NUR 166 Fall 24
Final Exam Review
Exemplar Medication (Indications for use, Nursing
considerations)
How often women go to the doctor during pregnancy? Ferrous sulfate (Iron)
Physiological changes in Folic Acid- prevent neural-tube defects (Spina Bifida,
pregnancy anencephaly, gastroschisis)
Signs:
Presumptive- Mom feels/ reports Prenatal Vitamins
Probable- practitioner feels/ observes Penicillin- IVPB during labor for women with pos GBS
Positive- heartbeat, ultrasound visual, and audio-heartbeat Rh Immune Globulin (RHOgam)- Pregnant women who
are Rh NEG
Fetal diagnostic tests
Immunizations in
GTPAL (https://www.bing.com/videos/riverview/Bing pregnancy /NO live vaccines
Videosrelatedvideo?q=nurse+in+the+making+gtpal&mid)
Gravida= number of times a woman has been pregnant IM Flu vaccine OK/Flu Nasal Spray NO
Para= number of pregnancies that end after 20 weeks NO MMR (Sub-q)
Term (>37 weeks) , preterm (20-37) Tdap OK after 29 weeks (IM)
Abortions/miscarriage
< 20weeks
Live (Alive)
Naegles rule= due date based last period
1st day of last period= subtract 3 months= add 7 days= year
Pregnancy Complications
Magnesium sulfate “slows/softens”
Preeclampsia - CNS depressant
- Anti-seizure
- signs of toxicity (Antidote Calcium Gluconate)
, NUR 166 Fall 24
Final Exam Review
HELLP Syndrome (severe form of preeclampsia)
(Hemolysis, Elevated liver enzymes, Low platelets)
Prevent onset of seizure= Eclampsia
Molar Pregnancy (Hydatiform Mole/Gestational Trophoblastic
Disease)
- Signs and symptoms
Hyperemesis Gravidarum
- Nursing Interventions
TORCH
- Cytomegalovirus (Blueberry muffin rash)
- Rubella
- Herpesvirus : C-section for active outbreak
-Toxoplasmosis : KITTY LITTER
Gestational Diabetes
Screening 24 – 28 weeks
1 hour= 50gms solution (BS in 1 hour. ≥ 140 = must complete 3 hr)
3 hour= 75gms solution (BS in 3 hours. ≥ 140 = Official diagnosis)
diet controlled
Macrosomia= large baby
Final Exam Review
Exemplar Medication (Indications for use, Nursing
considerations)
How often women go to the doctor during pregnancy? Ferrous sulfate (Iron)
Physiological changes in Folic Acid- prevent neural-tube defects (Spina Bifida,
pregnancy anencephaly, gastroschisis)
Signs:
Presumptive- Mom feels/ reports Prenatal Vitamins
Probable- practitioner feels/ observes Penicillin- IVPB during labor for women with pos GBS
Positive- heartbeat, ultrasound visual, and audio-heartbeat Rh Immune Globulin (RHOgam)- Pregnant women who
are Rh NEG
Fetal diagnostic tests
Immunizations in
GTPAL (https://www.bing.com/videos/riverview/Bing pregnancy /NO live vaccines
Videosrelatedvideo?q=nurse+in+the+making+gtpal&mid)
Gravida= number of times a woman has been pregnant IM Flu vaccine OK/Flu Nasal Spray NO
Para= number of pregnancies that end after 20 weeks NO MMR (Sub-q)
Term (>37 weeks) , preterm (20-37) Tdap OK after 29 weeks (IM)
Abortions/miscarriage
< 20weeks
Live (Alive)
Naegles rule= due date based last period
1st day of last period= subtract 3 months= add 7 days= year
Pregnancy Complications
Magnesium sulfate “slows/softens”
Preeclampsia - CNS depressant
- Anti-seizure
- signs of toxicity (Antidote Calcium Gluconate)
, NUR 166 Fall 24
Final Exam Review
HELLP Syndrome (severe form of preeclampsia)
(Hemolysis, Elevated liver enzymes, Low platelets)
Prevent onset of seizure= Eclampsia
Molar Pregnancy (Hydatiform Mole/Gestational Trophoblastic
Disease)
- Signs and symptoms
Hyperemesis Gravidarum
- Nursing Interventions
TORCH
- Cytomegalovirus (Blueberry muffin rash)
- Rubella
- Herpesvirus : C-section for active outbreak
-Toxoplasmosis : KITTY LITTER
Gestational Diabetes
Screening 24 – 28 weeks
1 hour= 50gms solution (BS in 1 hour. ≥ 140 = must complete 3 hr)
3 hour= 75gms solution (BS in 3 hours. ≥ 140 = Official diagnosis)
diet controlled
Macrosomia= large baby
