NURl 202/l NUR202l Examl 2l –l Maternal-
Newbornl Nursingl Guide|l Fortisl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Cardiovascularl disordersl inl pregnancy
Answer:
Heartl failure
Pre-eclampsia
Arrhythmias
Q:l Whatl happensl tol al woman'sl bloodl volumel whenl shel getsl pregnant?
Answer:
increasesl byl 30-50%
Q:l Subjectivel symptomsl ofl decomposition
Answer:
•l Increasingl fatiguel orl difficultyl breathing,l orl both,l withl herl usuall activities
•l Feelingl ofl smothering
•l Frequentl cough
•l Palpitations;l feelingl thatl herl heartl isl "racing"
•l Generalizedl edema:l Swellingl ofl face,l feet,l legs,l fingersl (e.g.,l ringsl nol longerl fit)
Q:l Objectivel signsl ofl decomposition
Answer:
•l Irregular,l weak,l rapidl pulsel (≥100l beats/min)
,•l Progressive,l generalizedl edema
•l Cracklesl atl basel ofl lungsl afterl twol inspirationsl andl exhalationsl thatl dol notl clearl
afterl coughing
•l Orthopnea;l increasingl dyspnea
•l Rapidl respirationsl (≥25l breaths/min)
•l Moist,l frequentl cough
•l Cyanosisl ofl lipsl andl naill beds
•l Wetl cough
Q:l Thingsl tol avoidl withl cardiovascularl disorders
Answer:
Strainingl andl constipation
Q:l Openl glottisl pushing
Answer:
Shortl gruntyl pushl withl rapidl breath
Q:l Preeclampsia
Answer:
Abnormall conditionl associatedl withl pregnancyl originatingl froml thel placenta,l markedl byl
highl bloodl pressure,l proteinuria,l edema,l andl HEADACHE
Happensl beforel seizure(eclampsia)
Q:l "PRE"l eclampsia
Answer:
P-l Proteinuria
R-l Risingl bloodl pressure
E-l Edema
,Q:l Eclampsia
Answer:
truel toxemial ofl pregnancyl characterizedl byl highl bloodl pressure,l albuminuria,l edemal ofl
thel legsl andl feet,l severel headaches,l dizziness,l SEIZURES,l andl coma
Q:l Howl tol diagnosel preeclampsia
Answer:
Highl bloodl pressurel and...greaterl thanl 140/90
•l Newl onsetl thrombocytopenia:l plateletsl <l 100,000
•l Renall insufficiency:l proteinurial (2+l orl greaterl onl dipstick)
•l Proteinl Creatininel Ratio:l >0.3
•l Impairedl liverl function:l elevatedl LFTs,l RUQl pain
•l Edemal -l pulmonaryl edemal presentl withl severel features
•l Cerebrall orl visuall symptomsl -l newl onset
•l Headachel unrelievedl withl Tylenol,l "floaters,"l blurryl vision
•l Riskl factors:l Obesity,l Gestationall Diabetes,l Chronicl Hypertension
Q:l Howl tol helpl HAl thatl isl notl relievedl byl tylenol
Answer:
Controll bp
Painl meds
Q:l Whatl medl isl givenl tol helpl preventl seizure
Answer:
Magnesiuml sulfate
Q:l HELLPl syndrome
Answer:
, NOTl SEPERATEl FROMl PREECLAMPSIA
hemolysis
RUQl pain
elevatedl liverl enzymes
lowl plateletsl <100,000
Q:l Whatl isl magnesiuml sulfatel usedl for?
Answer:
tol stopl seizuresl duringl pregnancy
Q:l Howl tol usel magnesiuml sulfate?
Answer:
Infusedl IV
•l 4-6gl loadingl dose,l 2-3g/hrl untill 24hrsl afterl delivery
•l Decreasingl edemal andl increasingl diuresisl asl preeclampsial resolves
•l Maintainl seruml levell 4-7l mEq/Ll -l what'sl normal?l (1.5-2.5l mEq/L)
•l Excretedl inl urinel (assessl UO)l -l atl leastl 30ml/hr
•l SE:l warmth,l flushing,l diaphoresis,l decreasesl uterinel tone
•l Fetall sedationl isl possiblel -l positionl onl sidel forl increasedl perfusionl -l continuousl
monitoring
Q:l Howl oftenl dol youl assessl al ptl onl magnesiuml sulfate?
Answer:
VSl everyl 15-30l minutes
LOC,l UO,l DTRs,l Clonus,l RR,l lungl sounds,l cerebrall orl visuall changesl hourly
•l Decreasingl DTRsl andl clonusl =l effectivel (improvedl CNSl irritability)
Q:l Magnesiuml Sulfatel toxicityl signsl andl symptoms?
Answer:
Newbornl Nursingl Guide|l Fortisl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Cardiovascularl disordersl inl pregnancy
Answer:
Heartl failure
Pre-eclampsia
Arrhythmias
Q:l Whatl happensl tol al woman'sl bloodl volumel whenl shel getsl pregnant?
Answer:
increasesl byl 30-50%
Q:l Subjectivel symptomsl ofl decomposition
Answer:
•l Increasingl fatiguel orl difficultyl breathing,l orl both,l withl herl usuall activities
•l Feelingl ofl smothering
•l Frequentl cough
•l Palpitations;l feelingl thatl herl heartl isl "racing"
•l Generalizedl edema:l Swellingl ofl face,l feet,l legs,l fingersl (e.g.,l ringsl nol longerl fit)
Q:l Objectivel signsl ofl decomposition
Answer:
•l Irregular,l weak,l rapidl pulsel (≥100l beats/min)
,•l Progressive,l generalizedl edema
•l Cracklesl atl basel ofl lungsl afterl twol inspirationsl andl exhalationsl thatl dol notl clearl
afterl coughing
•l Orthopnea;l increasingl dyspnea
•l Rapidl respirationsl (≥25l breaths/min)
•l Moist,l frequentl cough
•l Cyanosisl ofl lipsl andl naill beds
•l Wetl cough
Q:l Thingsl tol avoidl withl cardiovascularl disorders
Answer:
Strainingl andl constipation
Q:l Openl glottisl pushing
Answer:
Shortl gruntyl pushl withl rapidl breath
Q:l Preeclampsia
Answer:
Abnormall conditionl associatedl withl pregnancyl originatingl froml thel placenta,l markedl byl
highl bloodl pressure,l proteinuria,l edema,l andl HEADACHE
Happensl beforel seizure(eclampsia)
Q:l "PRE"l eclampsia
Answer:
P-l Proteinuria
R-l Risingl bloodl pressure
E-l Edema
,Q:l Eclampsia
Answer:
truel toxemial ofl pregnancyl characterizedl byl highl bloodl pressure,l albuminuria,l edemal ofl
thel legsl andl feet,l severel headaches,l dizziness,l SEIZURES,l andl coma
Q:l Howl tol diagnosel preeclampsia
Answer:
Highl bloodl pressurel and...greaterl thanl 140/90
•l Newl onsetl thrombocytopenia:l plateletsl <l 100,000
•l Renall insufficiency:l proteinurial (2+l orl greaterl onl dipstick)
•l Proteinl Creatininel Ratio:l >0.3
•l Impairedl liverl function:l elevatedl LFTs,l RUQl pain
•l Edemal -l pulmonaryl edemal presentl withl severel features
•l Cerebrall orl visuall symptomsl -l newl onset
•l Headachel unrelievedl withl Tylenol,l "floaters,"l blurryl vision
•l Riskl factors:l Obesity,l Gestationall Diabetes,l Chronicl Hypertension
Q:l Howl tol helpl HAl thatl isl notl relievedl byl tylenol
Answer:
Controll bp
Painl meds
Q:l Whatl medl isl givenl tol helpl preventl seizure
Answer:
Magnesiuml sulfate
Q:l HELLPl syndrome
Answer:
, NOTl SEPERATEl FROMl PREECLAMPSIA
hemolysis
RUQl pain
elevatedl liverl enzymes
lowl plateletsl <100,000
Q:l Whatl isl magnesiuml sulfatel usedl for?
Answer:
tol stopl seizuresl duringl pregnancy
Q:l Howl tol usel magnesiuml sulfate?
Answer:
Infusedl IV
•l 4-6gl loadingl dose,l 2-3g/hrl untill 24hrsl afterl delivery
•l Decreasingl edemal andl increasingl diuresisl asl preeclampsial resolves
•l Maintainl seruml levell 4-7l mEq/Ll -l what'sl normal?l (1.5-2.5l mEq/L)
•l Excretedl inl urinel (assessl UO)l -l atl leastl 30ml/hr
•l SE:l warmth,l flushing,l diaphoresis,l decreasesl uterinel tone
•l Fetall sedationl isl possiblel -l positionl onl sidel forl increasedl perfusionl -l continuousl
monitoring
Q:l Howl oftenl dol youl assessl al ptl onl magnesiuml sulfate?
Answer:
VSl everyl 15-30l minutes
LOC,l UO,l DTRs,l Clonus,l RR,l lungl sounds,l cerebrall orl visuall changesl hourly
•l Decreasingl DTRsl andl clonusl =l effectivel (improvedl CNSl irritability)
Q:l Magnesiuml Sulfatel toxicityl signsl andl symptoms?
Answer:
