NUR 221 Exam Questions with Correct Answers Verified by Experts| Latest Update
What is methotrexate? used to treat ectopic pregnancy and molar pregnancy
What instruction would you give for women in methotrexate therapy? it is a chemotherapy
drug
avoid getting urine everywhere
double gloves, double flush
May have N/V, neutropenia, hair loss
Avoid gas forming food and food with folic acid
bleeding/cramping call doctor immediately
for follow up HCG will be measure weekly
Avoid getting pregnant for 3 months
What is goal of gestational diabetes? strict blood glucose control
When women are screened for gestational diabetes mellitus? at 24 and 28 weeks
What are the interventions for mothers with gestational diabetes? mother but on 2000 -
2500 caloric diet, advised to get come exercise
must visit doctor once a week
if not under control with diet, may require glyburide/insulin
What are some defects caused by diabetes? miscarriage
congenital malformations
respiratory distress syndrome
extreme prematurity
IUFD (stillbirth)
, hyperglycemia in the 1st trimester is the main cause of birth defect because this is when organs
are forming
What is an intervention if someone is taking iron supplement? vit c to help absorption
"Do not drink with milk" it decreased absorption
- dark leafy veggies
- legumes
- meat/liver
- whole grains
- dried fruit
What are the complications of iron deficiency anime and folate deficiency anemia? Iron: low
birth weight, postpartum hemorrhage
Folate: Neural tube defects (defects of brain, spine, or spinal cord) Spina bifida
What are the intervention of hyperemesis gravidarum? severe vomiting
- IV fluid
Premature Rupture of Membranes (PROM) rupture of amniotic sac and leakage of amniotic
fluid (beginning at least 1 hour before onset of labor at any gestational age)
Preterm Premature Rupture of Membranes (PPROM) membrane rupture before 37 weeks of
gestation
PPROM risk factors: history of prior preterm (PROM)
Short <25mm cervical length identified by transvaginal ultrasound
2nd - 3rd trimester bleeding
What is methotrexate? used to treat ectopic pregnancy and molar pregnancy
What instruction would you give for women in methotrexate therapy? it is a chemotherapy
drug
avoid getting urine everywhere
double gloves, double flush
May have N/V, neutropenia, hair loss
Avoid gas forming food and food with folic acid
bleeding/cramping call doctor immediately
for follow up HCG will be measure weekly
Avoid getting pregnant for 3 months
What is goal of gestational diabetes? strict blood glucose control
When women are screened for gestational diabetes mellitus? at 24 and 28 weeks
What are the interventions for mothers with gestational diabetes? mother but on 2000 -
2500 caloric diet, advised to get come exercise
must visit doctor once a week
if not under control with diet, may require glyburide/insulin
What are some defects caused by diabetes? miscarriage
congenital malformations
respiratory distress syndrome
extreme prematurity
IUFD (stillbirth)
, hyperglycemia in the 1st trimester is the main cause of birth defect because this is when organs
are forming
What is an intervention if someone is taking iron supplement? vit c to help absorption
"Do not drink with milk" it decreased absorption
- dark leafy veggies
- legumes
- meat/liver
- whole grains
- dried fruit
What are the complications of iron deficiency anime and folate deficiency anemia? Iron: low
birth weight, postpartum hemorrhage
Folate: Neural tube defects (defects of brain, spine, or spinal cord) Spina bifida
What are the intervention of hyperemesis gravidarum? severe vomiting
- IV fluid
Premature Rupture of Membranes (PROM) rupture of amniotic sac and leakage of amniotic
fluid (beginning at least 1 hour before onset of labor at any gestational age)
Preterm Premature Rupture of Membranes (PPROM) membrane rupture before 37 weeks of
gestation
PPROM risk factors: history of prior preterm (PROM)
Short <25mm cervical length identified by transvaginal ultrasound
2nd - 3rd trimester bleeding
