NRS 410 Final Exam questions with answers

NRS 410: Final Exam questions with answers
|\ |\ |\ |\ |\ |\




what are some psychosocial factors that increase risk in
|\ |\ |\ |\ |\ |\ |\ |\ |\


pregnancy? - CORRECT ANSWERS ✔✔Smoking |\ |\ |\ |\




Caffeine


Alcohol and substance abuse
|\ |\ |\




Maternal obesity |\




Inadequate support system |\ |\




Situational crisis |\




History of violence
|\ |\




Emotional distress |\




Unsafe cultural practices
|\ |\




what are some environmental factors increase risk in pregnancy?
|\ |\ |\ |\ |\ |\ |\ |\


- CORRECT ANSWERS ✔✔Infections
|\ |\ |\ |\

,Radiation


Pesticides


Illicit drug use
|\ |\




Industrial pollutants |\




Second-hand cigarette smoke |\ |\




Personal stress |\




what are sociodemographic factors that contribute to high risk
|\ |\ |\ |\ |\ |\ |\ |\ |\


pregnancy - CORRECT ANSWERS ✔✔-poverty status
|\ |\ |\ |\ |\




-lack of prenatal care
|\ |\ |\




-<15 yo and >35 yo
|\ |\ |\ |\




-parity: all first pregnancies and 5+ pregnancies
|\ |\ |\ |\ |\ |\




-marital status (single women more at risk)
|\ |\ |\ |\ |\ |\




-accessibility to healthcare |\ |\

,-ethnicity (increased risk on non-white women)`
|\ |\ |\ |\ |\




what is the most common disorder to develope during pregnancy
|\ |\ |\ |\ |\ |\ |\ |\ |\


- CORRECT ANSWERS ✔✔hypertensive disorders
|\ |\ |\ |\ |\




what is gestational hypertension (what are the SBP and DBP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


values) - CORRECT ANSWERS ✔✔>1490/90 mm Hg occurring
|\ |\ |\ |\ |\ |\ |\ |\


after 20 weeks gestation
|\ |\ |\




(BP returns to normal by 12 wks postpartum)
|\ |\ |\ |\ |\ |\ |\




what is preeclampsia: - CORRECT ANSWERS ✔✔Multisystem
|\ |\ |\ |\ |\ |\ |\


disorder when blood pressure is above 140/90 and proteinuria (>
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


300 mg or more in 24 hrs) after 20th week of gestation.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




what is ecclampsia - CORRECT ANSWERS ✔✔preeclampsia w/ the
|\ |\ |\ |\ |\ |\ |\ |\


presence fo seizures
|\ |\ |\




what is needed for the diagnoses of gestational hypertensive
|\ |\ |\ |\ |\ |\ |\ |\ |\


disorder to be made? - CORRECT ANSWERS ✔✔>140 mm Hg
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and/or DBP >90 mm Hg at two encounters at least 6 hours apart
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


after 20 wks gestation
|\ |\ |\




what are the risk factors for preeclampsia? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔High BMI, previous preeclampsia, multiple gestations
|\ |\ |\ |\ |\

, Underlying medical conditions: diabetes, chronic HTN, renal
|\ |\ |\ |\ |\ |\ |\


disease, obesity |\




Family hx, african american ethnicity
|\ |\ |\ |\




Age: <19 yo and >40 yo
|\ |\ |\ |\ |\




what are thought to be the underlying mechanisms of
|\ |\ |\ |\ |\ |\ |\ |\ |\


preeclampsia - CORRECT ANSWERS ✔✔Vasospasm and hypo- |\ |\ |\ |\ |\ |\


perfusion


Endothelial injury causing platelet adherence, fibrin deposition,
|\ |\ |\ |\ |\ |\ |\


and fragmented erythrocytes
|\ |\




what is the patient presentation of mild preeclampsia? -
|\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔>140/90 mm Hg after 20 wks on two
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


occaisions at least 4 hours apart |\ |\ |\ |\ |\




300mg/24 hr or >1+ protein urine dip |\ |\ |\ |\ |\ |\




Mild facial or hand edema
|\ |\ |\ |\




Weight gain |\




what is the result of the hypertensive state in
|\ |\ |\ |\ |\ |\ |\ |\


preeclampsia/eclampsia - CORRECT ANSWERS ✔✔-increase
|\ |\ |\ |\ |\ |\