50 g glucose drink o Fasting not necessary o Blood sample taken at 1 hour after drink ingested o 130-140 positive o If positive 3-hour GTT ordered to confirm-unless one hour is greater than 200 mg/dl QUESTION GDM treatment Answer: Avoid large meals and small carbs, snack before bed Check glucose throught the day per order, before/after exersize, monitor for ketones QUESTION care during labor of the woman with GDM Answer: Intravenous infusion of dextrose may be needed Regular insulin Assess blood glucose levels hourly and adjust insulin administration accordingly QUESTION care of neonate whose mother has GDM Answer: May have the following Hypoglycemia Respiratory distress Injury related to macrosomia Blood glucose monitored closely for at least the first 24 hours after birth Breastfeeding should be encouraged QUESTION Signs of HF during pregnacy Answer: Persistent cough, moist lung sounds, fatigue/fainting on exertion, difficutly breathing on exertion, orthopnea, severe pitting in the LE's or generalized edema, palpitations QUESTION iron deficiency anemia Answer: During Pregnancy oTeach woman about foods that are high in iron and folic acid oTeach how to take supplements oDo not take iron supplements with milk oDo not take antacids with iron oWhen taking iron, stools will be dark green to black oThe woman with sickle cell disease requires close medical and nursing care QUESTION Folic acid deficiency anemia Answer: inability to produce sufficient red blood cells due to the lack of folic acid, a B vitamin essential for erythropoiesis folate is essential for normal g&d

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NUl 170/l NU170l Examl 3–l Maternal-Childl
Nursingl Guidel |l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A

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



Q:l carel ofl neonatel whosel motherl hasl GDM
Answer:
Mayl havel thel following

Hypoglycemia

Respiratoryl distress

Injuryl relatedl tol macrosomia

Bloodl glucosel monitoredl closelyl forl atl leastl thel firstl 24l hoursl afterl birth

Breastfeedingl shouldl bel encouraged



Q:l Signsl ofl HFl duringl pregnacy
Answer:
Persistentl cough,l moistl lungl sounds,l fatigue/faintingl onl exertion,l difficutlyl breathingl onl
exertion,l orthopnea,l severel pittingl inl thel LE'sl orl generalizedl edema,l palpitations

, Q:l ironl deficiencyl anemia
Answer:
Duringl Pregnancy
oTeachl womanl aboutl foodsl thatl arel highl inl ironl andl folicl
acid
oTeachl howl tol takel supplements
oDol notl takel ironl supplementsl withl milk
oDol notl takel antacidsl withl iron
oWhenl takingl iron,l stoolsl willl bel darkl greenl tol black
oThel womanl withl sicklel celll diseasel requiresl closel medicall
andl nursingl care



Q:l Folicl acidl deficiencyl anemia
Answer:
inabilityl tol producel sufficientl redl bloodl cellsl duel tol thel lackl ofl folicl acid,l al Bl
vitaminl essentiall forl erythropoiesis

folatel isl essentiall forl normall g&d



Q:l sicklel celll anemia
Answer:
•l Pregnancyl canl causel al crisis.
•l Massivel erythrocytel destructionl andl vessell occlusion
•l Riskl tol fetusl isl occlusionl ofl vesselsl thatl supplyl thel placenta
•l Canl leadl tol preterml birth,l growthl restriction,l andl fetall demise
•l Oxygenl andl fluidsl arel givenl continuouslyl throughoutl labor



Q:l thalassemia
Answer:
Inheritedl defectl inl abilityl tol producel hemoglobin,l fetusl isl notl affectedl

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