Final Exam NR465 with 121 complete
solutions 100% rated.
Final Exam NR465 with 121 complete
solutions 100% rated.
Briefly describe the pathophysiology associated with diabetes during pregnancy (what happens) -
ANSWER Blood glucose rises as insulin sensitivity falls. gestational diabetes, β-cells fail to compensate
for the demands of pregnancy, and, when combined with reduced insulin sensitivity, this results in
hyperglycemia2.
Explain appropriate interventions when caring for a pregnant woman with Type I diabetes and
gestational diabetes. - ANSWER
Summarize expected routine screening for diabetes during pregnancy. - ANSWER OOGT test where
fasting blood glucose is taken then drink syrup solution and follow up BGL done to see how body
responds to glucose.
- ANSWER
Discuss indications for use of magnesium sulfate during pregnancy, what expected side effects of this
drug? What are the risks? - ANSWER Given for hypertension in pregnancy but is not an antihypertensive
it relaxes the CNS. Side effects include lethargy. Risks of this drug is respiratory depression from toxicity.
Violence against women...who is at risk and nursing interventions. - ANSWER Anyone at risk, but
especially women from low economic background, low education level, existing history of violence,
violence usually gets worse with pregnancy. Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV routine medical history, resources should be
posted in obvious and easily accessible place.
What nursing management can be expected for a woman on mag sulfate. - ANSWER Expect the need to
monitor SPO2 via pulse oximetry.
Presumptive signs of pregnancy - ANSWER subjective changes that might make a woman think she is
pregnant
,Final Exam NR465 with 121 complete
solutions 100% rated.
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged
Montgomery glands), quickening(slight fluttering movements of the fetus felt by the women, usually
between 16-20 wks of gestation).
What risks exist for the newborn of a mother who was on mag sulfate? - ANSWER Newborn is also at
risk for late decelerations and respiratory depression outside of the womb.
Recommendations of diet and teaching for osteoporosis (review your questions you submitted). -
ANSWER Calcium Vitamin D Low fat or fat free diet
Want to avoid alcohol and smoking and increasing weight baring exercises to decrease factor risk. Also
want to avoid falls and certain medications that will also increase fracture risk including gluticosteroids,
heparin, antiepleptics, and aromatase inhibitors which is used for the tx of breast cancer.
Signs and symptoms of osteoporosis and management - ANSWER Risk factors: past fracture, certain
medical conditions or medications, or cigarette or alcohol use Signs and
symptoms: Back pain, stooped posture, loss of height, multiple fractures easily occur.
Treatment: with hormone therapy or medication that slow the break down of bone or a drug that
stimulates new bone formation. Remove risk factors and increase habits that will decrease risk factors.
Violence against women...who is at risk and nursing interventions. - ANSWER Anyone at risk, but
especially women from low economic background, low education level, existing history of violence,
violence usually gets worse with pregnancy. Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV routine medical history, resources should be
posted in obvious and easily accessible place.
probable signs of pregnancy - ANSWER objective: notable on exam: goodell's sign, chadwick's sign,
hegar's sign, braxton hicks contractions, ballottement, abdominal striae, pregnancy test
positive signs of pregnancy - ANSWER heart sounds, visualization of fetus, movement of fetus
, Final Exam NR465 with 121 complete
solutions 100% rated.
McDonalds rule - ANSWER fundal height in cm's equals wks gestation w/in 2 wks
Nagal's Rule - ANSWER take date of womans last period subtract 3 months and add 7 days
GTPAL - ANSWER Gravida- # of total pregnancies
Term-37-40 weeks
Preterm- before 20 weeks
Abortions- loss
Living- children
quickening - ANSWER the first movement of the fetus in the uterus that can be felt by the mother
lightening - ANSWER fundal height drop- the sensation of the fetus moving from high in the abdomen to
low in the birth canal
Hegar sign - ANSWER softening of the lower uterine segment
Braxton Hicks contractions - ANSWER Uterine contractions during pregnancy- probable sign
chlosma - ANSWER group of brownish macules (nonelevated spots) occuring in one place. commonly
called liver spots; often occurs on hands and face usually from hormone changes
Lordosis in pregnancy - ANSWER increase of curvature of the lower back
constipation in pregnancy - ANSWER harden/ difficult passage of stool from increased hormones
reflux in pregnancy - ANSWER food pushed slower to increase nutrient absorption
solutions 100% rated.
Final Exam NR465 with 121 complete
solutions 100% rated.
Briefly describe the pathophysiology associated with diabetes during pregnancy (what happens) -
ANSWER Blood glucose rises as insulin sensitivity falls. gestational diabetes, β-cells fail to compensate
for the demands of pregnancy, and, when combined with reduced insulin sensitivity, this results in
hyperglycemia2.
Explain appropriate interventions when caring for a pregnant woman with Type I diabetes and
gestational diabetes. - ANSWER
Summarize expected routine screening for diabetes during pregnancy. - ANSWER OOGT test where
fasting blood glucose is taken then drink syrup solution and follow up BGL done to see how body
responds to glucose.
- ANSWER
Discuss indications for use of magnesium sulfate during pregnancy, what expected side effects of this
drug? What are the risks? - ANSWER Given for hypertension in pregnancy but is not an antihypertensive
it relaxes the CNS. Side effects include lethargy. Risks of this drug is respiratory depression from toxicity.
Violence against women...who is at risk and nursing interventions. - ANSWER Anyone at risk, but
especially women from low economic background, low education level, existing history of violence,
violence usually gets worse with pregnancy. Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV routine medical history, resources should be
posted in obvious and easily accessible place.
What nursing management can be expected for a woman on mag sulfate. - ANSWER Expect the need to
monitor SPO2 via pulse oximetry.
Presumptive signs of pregnancy - ANSWER subjective changes that might make a woman think she is
pregnant
,Final Exam NR465 with 121 complete
solutions 100% rated.
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged
Montgomery glands), quickening(slight fluttering movements of the fetus felt by the women, usually
between 16-20 wks of gestation).
What risks exist for the newborn of a mother who was on mag sulfate? - ANSWER Newborn is also at
risk for late decelerations and respiratory depression outside of the womb.
Recommendations of diet and teaching for osteoporosis (review your questions you submitted). -
ANSWER Calcium Vitamin D Low fat or fat free diet
Want to avoid alcohol and smoking and increasing weight baring exercises to decrease factor risk. Also
want to avoid falls and certain medications that will also increase fracture risk including gluticosteroids,
heparin, antiepleptics, and aromatase inhibitors which is used for the tx of breast cancer.
Signs and symptoms of osteoporosis and management - ANSWER Risk factors: past fracture, certain
medical conditions or medications, or cigarette or alcohol use Signs and
symptoms: Back pain, stooped posture, loss of height, multiple fractures easily occur.
Treatment: with hormone therapy or medication that slow the break down of bone or a drug that
stimulates new bone formation. Remove risk factors and increase habits that will decrease risk factors.
Violence against women...who is at risk and nursing interventions. - ANSWER Anyone at risk, but
especially women from low economic background, low education level, existing history of violence,
violence usually gets worse with pregnancy. Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV routine medical history, resources should be
posted in obvious and easily accessible place.
probable signs of pregnancy - ANSWER objective: notable on exam: goodell's sign, chadwick's sign,
hegar's sign, braxton hicks contractions, ballottement, abdominal striae, pregnancy test
positive signs of pregnancy - ANSWER heart sounds, visualization of fetus, movement of fetus
, Final Exam NR465 with 121 complete
solutions 100% rated.
McDonalds rule - ANSWER fundal height in cm's equals wks gestation w/in 2 wks
Nagal's Rule - ANSWER take date of womans last period subtract 3 months and add 7 days
GTPAL - ANSWER Gravida- # of total pregnancies
Term-37-40 weeks
Preterm- before 20 weeks
Abortions- loss
Living- children
quickening - ANSWER the first movement of the fetus in the uterus that can be felt by the mother
lightening - ANSWER fundal height drop- the sensation of the fetus moving from high in the abdomen to
low in the birth canal
Hegar sign - ANSWER softening of the lower uterine segment
Braxton Hicks contractions - ANSWER Uterine contractions during pregnancy- probable sign
chlosma - ANSWER group of brownish macules (nonelevated spots) occuring in one place. commonly
called liver spots; often occurs on hands and face usually from hormone changes
Lordosis in pregnancy - ANSWER increase of curvature of the lower back
constipation in pregnancy - ANSWER harden/ difficult passage of stool from increased hormones
reflux in pregnancy - ANSWER food pushed slower to increase nutrient absorption
