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latest _nursing-nur2633-mch-final-exam-review. latest _nursing-nur2633-mch-final-exam-review. latest _nursing-nur2633-mch-final-exam-review.

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NR511
Vak
NR511

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NURSING EXAM TEST




[Author name]
[COMPANY NAME] [Company address]

,1

DYSMENORRHEA - The breast size increases and the areola of the nipple
darkens and the vascularity increases.
-Painful period- could be from endometriosis, or
fibroid. -Heating pads, exercise, stretching, good -The secretions from the sebaceous glands (Montgomery
nutrition, avoid alcohol and drugs, decrease tubercles) help keep the nipple supple and prevent cracking.
caffeine. Heat, NSAIDS is most common
prescribed. Normal bleeding: Friability or easy -By the 16th week of pregnancy colostrum can be expelled
bleeding of cervix when scraped (after sex or from the nipples.
vaginal exams) is normal.

Leukorrhea : Is a white or gray discharge with a
musty odor, normal during pregnancy, do not LINEA NIGRA
douche or wear tampons, peri-pads are ok. Since Is a dark colored line extending from symphysis pubis to
vaginal pH increases from 4-6.5 mother at risk for top of fundus, common.
yeast infections.
STRIAE GRAVIDARUM
AKA stretch marks common, fade but never disappear.
HYPEREMESIS GRAVIDARUM
a problem of extreme nausea and vomiting causing
electrolyte imbalance, dehydration and severe
weight loss

WHAT IS THE NURSING INTERVENTION FOR
HYPEREMESIS?
Advise to take multivitamins regularly,
Promote Rest

Teach to avoid foods and stimulus that evoke
vomiting; avoid spicy foods, eat crackers early in
the morning

Eat small frequent meals; bland food, high protein
Ginger capsule beneficial for vomiting

(In hospital) - NPO and antiemetic’s administers
IV Therapy- fluids with dextrose and vitamins are
given.




BREAST CHANGES IN PREGNANCY
are due to estrogen-progesterone production.
-The breasts may have a feeling of fullness, tingling
or tenderness.

, M -Growth restriction, neonatal morbidity, decreased
2 ORNING SICKNESS IS DUE TO:
placental perfusion; decreased fetal heart rate, fetal
secretion of hCG by placenta, subsides end
death.
of 1st trimester, management includes
eating crackers upon awakening and eating DM: EFFECT ON GROWTH & DEVELOPMENT OF FETUS
small frequent meals. -DM 1 & 2- Major congenital defects in CNS,
cardiac, skeletal anomalies (due to hyperglycemia),
PLACENTA PREVIA Increase risk of perinatal death, adverse effects
An implantation of the placenta in the lower throughout child's life
uterine segment, near or over the internal
*GDM- risk for impaired insulin tolerance & DM
cervical os. It accounts for 20% of all
later in life, macrosomia (big baby)
antepartal hemorrhages.
Anemia; maternal and fetal risks
THERE ARE THREE DIFFERENT TYPES OF
increased need for oxygen requires the
PLACENTA PREVIA:
pregnant woman to increase her iron intake
Complete (total)-covers entire
Physiological Anemia of Pregnancy
cervical os. Partial-partially occludes
(pseudoanemia)
the cervical os. Marginal-
encroachment of the placenta to the
margin of the cervical os

Risk factors: conditions that cause scarring
of the uterus (C-section, multiparity,
increased maternal age), large placental
mass, smoking, cocaine use, prior history of
placenta previa, closely spaced
pregnancies, African or Asian ethnicity.




FETAL RESULTS FOR POOR NUTRITION:
-B12 deficiency; megaloblastic anemia,
neurodevelopmental delays.

*Inadequate nutrition - low birth weight,
inadequate development, preterm birth,
neurological defects Drugs (fetal
results):
-meth; tremors, poor muscle tone,
-heroin; withdrawal,

-cocaine; teratogenic malformations,
structural or organ anomalies, later in fetal
life or during early infancy may cause
mental retardation, blindness, hearing loss,
deafness, stillbirth, or malignancy HTN
(fetal results):

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