WGU D447 LATEST EXAM WITH DETAILEDQ UESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
Epiglottitis
a severe and potentially fatal swelling of the epiglottis, the flap of tissue
that prevents food from entering the windpipe during swallowing
epiglottitis s/s
anxious, restlessness, stridor, high fever, sore throat, hoarse, muffled
voice, drooling, pt in tripod, dysphagia, respiratory distress
Epiglottitis treatment
secure airway with intubation or anticipate it, antibiotics,
corticosteroids
postpartum hemorrhage
blood loss of >50] in vaginal delivery, >1000 in C-section
,postpartum hemorrhage risk factors
uterine atony (boggy), magnesium administration, birth canal trauma,
precipitous delivery (quick labor), retained placental fragments, uterus
inversion or subinvolution, coagulopathies, multiparity, fetal
macrosomia (baby over 8lbs 13oz), long labor
PPH s/s
saturating pad every 15 min, soft/boggy uterus, large blood clots,
constant blood flow from vagina, s/s hypovolemic shock (tachycardia,
hypotension, cool/clammy skin)
postpartum hemorrhage
low hemoglobin and hematocrit
PPH Tx
uterine stimulants-oxytocin, methylergonovine (except in pt with
hypertension) misoprostol (safe for high bp), arborist. bimanual
, compression, uterine packing, surgical intervention (i.e. artery ligation,
hematoma evacuation, hysterectomy.) empty bladder
pp. nursing considerations
firmly massage fundus every 15 min for 1-2 hours, administer o2, IV
fluids, blood products as ordered. elevate patients’ legs
gestational diabetes goal
use diet and exercise to keep glucose levels within normal range
gestational diabetes leads to
macrosomia, hypoglycemia in newborn preterm labor, PROM, elevated
hematocrit in newborn, respiratory distress syndrome (underdeveloped
lungs in newborn). impaired glucose tolerance during pregnancy.
gestational diabetes RF
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
Epiglottitis
a severe and potentially fatal swelling of the epiglottis, the flap of tissue
that prevents food from entering the windpipe during swallowing
epiglottitis s/s
anxious, restlessness, stridor, high fever, sore throat, hoarse, muffled
voice, drooling, pt in tripod, dysphagia, respiratory distress
Epiglottitis treatment
secure airway with intubation or anticipate it, antibiotics,
corticosteroids
postpartum hemorrhage
blood loss of >50] in vaginal delivery, >1000 in C-section
,postpartum hemorrhage risk factors
uterine atony (boggy), magnesium administration, birth canal trauma,
precipitous delivery (quick labor), retained placental fragments, uterus
inversion or subinvolution, coagulopathies, multiparity, fetal
macrosomia (baby over 8lbs 13oz), long labor
PPH s/s
saturating pad every 15 min, soft/boggy uterus, large blood clots,
constant blood flow from vagina, s/s hypovolemic shock (tachycardia,
hypotension, cool/clammy skin)
postpartum hemorrhage
low hemoglobin and hematocrit
PPH Tx
uterine stimulants-oxytocin, methylergonovine (except in pt with
hypertension) misoprostol (safe for high bp), arborist. bimanual
, compression, uterine packing, surgical intervention (i.e. artery ligation,
hematoma evacuation, hysterectomy.) empty bladder
pp. nursing considerations
firmly massage fundus every 15 min for 1-2 hours, administer o2, IV
fluids, blood products as ordered. elevate patients’ legs
gestational diabetes goal
use diet and exercise to keep glucose levels within normal range
gestational diabetes leads to
macrosomia, hypoglycemia in newborn preterm labor, PROM, elevated
hematocrit in newborn, respiratory distress syndrome (underdeveloped
lungs in newborn). impaired glucose tolerance during pregnancy.
gestational diabetes RF
