NUR 2513 MATERNAL-CHILD NURSING EXAM 1 Questions And Answers Verified 100% Correct FORM A (RASMUSSEN COLLEGE)

NUR 2513 MATERNAL-CHILD NURSING EXAM 1 Questions And Answers Verified 100% Correct FORM A (RASMUSSEN COLLEGE) What are the s/s of gonorrhea? - Often asymptomatic Yellow, green, profuse, odorous vaginal discharge. Urinary frequency, dysuria, analitching, rectal bleeding, painful defecation, red throat, ulcerated lips, lesions, fever from infection. What is Herpes simplex virus 1 and 2? How are they treated? - HSV 1: cold sores HSV 2: genital lesions Treated with antivirals (Acyclovir or Valtrex PO TID x 5 days) What are S/S of herpes simplex virus? - •Prodrome - itching or tingling 1-2 days before outbreak •Outbreak - vesicles (blisters) in clusters on the affected site •Shedding - when the blisters rupture and leave painful ulcerations •Dormant phase is trichomonas and how is it treated? A sexually transmitted infection caused by a protozoan parasite. What - Downloaded by: mariamccaskill | Distribution of this document is illegal Treated with Metronidazole 500mg po bid x 7 days What should the patient know when taking medication to treat trichomonas? - must abstain from alcohol during treatment What is bacterial vaginosis and how is it treated? - a condition that happens when there is too much of certain bacteria in the vagina. This changes the normal balance of bacteria in the vagina. Treated with Metronidazole 500mg po bid x 7 days (same as for trichomonas) What is candidiasis and how is it treated? - A fungal infection typically on the skin or mucous membranes caused by candida. Treated with Terconazole vaginal cream inserted nightly x 7; diflucan 150mg po x 1 (2nd trimester) What are the benefits and importance of folic acid supplementation? - crucial for neurological development and the prevention of open neural tube defects (Spina Bifida) in babies How much folic acid should a woman who is planning to become pregnant take? - Supplements containing 0.4-0.8 mg are probable signs of pregnancy? Abdominal enlargement What - Downloaded by: mariamccaskill | Distribution of this document is illegal - Hegar's sign: the softening of the lower uterus - Chadwicks sign: violet/bluish color of cervix and vaginal mucous - Goodell's sign: softening of cervical tip - Braxton Hicks contractions - Positive pregnancy test What are positive signs of pregnancy? - Fetal heart sounds - Fetal movements - Visualization of fetus on ultrasound What are presumptive signs of pregnancy? - 1. Amenorrhea - 2. N&V - 3. Breast Changes (enlargement, tenderness, vascularity) - 4. Fatigue - 5. Urination frequency - 6. Quickening are the risks faced by the post term fetus? Macrosomia (baby weighs more than 8 lb. 13 oz. or 4000g) - Respiratory distress What - Downloaded by: mariamccaskill | Distribution of this document is illegal - Meconium aspiration (gasping, sucking in amniotic fluid and meconium [baby's first poop] into the lungs) What is omphalocele? - AKA exomphalos: birth defect of the abdominal (belly) wall. The infant's intestines, liver, or other organs stick outside of the belly through the belly button. The organs are covered in a thin, nearly transparent sac that hardly ever is open or broken. Why does omphalocele occur? - Intestines fail to return to the abdominal cavity after maturation/development What should the nurse educate the family about regarding pregnancy and a new baby? - Siblings need to feel comfortable that they are not being replaced and that the family is simply growing. - Avoid taking items away from the sibling to give to the new baby. How to calculate the estimated date of confinement (EDC)? - Last menstrual period (LMP) - 3 months + 7 days= EDC Using Naegele’s rule: What is the EDC if LMP is June 12, 2020? - June 12 - 3 months= March 12 March 12 + 7 days= March 19 + 1 year= March 19, 2021 does the "G" in GTPAL stand for? Gravid- how many times has she ever been pregnant