NUR 2513 / NUR2513 Final Exam (Latest 2022): Maternal Child Nursing - Rasmussen

NUR 2513 / NUR2513 Final Exam (Latest 2022): Maternal Child Nursing - Rasmussen 1. Dysmenorrhea - a common complaint with women - what are the non-pharmacological and pharmacological treatments. Painful periods. Heating pad, rest, birth control, increase fluids, decrease red meats, increase calcium, decrease drug or alcohol, Nsaids (taken consistently), folic acid increase 2. Affects the menstrual cycle STRESS, drug use, overweight, pregnancy, medications, hormones 3. Naegele's rule The rule estimates the expected date of delivery (EDD) by adding a year, subtracting three months, and adding seven days to the origin of gestational age. 4. Risks to pregnancy smoking, alcohol, obesity, diabetes, drug use, HTN, poor nutrition 5. Pregnancy risks that lead to poor perfusion may cause small baby IUGR (identified by smaller fundus) Diabetics/Uncontrolled sugars may have macrocosmic babies, large fundal height, hypoglycemic baby after birth, shoulder dystocia, non-mature lungs from insulin resistance 6. Fetal Assessment heart tones, movement, fundal height 7. Heart tones audible by Doppler at 10-12 weeks 8. Fundal height palpable at 12-14 weeks pubis symphysis 9. Fundal height palpable at 20 weeks umbilicus 10. Fetal movement to mother is felt at 16-18 weeks for multi or 18-20 for prima 11. What is responsible for providing gas exchange to a fetus the placenta 12. Anemia becomes a problem in pregnancy - can you discuss the maternal and fetal risks Low hem = low oxygen = poor perfusion = smaller babies Iron supplement = constipation = fix with increase fluids and fibers and exercise 13. Hyper emesis gravid excessive vomiting that leads to electrolyte imbalances. HYDRATION is vital. IV fluids and antiemetic if can't keep anything down. 14. Hypertension = preeclampsia o Subjective = headache, epigastric pain, visual changes, bloated o Objective = edema, high BP, proteinuria o Interventions = bed rest, dim lights, mag sulfate 4gm bolus and 2gm maintenance, fetal heart monitoring, laying on left side, monitor for respiratory depression/check urine (increased urine with mag bc relaxes vessels to organs), monitor LOC, hourly vitals o 32 week delivery = give steroids (betamethasone) for lungs in fetus 15. Pre term labor - define it, signs and symptoms, treatment modalities and nursing interventions. S+S = pelvic pressure, baby dropped, cramps or contractions, lower back pain, increased discharge, increased urine output Interventions = Fundal check. Fetal heart monitoring. GIVE FLUIDS. Still contracting = possible infection/uti so get UA and treat with IV antibiotics. FFN = test to determine preterm labor test. Check these