NURS 534 FINAL EXAM WITH 500+ REAL
QUESTIONS AND WELL VERIFIED ANSWERS
100% CORRECT // ALREADY GRADED A + //
GUARANTEED PASS // LATEST 2024/2025 //
NURS534
what are the cardiac changes during pregnancy? - ANSWER--heart moves upward
and to the left to allow expansion
- cardiac output increases 30-50%
-supine hypotension- compression of venacava
SBP decreases but returns to normal near term
-slowed venous blood flow to the legs
-stagnation of BF in lower extremities- varicose veins and hemorrhoids
-dependent edema
-predispose to DVT
what are hematological changes during pregnancy? - ANSWER--RBC- H/H
decrease slightly
- iron metabolism increases
-coagulation and fibrinolysis
what are respiratory changes during pregnancy? - ANSWER--diaphragm rises-
4cm
-thoracic circumference rises
,- nasal and respiratory mucosa can become edematous and hyperemic due to
increases in estrogen and blood volume (rhinitis and congestion)
what are renal system changes during pregnancy? - ANSWER--dilation and
enlargement of kidneys and ureters
-enlarging uterus causes compression of ureters
-progesterone causes dilation of ureter thru relax of smooth muscle
-bladder capacity decreases
-stress incontinence
what are integumentary changes during pregnancy? - ANSWER-- mechanical
stretching
-hyperpigmentation
- facial melasma
-linea nigra
-striae gravidarum
-palmar erythema
-pruritus
-gum hypertrophy
- accelerated nail and hair growth
-oily skin/acne
-hirsutism
-increased perspiration
what are musculoskeletal changes that occur? - ANSWER-= pelvic tilt forward
= decreased abd tone
,= change in center of gravity
=waddling gait
=relaxation and increased mobility of pelvic joint
what are pregnancy changes in GI? - ANSWER--morning sickness
- changes in appetite
-swollen gums that bleed easily
-decreased tone and motility of smooth muscles
-constipation
-increase in volume of gallbladder
-gas
-distention
what are endocrine changes during preggo? - ANSWER--elevated levels of
estrogen and progesterone
-HCG
-oxytocin- stim uterine contractions
-prolactin- initial lactation
What could bleeding in the first trimester mean? - ANSWER--spontaneous
abortion (threatened, complete, incomplete, inevitable, missed, septic)
-ectopic preggo
what can cause a spontaneous abortion? - ANSWER--half are chromosomal
abnormalities
- infectious- chlamydia, toxo, HSV
, -endocrine- hypo/hyper thyroid
-envtl- smoking, alcohol, radiation
- immunological- genetic coagulopathies
-uterine- uterine leiomyomas, congenital abnormalities
- trauma
what are the diagnostics for spontaneous abortions? - ANSWER--CBC
-blood type and Rh
=cervical cultures
-quantitative preggo test- increase, decreasing?
-ultrasound-
what is the treatment for spontaneous abortion? - ANSWER--D&C-
-Medical- misoprostol- induces uterine contractions and expulsion of products,
repeat doses if needed
- expectant-
what are risk factors for ectopic preggos? - ANSWER--infections
-congenital anomaly
-surgery
-endometriosis
-sterilization reverse
-in vitro ferto
-IUD
What causes preterm labor? - ANSWER-=premature rupture of membranes
QUESTIONS AND WELL VERIFIED ANSWERS
100% CORRECT // ALREADY GRADED A + //
GUARANTEED PASS // LATEST 2024/2025 //
NURS534
what are the cardiac changes during pregnancy? - ANSWER--heart moves upward
and to the left to allow expansion
- cardiac output increases 30-50%
-supine hypotension- compression of venacava
SBP decreases but returns to normal near term
-slowed venous blood flow to the legs
-stagnation of BF in lower extremities- varicose veins and hemorrhoids
-dependent edema
-predispose to DVT
what are hematological changes during pregnancy? - ANSWER--RBC- H/H
decrease slightly
- iron metabolism increases
-coagulation and fibrinolysis
what are respiratory changes during pregnancy? - ANSWER--diaphragm rises-
4cm
-thoracic circumference rises
,- nasal and respiratory mucosa can become edematous and hyperemic due to
increases in estrogen and blood volume (rhinitis and congestion)
what are renal system changes during pregnancy? - ANSWER--dilation and
enlargement of kidneys and ureters
-enlarging uterus causes compression of ureters
-progesterone causes dilation of ureter thru relax of smooth muscle
-bladder capacity decreases
-stress incontinence
what are integumentary changes during pregnancy? - ANSWER-- mechanical
stretching
-hyperpigmentation
- facial melasma
-linea nigra
-striae gravidarum
-palmar erythema
-pruritus
-gum hypertrophy
- accelerated nail and hair growth
-oily skin/acne
-hirsutism
-increased perspiration
what are musculoskeletal changes that occur? - ANSWER-= pelvic tilt forward
= decreased abd tone
,= change in center of gravity
=waddling gait
=relaxation and increased mobility of pelvic joint
what are pregnancy changes in GI? - ANSWER--morning sickness
- changes in appetite
-swollen gums that bleed easily
-decreased tone and motility of smooth muscles
-constipation
-increase in volume of gallbladder
-gas
-distention
what are endocrine changes during preggo? - ANSWER--elevated levels of
estrogen and progesterone
-HCG
-oxytocin- stim uterine contractions
-prolactin- initial lactation
What could bleeding in the first trimester mean? - ANSWER--spontaneous
abortion (threatened, complete, incomplete, inevitable, missed, septic)
-ectopic preggo
what can cause a spontaneous abortion? - ANSWER--half are chromosomal
abnormalities
- infectious- chlamydia, toxo, HSV
, -endocrine- hypo/hyper thyroid
-envtl- smoking, alcohol, radiation
- immunological- genetic coagulopathies
-uterine- uterine leiomyomas, congenital abnormalities
- trauma
what are the diagnostics for spontaneous abortions? - ANSWER--CBC
-blood type and Rh
=cervical cultures
-quantitative preggo test- increase, decreasing?
-ultrasound-
what is the treatment for spontaneous abortion? - ANSWER--D&C-
-Medical- misoprostol- induces uterine contractions and expulsion of products,
repeat doses if needed
- expectant-
what are risk factors for ectopic preggos? - ANSWER--infections
-congenital anomaly
-surgery
-endometriosis
-sterilization reverse
-in vitro ferto
-IUD
What causes preterm labor? - ANSWER-=premature rupture of membranes
