NR327 MATERNAL CHILD NURSING EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

NR327 MATERNAL CHILD NURSING EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Terms in this set (171) What is a possible objective when it comes to maternal child nursing? High-risk pregnancies. What are high-risk pregnancies? Any pregnancy that does not follow the orderly sequence of development. Can high-risk pregnancies be multifactorial? Yes What factors contribute to high-risk pregnancies? Categories: 1. Genetic & Congenital Anomalies 2. Financial & Socioeconomic Burdens 3. Nutrition 4. Maternal Behaviors 5. Age 6. Multifetal 7. Environmental Pathogens 8. Structural & Bleeding Issues High-risk Pregnancy: Nutrition Does impaired nutrition affect maternal & fetal growth? Yes What are factors that influence nutrition in pregnancies? 1. Age/Poverty 2. Nutritional knowledge/ Food precautions/ Exercise/Pre-pregnancy weight 3. Culture 4. Dietary practices: 5. Vegans / Food cravings & aversions 6. Nausea & vomiting 7. Eating Disorders: Anorexia / Bulimia /PICA 8. Obesity (worsens comorbidities) 9. Multiparity/multifetal 10. Substance abuse - alcohol, drugs, smoking, caffeine High-risk Pregnancy: Nutrition Describe Hyperemesis Gravidarum (HEG). Is persistent, uncontrollable vomiting Begins in first weeks of pregnancy & continues beyond the 1st trimester High-risk Pregnancy: Nutrition Describe the etiology of Hyperemesis Gravidarum (HEG). Unknown See with H. pylori, See elevated HCG levels See with Thyroid dysfunction High-risk Pregnancy: Nutrition Describe the causes of Hyperemesis Gravidarum (HEG). Dehydration Acid-base imbalance Kidney and cardiac dysfunction High-risk Pregnancy: Nutrition Hyperemesis Gravidarum (HEG). If left untreated, what can it lead to? Fetal death High-risk Pregnancy: Nutrition Hyperemesis Gravidarum (HEG). What are possible treatments? May need IV fluids and electrolytes to be replaced if severe TPN High-risk Pregnancy: Nutrition Hyperemesis Gravidarum (HEG). What are possible pharmacologic options? 1. Pyridoxine (vitamin B6) 2. Doxylamine 3. Metoclopramide 4. Ondansetron 5. Proton pump inhibitors (omeprazole) 6. Antacids (calcium carbonate) 7. H2 histamine blockers (famotidine) High-risk Pregnancy: Nutrition Hyperemesis Gravidarum (HEG). What are possible nursing considerations? Lab value: What to look for 1st is the presence of urine: Ketones and acetones. Administer meds as ordered. INSTRUCT: 1. Patient to eat small frequent meals - bland 2. Countermeasures to combat the nausea 3. If still can not keep food down have them eat whatever they can High-risk Pregnancy: Maternal Behaviors Can maternal behaviors lead to an increase in pregnancy risks? Yes