NR 327 Exam 2 Review Study Guide Exam Q&A Latest and Verified

NR 327 Exam 2 Review Study Guide Exam Q&A Latest and Verified Chorionic Villus Sampling (CVS) - CORRECT ANSWER-done at 10-13 weeks gestation to look for genetic abnormalities, have pt drink water before procedure to help visualize the uterus informed consent Advantages: Advantages of CVS - CORRECT ANSWER-Advantages of CVS During the first trimester what is ultrasonography used for? - CORRECT ANSWERConfirm pregnancy, verify location of pregnancy, identify multifetal gestation, gestational age with crown-rump and head measurement, number and fiability of fetuses, identify markers such as nuchal translucence, which suggests chromosome or other abnormalities, determine location of uterus, cervix, and placenta for procedures as CVS. During the second and third trimester what is ultrasonography used for? - CORRECT ANSWER-Confirm viability, evaluate fetal anatomy, gestational age, serial fetal growth, compare growth of multiple fetuses, evaulate four of five markers in a biophysical profile, locate placenta during previa, determine presentation, and guide the needle for amniocentesis or PUBS. Disadvantages of CVS - CORRECT ANSWER-Rate of pregnancy loss after CVS, more than two attempts or bleeding during the week before procedure increases risk for fetal loss, and reports of limb reduction defects. After CVS, what are some things you should do as a nurse as far as monitoring and discharge instructions? - CORRECT ANSWER-FHR activity, maternal VS, and woman is allowed to void if needed. Woman should rest at home for a couple of hours after procedure and sexual intercourse should be limited for a few days. Rhogam is given to women who are Rh-negative. how is ultrasound usually done in the first trimester? - CORRECT ANSWERTransvaginal When is gestational diabetes screening done by random 50 gram oral glucose test? what is considered an abnormal result? - CORRECT ANSWER-24-28 weeks abnormal is 140 mg/dL