NUR 254 EXAM 1 QUESTIONS AND ANSWERS 2024/2025 -
GALEN COLLEGE OF NURSING
.Abortion - ANSWER-<20 weeks
.Adult VS - ANSWER-
.Cardiac output - ANSWER-increases by 30-50%
-Bp should stay about the same (highest when sitting)
- HR increases 15-20
- murmurs can be present
.cervical insufficiency - ANSWER-Painless dilatation of the cervix without
contractions because of a structural or functional defect of the cervix. Also
called incompetent cervix. (placed 12-14 weeks)
Tx: cerclage (stitch the cervix closed)
- hx preterm births, second trimester loss
.DIC - ANSWER-- impaired clotting factors
Tx: blood transfusion
.DM in pregnancy - ANSWER-First trimester: Insulin production increased
(estrogen/progesteron)
, Second/ Third trimester: Decreased insulin production
Birth: expulsion of placenta prompts drop in BS level
.ectopic pregnancy - ANSWER-- implanted outside of uterus
- abd pain, abd vag bleeding, lower quad pain
Tx: methotrexate (only take Tylenol)
.Endocrine - ANSWER--Estrogen/ progesterone
- oxytocin (stimulate labor)
.Epidural - ANSWER-- informed consent
- time procedure performed
-prepare for procedure
- administer meds
.Fetal movements - ANSWER-- third trimester
- 10 movements for 2 hrs
- change positions, orange juice, quiet room
.Fluids - ANSWER-- Should have 8-10 glasses per day (2.3L)
- water, milk, and decaf tea
**pre term labor**
GALEN COLLEGE OF NURSING
.Abortion - ANSWER-<20 weeks
.Adult VS - ANSWER-
.Cardiac output - ANSWER-increases by 30-50%
-Bp should stay about the same (highest when sitting)
- HR increases 15-20
- murmurs can be present
.cervical insufficiency - ANSWER-Painless dilatation of the cervix without
contractions because of a structural or functional defect of the cervix. Also
called incompetent cervix. (placed 12-14 weeks)
Tx: cerclage (stitch the cervix closed)
- hx preterm births, second trimester loss
.DIC - ANSWER-- impaired clotting factors
Tx: blood transfusion
.DM in pregnancy - ANSWER-First trimester: Insulin production increased
(estrogen/progesteron)
, Second/ Third trimester: Decreased insulin production
Birth: expulsion of placenta prompts drop in BS level
.ectopic pregnancy - ANSWER-- implanted outside of uterus
- abd pain, abd vag bleeding, lower quad pain
Tx: methotrexate (only take Tylenol)
.Endocrine - ANSWER--Estrogen/ progesterone
- oxytocin (stimulate labor)
.Epidural - ANSWER-- informed consent
- time procedure performed
-prepare for procedure
- administer meds
.Fetal movements - ANSWER-- third trimester
- 10 movements for 2 hrs
- change positions, orange juice, quiet room
.Fluids - ANSWER-- Should have 8-10 glasses per day (2.3L)
- water, milk, and decaf tea
**pre term labor**
