Final Exam NR465 Complete Questions
And Answers 2025
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.
Read More
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.
probable signs of pregnancy
objective: notable on exam: goodell's sign, chadwick's sign, hegar's sign, braxton hicks
contractions, ballottement, abdominal striae, pregnancy test
positive signs of pregnancy
heart sounds, visualization of fetus, movement of fetus
McDonalds rule
fundal height in cm's equals wks gestation w/in 2 wks
Nagal's Rule
take date of womans last period subtract 3 months and add 7 days
GTPAL
Gravida- # of total pregnancies
Term-37-40 weeks
Preterm- before 20 weeks
Abortions- loss
Living- children
quickening
the first movement of the fetus in the uterus that can be felt by the mother
lightening
fundal height drop- the sensation of the fetus moving from high in the abdomen to low in
the birth canal
Hegar sign
softening of the lower uterine segment
Braxton Hicks contractions
Uterine contractions during pregnancy- probable sign
chlosma
group of brownish macules (nonelevated spots) occuring in one place. commonly called
liver spots; often occurs on hands and face usually from hormone changes
Lordosis in pregnancy
increase of curvature of the lower back
constipation in pregnancy
harden/ difficult passage of stool from increased hormones
reflux in pregnancy
And Answers 2025
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.
Read More
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.
probable signs of pregnancy
objective: notable on exam: goodell's sign, chadwick's sign, hegar's sign, braxton hicks
contractions, ballottement, abdominal striae, pregnancy test
positive signs of pregnancy
heart sounds, visualization of fetus, movement of fetus
McDonalds rule
fundal height in cm's equals wks gestation w/in 2 wks
Nagal's Rule
take date of womans last period subtract 3 months and add 7 days
GTPAL
Gravida- # of total pregnancies
Term-37-40 weeks
Preterm- before 20 weeks
Abortions- loss
Living- children
quickening
the first movement of the fetus in the uterus that can be felt by the mother
lightening
fundal height drop- the sensation of the fetus moving from high in the abdomen to low in
the birth canal
Hegar sign
softening of the lower uterine segment
Braxton Hicks contractions
Uterine contractions during pregnancy- probable sign
chlosma
group of brownish macules (nonelevated spots) occuring in one place. commonly called
liver spots; often occurs on hands and face usually from hormone changes
Lordosis in pregnancy
increase of curvature of the lower back
constipation in pregnancy
harden/ difficult passage of stool from increased hormones
reflux in pregnancy
