Page 1 of 93
EXAM 2 : NR327 / NR 327 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
MATERNAL-CHILD NURSING | QUESTIONS & ANSWERS
| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
Chorionic Villus Sampling (CVS) .....ANSWER.....done at 10-13
weeks gestation to look for genetic abnormalities, have pt drink
water before procedure to help visualize the uterus
informed consent
Advantages:
Advantages of CVS .....ANSWER.....Advantages of CVS
During the first trimester what is ultrasonography used for?
.....ANSWER.....Confirm pregnancy, verify location of pregnancy,
,Page 2 of 93
identify multifetal gestation, gestational age with crown-rump
and head measurement, number and fiability of fetuses, identify
markers such as nuchal translucence, which suggests chromosome
or other abnormalities, determine location of uterus, cervix, and
placenta for procedures as CVS.
During the second and third trimester what is ultrasonography
used for? .....ANSWER.....Confirm viability, evaluate fetal
anatomy, gestational age, serial fetal growth, compare growth
of multiple fetuses, evaulate four of five markers in a biophysical
profile, locate placenta during previa, determine presentation,
and guide the needle for amniocentesis or PUBS.
Disadvantages of CVS .....ANSWER.....Rate of pregnancy loss
after CVS, more than two attempts or bleeding during the week
before procedure increases risk for fetal loss, and reports of limb
reduction defects.
,Page 3 of 93
After CVS, what are some things you should do as a nurse as far
as monitoring and discharge instructions? .....ANSWER.....FHR
activity, maternal VS, and woman is allowed to void if needed.
Woman should rest at home for a couple of hours after
procedure and sexual intercourse should be limited for a few
days. Rhogam is given to women who are Rh-negative.
how is ultrasound usually done in the first trimester?
.....ANSWER.....Transvaginal
When is gestational diabetes screening done by random 50
gram oral glucose test?
what is considered an abnormal result? .....ANSWER.....24-28
weeks
abnormal is > 140 mg/dL
, Page 4 of 93
if it is over 200 mg/dL you treat it as diabetes
What is the gold standard for diagnosis of gestational diabetes
.....ANSWER.....3 hour oral glucose
check at 1, 2, and 3 hours- must exceed 2 or more values to be
considered postive test
single abnormal result means increased risk for macrosomia and
neonatal morbidity- should repeat test in 2-4 weeks and monitor
blood glucose in the meantime
Signs and symptoms of gestational diabetes mellitus
.....ANSWER.....hypoglycemia
hyperglycemia
shaking clammy pale skin
shallow respirations.
rapid pulse
EXAM 2 : NR327 / NR 327 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
MATERNAL-CHILD NURSING | QUESTIONS & ANSWERS
| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
Chorionic Villus Sampling (CVS) .....ANSWER.....done at 10-13
weeks gestation to look for genetic abnormalities, have pt drink
water before procedure to help visualize the uterus
informed consent
Advantages:
Advantages of CVS .....ANSWER.....Advantages of CVS
During the first trimester what is ultrasonography used for?
.....ANSWER.....Confirm pregnancy, verify location of pregnancy,
,Page 2 of 93
identify multifetal gestation, gestational age with crown-rump
and head measurement, number and fiability of fetuses, identify
markers such as nuchal translucence, which suggests chromosome
or other abnormalities, determine location of uterus, cervix, and
placenta for procedures as CVS.
During the second and third trimester what is ultrasonography
used for? .....ANSWER.....Confirm viability, evaluate fetal
anatomy, gestational age, serial fetal growth, compare growth
of multiple fetuses, evaulate four of five markers in a biophysical
profile, locate placenta during previa, determine presentation,
and guide the needle for amniocentesis or PUBS.
Disadvantages of CVS .....ANSWER.....Rate of pregnancy loss
after CVS, more than two attempts or bleeding during the week
before procedure increases risk for fetal loss, and reports of limb
reduction defects.
,Page 3 of 93
After CVS, what are some things you should do as a nurse as far
as monitoring and discharge instructions? .....ANSWER.....FHR
activity, maternal VS, and woman is allowed to void if needed.
Woman should rest at home for a couple of hours after
procedure and sexual intercourse should be limited for a few
days. Rhogam is given to women who are Rh-negative.
how is ultrasound usually done in the first trimester?
.....ANSWER.....Transvaginal
When is gestational diabetes screening done by random 50
gram oral glucose test?
what is considered an abnormal result? .....ANSWER.....24-28
weeks
abnormal is > 140 mg/dL
, Page 4 of 93
if it is over 200 mg/dL you treat it as diabetes
What is the gold standard for diagnosis of gestational diabetes
.....ANSWER.....3 hour oral glucose
check at 1, 2, and 3 hours- must exceed 2 or more values to be
considered postive test
single abnormal result means increased risk for macrosomia and
neonatal morbidity- should repeat test in 2-4 weeks and monitor
blood glucose in the meantime
Signs and symptoms of gestational diabetes mellitus
.....ANSWER.....hypoglycemia
hyperglycemia
shaking clammy pale skin
shallow respirations.
rapid pulse
