AWHON Module 8 Questions and Answers 100% Pass

AWHON Module 8 Questions and Answers 100% Pass The drug of choice to reverse the effects of anticoagulant therapy is protamine sulfate via slow IV push. Svetlana has a history of Marfan syndrome and has arrived for an office visit for preconception counseling. Her primary care provider has ordered laboratory work and an echocardiogram to help determine the potential childbearing options. The prognosis for maternal outcomes in pregnancies of women with Marfan syndrome is related to degree of aortic root dilation. The normal decline in systemic vascular resistance that occurs in pregnancy may become problematic for women with cardiac lesions or cardiac diseases. Which describes a shunt reversal that involves unoxygenated blood delivered into the systemic circulation? right to left Marielle has been admitted to the intensive care unit with worsening pulmonary edema after being treated for preterm labor. She is wearing a Venturi mask with 40% oxygen for worsening blood gases. The primary care physician suspects acute respiratory distress syndrome. Which medications should be avoided while Marielle is in critical condition? terb Halili has a history of mechanical valve replacement and has been on anticoagulants during pregnancy. Her medications were discontinued in labor. She had a normal spontaneous vaginal birth 2 hours ago and has just completed her recovery period. Her anticoagulant therapy should be reinitiated after birth within 6 hours The cardiac lesions that may be more likely to present for the first time in pregnancy because of increased demands on the heart are valvular Intensive nursing and medical management in women with pregestational diabetes should begin in the preconception period. Treating hypertension with vasodilating agents during pregnancy may be associated with decreased uteroplacental blood flow. Mrs. J. has been receiving heparin therapy and is being transitioned to warfarin in the postpartum period. Which of the following medications may act as antagonists or decrease the actions of warfarin? Aspirin, antihistamines, and vitamin K (wrong) Which of the following is a cause of vascular permeability (noncardiogenic) pulmonary edema? Preeclampsia Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac muscle, resulting in decreased cardiac output? Cardiomyopathy Linnette arrives at her 16 week prenatal visit reporting worsening asthma symptoms. The fetal heart rate is 142 beats per minute and Linnette has gained 2 pounds since her previous visit 4 weeks ago. Her breath sounds include bilateral wheezes, and she has a chronic dry cough. Which of the following medications should Linnette avoid during her pregnancy? Cough suppressants The period of time during labor and birth when the greatest cardiac stress associated with the highest cardiac output occurs is the immediate postpartum period. When assessing a pregnant woman with rheumatic heart disease at 28 weeks gestation, you must be alert for signs of cardiac decompensation. A sign of cardiac decompensation is rapid irreg weak pulse In patients with chronic hypertension, elevated uric acid levels in which of the following ranges may indicate risk for superimposed preeclampsia? 4.5-6.0 mg/dl (268-357 umol/l) A pregnant woman who has been on anticoagulant therapy and is receiving regional anesthesia is at risk for epidural hematoma Vaginal birth is the preferred method of delivery for most women with cardiac disease. One indication for cesarean birth may be use of warfarin therapy within 2 weeks of delivery. Maternal cardiac output begins to increase by 5 weeks gestation and peaks at 25-30 weeks Mrs. Madison has arrived at her prenatal visit at 36 weeks gestation. She has gestational diabetes, and her glucose levels have been controlled by diet alone. She documented several high glucose values over the past week. It is important to discuss that prolonging pregnancy beyond 38 weeks in women with diabetes may result in fetal macrosomia. Advanced maternal age, hypertension, and diabetes are risk factors associated with which type of cardiac disease in pregnancy? ischemic You are caring for a mother/baby couplet. Approximately 40 hours ago, Melinda, a 32-year-old primiparous woman, had an urgent cesarean birth after a prolonged second stage of labor during which she had a Category-III abnormal fetal heart tracing. Melinda has been weepy and has not wanted to get out of bed. She describes symptoms of dyspnea, abdominal pain, and chest pain. Her vital signs are blood pressure of 84/56 while lying down, pulse of 118 beats per minute, and respirations of 26 breaths per minute. Melinda is displaying symptoms of pulmonary embolus Jing is a 36-year-old multiparous woman who presents for a routine prenatal visit. She says she has pain in her right lower leg. Her calf is inflamed and warm to touch. A noninvasive diagnostic tool that may be used in pregnancy to determine whether Jing has deep vein thrombosis is doppler US Pregnant woman who have undiagnosed and untreated hypothyroidism are at risk for preeclampsia, placental abruption, and stillbirth. Zahara is admitted at 32 weeks gestation with a headache, nausea, vomiting, epigastric pain, and malaise. She is a primiparous woman with a twin gestation pregnancy who was recently diagnosed with preeclampsia. Zahara is at risk for which autosomally inherited disorder? Acute fatty liver disease Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-hour urine levels exceed 300 Mrs. Barnes is 14 weeks pregnant and presents with a history of atrial fibrillation in conjunction with mitral valve stenosis. Her primary care provider has determined that she should be treated with anticoagulant therapy throughout her pregnancy. Which anticoagulant is superior in preventing clot formation but is also a known teratogen and should not be used during organogenesis? warfarin