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NURS 629 Exam 3 (OB-GYN) 90 QUESTIONS AND
ANSWERS LATEST SOLUTION GUIDE (VERIFIED BY
EXPERT).GUARANTEED SUCCESS.
What antibiotics are safe for UTI during pregnancy? - Correct answer Macrobid, Ampicillin, Keflex, Pyridium What antibiotic is unsafe during preganancy? - Correct answer Bactrim (<13 w or
36 w) Are oral hypoglycemics okay in pregnancy? - Correct answer NO!!! What medication do you use to treat DM during pregnancy? - Correct answer Insulin Name the 5 infant risk factors for an infant with a DM mother - Correct answer 1. NTD
- Cardiac Defects
- Macrosomia
- Intra-Uterine Growth Restrictions
- Hyperbili What complications can Macrosomia cause to an infant? - Correct answer Truncal Fat, Shoulder Dystocia, Hypoglycemia, Hyperglycemia (Delay in lung maturation), Hypoxia (Cerebal Palsy) How is the 1 hour glucose test performed? - Correct answer 24-28 weeks drink 50G of glucose (BS >140)
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
How is the 3 hour glucose test performed? - Correct answer High carb 2 day diet, NPO after midnight, FBS then drink 100G of glucose (FBS >105 or 2 of the following: 190 at 1 hr, 165 at 2 hr, 145 at 3 hr) What is the treatment of PIH or chronic HTN during pregnancy? - Correct answer ACE contraindicated, Betablockers can cause low birth weight the safest (Lobateolol) Name the classic TRIad for Preeclampsia - Correct answer 1. HTN
- Edema
- Proteinuria What do you see in MILD Preeclampsia? - Correct answer BP >140/> 1+ Proteinuria No HA How do you treat MILD Preeclampsia? - Correct answer Increase protein, document fetal activity, weekly NST What do you see in SEVERE Preeclampsia? - Correct answer BP >160/> 3+ Proteinuria HA Decreased output Visual disturbances Thrombocytopenia How do you treat SEVERE Preeclampsia? - Correct answer Deliver the baby, rest, decrease stimuli, mag sulfate, medications (Apresoline)
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
Treatment for an INEVITABLE abortion - Correct answer Check for complete vs incomplete via ultrasound, analgesia for d&c, RhoGAM if negative blood type (avoid future issues with future preganancy) Treatment for an INCOMPLETE (Missed) abortion - Correct answer Hospitalization, d&c or IV pitocin for 14 weeks, after 14 weeks give pitocin or prostaglandins, wait 3- 5 weeks for spont abortion if does not want medical treatment, monitor for DIC or excessive prolonged bleeding What education do you need to give someone who is having an abortion? - Correct answer Bleeding and cramping last 1-2 weeks, vaginal rest for 1 week, check temp bid, f/u in 2 weeks, may take 6w for cycle to return, can try to get pregnant after 1 cycle What are the signs and symptoms of an INCOMPETENT cervix? - Correct answer Advanced cervical dilation, low abd pressure, bloody show, urinary frequency Treatment for INCOMPETENT cervix - Correct answer Cerclage (by ob cervical stitch), do not check cervix manually use u/s only Risk factors to have an ectopic pregnancy? - Correct answer Hx of salpingitis, prior ectopic, assisted reproduction, smoker, current IUD use, hx of STD or STI Signs of symptoms of ectopic pregnancy? - Correct answer Missed period, bilateral lower abd pain, vaginal spotting, rupture (severe abdominal pain), low hCG and progesterone levels, no gestational sac on U/S Treatment for ectopic pregnancy? - Correct answer Ruptured: Surgical- Salpingectomy Methotrexate if unruptured tube, early on, no cardiac activity
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
If there is bleeding in 2nd or 3rd what might it mean? - Correct answer Placenta Previa (covers the cervix) Abruptio Placenta (Premature separation of placenta) Risk factors for placenta previa? - Correct answer Advanced maternal age, HTN, cocaine use, history of c/s, multifetal pregnancy, african american or asian Signs and symptoms of placenta previa? - Correct answer Bleeding after 24 weeks, abdomen soft and nontender, dx by u/s Treatment for placenta previa? - Correct answer Avoid pelvic exam unless done in OR, bed rest till week 36, antenatal testing: u/s, NST, BPP, L/S ratio prior to early delivery, c-section Risk factors for abruptio placenta? - Correct answer HTN, dm, poor nutrition, cocaine or tobacco use, blunt trauma to abdomen, graded 1, 2 or 3 u/s What are the grades of 1-3 of abruptio placenta mean? - Correct answer 1. Partial separation (concealed)
- Partial (apparent hemorrhage)
- Complete (concealed) Signs and symptoms of abruptio placenta - Correct answer Sudden onset of intense pain, bleeding, hard/board-like abdomen, decreased FHR and movement, shock (due to bleeding) Management of placenta abruption? - Correct answer Grade 1: Hospital and monitor Grade 2 & 3: Delivery and manage shock
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
What do you do if the patient has low fluid for monitoring? - Correct answer Weekly measurements if concerned What is the biophysical profile? - Correct answer Real time u/s, accurate indicator of impending fetal death, looks at breathing movements, gross body movements, fetal tone, reactive HR, qualitative amniotic fluid volume What does a biophysical profile score mean? - Correct answer 0-2 based on 5 assessments: 8-10 = Normal, 5-7 = Equivocal, <4 = Abormal How many more calories should be consumed per day extra for a pregnant person?
- Correct answer 1-300 in last 2 trimesters What is recommended weight gain if BMI is >30? - Correct answer 11-20 pounds What is recommended weight gain if BMI is <18.5? - Correct answer 28-40 pounds What is recommended weight gain for normal weight/BMI 18.5-24.9? - Correct answer 25-35 pounds What is recommended weight gain for over weight/BMI 25-29.9? - Correct answer 15-25 pounds What is recommended daily intake of iron in pregnancy? - Correct answer 27 mg What do you need to know about iron in pregnancy? - Correct answer Iron is needed most in the first trimester, may need 60 mg if deficient, vitamin C helps with absorption, calcium and mg decrease absorption
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
Recommended daily intake of folic acid in pregnancy? - Correct answer 400 mcg more than 4 mg if hx of child with neuro tube defects What is the recommended daily intake of vitamin d in pregnancy? - Correct answer 600 IU (avoid toxic levels) How much fish should you eat if pregnant? - Correct answer Avoid mercury, limit to 2 (6 oz) serving/week (salmon, canned tuna, shrimp) What is the acronym for post partum assessment? - Correct answer BUBBLEHEADS What does BUBBLEHEADS stand for? - Correct answer Breasts,Uterus, Bowel, Bladder, Lochia, Episiotomy, H&H, Extremities, Affect, Discomfort, Spiritual/Social What is the normal blood loss for vaginal birth? - Correct answer 500 cc What is the normal blood loss for a C-section birth? - Correct answer 1000 cc How long is the pre-embryonic/ovum stage? - Correct answer Conception to 14 days What happens during the embryo stage? - Correct answer Rapid cell division and sensitive to teratogens (day 15-8 weeks) What happens during the fetus stage? - Correct answer Still vulnerable t CNS teratogens How often are prenatal visits? - Correct answer Up to 28 weeks: Every 4 weeks 28-36 weeks: Every 2 weeks
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
6-7 in (5 oz) Week 6 - Correct answer HEART BEGINS BEATING Week 8 - Correct answer -Brain activity -Fetus moves in response to touch 1" Month 3 (10-12 weeks) - Correct answer -Hear heartbeat via doppler -Respiratory movement -Moves extremities -Sucks thumb -4" Month 9 - Correct answer -Full term by 38-40 weeks -Gain .5 lb/week 19-21 in 38-40 Weeks - Correct answer Increase in subcutaneous fat and weight Month 5 - Correct answer -Fingernails -Hearing begins to develop -Swallow fluid 8-12 in (.5-1 pound) Month 8 - Correct answer -Lungs maybe immature until 34-35 weeks 18" (5 lbs) Month 6 (24 weeks) - Correct answer -Skin is red -Wrinkled (Lanugo)
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
-Respond to light and sound -Viable Doppler Flow Studies - Correct answer -Examine systolic/dystolic (s/d) ratio from umbilical and uterine arteries -Elevated s/d ratio indicates poorly perfused placenta -Useful in pregnancies at risk due to HTN, IUGR, DM, PIH, multiples -3 or less by 30 weeks Reason for 1st trimester u/s - Correct answer -Confirm viability -Determine gestational age -Rule out ectopic pregnancy -Visualization for genetic testing Reason for 2nd trimester u/s - Correct answer -Establish or confirm EDD -Confirm viability -Detect polyhydramios or oligohydramios -Visualization during amnio Reason for 3rd trimester u/s - Correct answer -Confirm viability -Detect macrosomia -Detect congenital anomaly -Detect UGR -Visualization during amnio -BPP -Amniotic fluid volume -Doppler flow studies Amniotic Fluid Index (AFI) - Correct answer -Measures the largest pocket of fluid
NURS 629 Exam 3 (OB/GYN) 90 QUESTIONS AND
