NURS 358 Exam 3 Study Guide
Questions And All Actual Answers.
Maternity high risk statistic - Answer -first world countries score highest for maternal mortality
-women die from birth every minute worldwide
-poverty increases risk for maternal mortality
-young women age (15-20 y.o) 2x more likely to die during birth
-highest rate of unsafe abortion and pre-eclampsia
-1/4 of births are high risk
identifying high risk patients - Answer history (biggest screen too)
-want to identify risk factors that put mom and baby at risk
-want to plan subsequent visits
Alcohol (ETOH) - Answer teratogen (common: age 20-40 y.o)
-dont know effects on first trimester
-safe till 6-8 week mark (because they don't know they are pregnant)
fetal alcohol syndrome (FAS) - Answer -physical and mental abnormalities, vary in severity and
combination
-growth deficency
-learning deficencies
Fetal alcohol effects (not as severe)
-baby can experience withdraw symptoms
Nursing implications Alcohol (ETOH) - Answer -cant breastfeed when drunk (if you're drunk,
baby drunk) wait an hour for 1 standard drink
-can also pump and dump to maintain breastmilk supply or use test strips
-nursing management: dont tell moms they can't drink, just advise them on safely drinking and
breastfeeding
,-long term effects on development
-if you're high baby is high
Drug use in maternity - Answer consider a possibility with all patients (must ask every patient
if they take drugs or abuse them)
why assume they take drugs?
-they lie
-very difficult to change behaviors
-may go hand in with other problems (socioeconomic)
-polydrug substance abuse
(we give methadone for all pregnant woman with drug abuse, no naloxone medications)
Crack and cocaine - Answer -snorting, smoking, IV
-CNS stimulant
(vasoconstiction, decreased blood flow to brain, heart, placenta)
causes: decreased sleep and appetite, tachycardia, interferes with baby and moms neurons
IUGR, meconium aspiration/hpoxia
-microencephaly
-placental abruption
-low APGAR score
-Neurobehavioral disturbances (ADHD)
Baby: poor consolable, poor suck reflex (cant eat) high pitch cry
mom: at severe risk for Hemorrhage, preterm labor
Methamphetamine - Answer ages (18-34 y.o) (vasoconstriction) CNS stimulant
, -poor oral/dental condition
Causes:
-IUGR
-abnormal reflexes
-extreme irritability
-elevated risk of congenital anomalies
-placental abruption
Heroin/opiates - Answer CNS depressant
-alters perception, produces euphoria (poor nutrition)
-vasoconstiction of placenta, brain, lungs
-have to go on methadone/subutex
(withdraw can cause SAB or preterm birth)
-higher risk of STI due to risky behavior
-IUGR
-meconium aspiration/hypoxia
-respiratory distress
Baby addiction - Answer -restlessness
-shrill high pitch cry
-irritability
-fist sucking/excessive sucking
-vomiting
-seizures
-tachypnea
-tremors
(disturbed: light/sound present)
(undisturbed: no light/sound present)
Questions And All Actual Answers.
Maternity high risk statistic - Answer -first world countries score highest for maternal mortality
-women die from birth every minute worldwide
-poverty increases risk for maternal mortality
-young women age (15-20 y.o) 2x more likely to die during birth
-highest rate of unsafe abortion and pre-eclampsia
-1/4 of births are high risk
identifying high risk patients - Answer history (biggest screen too)
-want to identify risk factors that put mom and baby at risk
-want to plan subsequent visits
Alcohol (ETOH) - Answer teratogen (common: age 20-40 y.o)
-dont know effects on first trimester
-safe till 6-8 week mark (because they don't know they are pregnant)
fetal alcohol syndrome (FAS) - Answer -physical and mental abnormalities, vary in severity and
combination
-growth deficency
-learning deficencies
Fetal alcohol effects (not as severe)
-baby can experience withdraw symptoms
Nursing implications Alcohol (ETOH) - Answer -cant breastfeed when drunk (if you're drunk,
baby drunk) wait an hour for 1 standard drink
-can also pump and dump to maintain breastmilk supply or use test strips
-nursing management: dont tell moms they can't drink, just advise them on safely drinking and
breastfeeding
,-long term effects on development
-if you're high baby is high
Drug use in maternity - Answer consider a possibility with all patients (must ask every patient
if they take drugs or abuse them)
why assume they take drugs?
-they lie
-very difficult to change behaviors
-may go hand in with other problems (socioeconomic)
-polydrug substance abuse
(we give methadone for all pregnant woman with drug abuse, no naloxone medications)
Crack and cocaine - Answer -snorting, smoking, IV
-CNS stimulant
(vasoconstiction, decreased blood flow to brain, heart, placenta)
causes: decreased sleep and appetite, tachycardia, interferes with baby and moms neurons
IUGR, meconium aspiration/hpoxia
-microencephaly
-placental abruption
-low APGAR score
-Neurobehavioral disturbances (ADHD)
Baby: poor consolable, poor suck reflex (cant eat) high pitch cry
mom: at severe risk for Hemorrhage, preterm labor
Methamphetamine - Answer ages (18-34 y.o) (vasoconstriction) CNS stimulant
, -poor oral/dental condition
Causes:
-IUGR
-abnormal reflexes
-extreme irritability
-elevated risk of congenital anomalies
-placental abruption
Heroin/opiates - Answer CNS depressant
-alters perception, produces euphoria (poor nutrition)
-vasoconstiction of placenta, brain, lungs
-have to go on methadone/subutex
(withdraw can cause SAB or preterm birth)
-higher risk of STI due to risky behavior
-IUGR
-meconium aspiration/hypoxia
-respiratory distress
Baby addiction - Answer -restlessness
-shrill high pitch cry
-irritability
-fist sucking/excessive sucking
-vomiting
-seizures
-tachypnea
-tremors
(disturbed: light/sound present)
(undisturbed: no light/sound present)
