Final Exam NR465 questions with answers
Briefly describe the pathophysiology associated with
diabetes during pregnancy (what happens)
Blood glucose rises as insulin sensitivity falls. gestational
diabetes, β-cells fail to compensate for the demands of
pregnancy, and, when combined with reduced insulin
sensitivity, this results in hyperglycemia2.
Explain appropriate interventions when caring for a
pregnant woman with Type I diabetes and gestational
diabetes.
Summarize expected routine screening for diabetes
during pregnancy.
OOGT test where fasting blood glucose is taken then drink
syrup solution and follow up BGL done to see how body
responds to glucose.
,Discuss indications for use of magnesium sulfate during
pregnancy, what expected side effects of this drug? What
are the risks?
Given for hypertension in pregnancy but is not an
antihypertensive it relaxes the CNS. Side effects include
lethargy. Risks of this drug is respiratory depression from
toxicity.
Violence against women...who is at risk and nursing
interventions.
Anyone at risk, but especially women from low economic
background, low education level, existing history of
violence, violence usually gets worse with pregnancy.
Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV
routine medical history, resources should be posted in
obvious and easily accessible place.
What nursing management can be expected for a woman
on mag sulfate.
Expect the need to monitor SPO2 via pulse oximetry.
,Presumptive signs of pregnancy
subjective changes that might make a woman think she is
pregnant
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria,
breast changes(darkened areolae, enlarged Montgomery
glands), quickening(slight fluttering movements of the
fetus felt by the women, usually between 16-20 wks of
gestation).
What risks exist for the newborn of a mother who was on
mag sulfate?
Newborn is also at risk for late decelerations and
respiratory depression outside of the womb.
Recommendations of diet and teaching for osteoporosis
(review your questions you submitted).
Calcium Vitamin D Low fat or fat free diet
Want to avoid alcohol and smoking and increasing weight
baring exercises to decrease factor risk. Also want to
avoid falls and certain medications that will also increase
fracture risk including gluticosteroids, heparin,
antiepleptics, and aromatase inhibitors which is used for
the tx of breast cancer.
, Signs and symptoms of osteoporosis and management
Risk factors: past fracture, certain medical conditions or
medications, or cigarette or alcohol use Signs and
symptoms: Back pain, stooped posture, loss of height,
multiple fractures easily occur.
Treatment: with hormone therapy or medication that slow
the break down of bone or a drug that stimulates new
bone formation. Remove risk factors and increase habits
that will decrease risk factors.
Violence against women...who is at risk and nursing
interventions.
Anyone at risk, but especially women from low economic
background, low education level, existing history of
violence, violence usually gets worse with pregnancy.
Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV
routine medical history, resources should be posted in
obvious and easily accessible place.
Briefly describe the pathophysiology associated with
diabetes during pregnancy (what happens)
Blood glucose rises as insulin sensitivity falls. gestational
diabetes, β-cells fail to compensate for the demands of
pregnancy, and, when combined with reduced insulin
sensitivity, this results in hyperglycemia2.
Explain appropriate interventions when caring for a
pregnant woman with Type I diabetes and gestational
diabetes.
Summarize expected routine screening for diabetes
during pregnancy.
OOGT test where fasting blood glucose is taken then drink
syrup solution and follow up BGL done to see how body
responds to glucose.
,Discuss indications for use of magnesium sulfate during
pregnancy, what expected side effects of this drug? What
are the risks?
Given for hypertension in pregnancy but is not an
antihypertensive it relaxes the CNS. Side effects include
lethargy. Risks of this drug is respiratory depression from
toxicity.
Violence against women...who is at risk and nursing
interventions.
Anyone at risk, but especially women from low economic
background, low education level, existing history of
violence, violence usually gets worse with pregnancy.
Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV
routine medical history, resources should be posted in
obvious and easily accessible place.
What nursing management can be expected for a woman
on mag sulfate.
Expect the need to monitor SPO2 via pulse oximetry.
,Presumptive signs of pregnancy
subjective changes that might make a woman think she is
pregnant
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria,
breast changes(darkened areolae, enlarged Montgomery
glands), quickening(slight fluttering movements of the
fetus felt by the women, usually between 16-20 wks of
gestation).
What risks exist for the newborn of a mother who was on
mag sulfate?
Newborn is also at risk for late decelerations and
respiratory depression outside of the womb.
Recommendations of diet and teaching for osteoporosis
(review your questions you submitted).
Calcium Vitamin D Low fat or fat free diet
Want to avoid alcohol and smoking and increasing weight
baring exercises to decrease factor risk. Also want to
avoid falls and certain medications that will also increase
fracture risk including gluticosteroids, heparin,
antiepleptics, and aromatase inhibitors which is used for
the tx of breast cancer.
, Signs and symptoms of osteoporosis and management
Risk factors: past fracture, certain medical conditions or
medications, or cigarette or alcohol use Signs and
symptoms: Back pain, stooped posture, loss of height,
multiple fractures easily occur.
Treatment: with hormone therapy or medication that slow
the break down of bone or a drug that stimulates new
bone formation. Remove risk factors and increase habits
that will decrease risk factors.
Violence against women...who is at risk and nursing
interventions.
Anyone at risk, but especially women from low economic
background, low education level, existing history of
violence, violence usually gets worse with pregnancy.
Nurses should screen in private/ safe setting, use
professional language, incorporate the screening into IPV
routine medical history, resources should be posted in
obvious and easily accessible place.
