NURS 4750 Exam 2 Questions and Answers Already Passed
Gastric Acid inhibitors (used with hyperemesis Gravidarum) - Answers Esomeprazole,
omeprazole
Histamine-receptor antagonist (used with HG) - Answers Famotidine
Histamine receptor antagonist (used with HG) - Answers Ranitidine
Antiemetic (used with HG) - Answers Metoclopramide (Reglan)
Antiemetic (used with HG) - Answers Zofran (pump) and phernergan
antihistamines (benadryl), Gastric acid inhibitors, antiemetics - Answers What kind of drugs
could you use for HG?
Monitor labs, daily weights
Eliminate strong odors
BRAT diet (dry starchy carbs)
liquids btwn meals - Answers Nursing consideration for HG
Threatened spontaneous abortion - Answers Vaginal bleeding occurs (have not lost the baby yet
still a chance tho)
Inevitable spontaneous abortion - Answers Membranes rupture, cervix dilates
Incomplete spontaneous abortion - Answers Some products of conception are expelled
Complete spontaneous abortion - Answers All products of conception are expelled
Missed spontaneous abortion - Answers The fetus dies but is retained in the uterus
recurrent spontaneous abortion - Answers >3 spontaneous abortions
Monitor HCG and progesterone
Transvag US
Limit Sexual activity until bleeding stops - Answers Threatened spon abortion management
Pitocin or methergine (control bleeding)
D&C - Answers Inevitable and incomplete spon abortion management
DIC and infection - Answers Missed abortion risks
Cytotec - pitocin and methergine
,D/C - Answers Inevitable/incomplete abortion
Yes (Massive amount - Answers Can you have a positive pregnancy test with hydatidiform mole
"Molar pregnancy"?
Hyperemesis
PreE
Bleeding
uterine size
HTN - Answers Clinical manifestations of hydatidiform mole
Painless bright red bleeding - Answers Placental previa characteristic sign
Fetal deoxygenation
C/S (prevent complications all together) - Answers What is your main concern with a laboring
mom with placental previa and what will you do to prevent it complications?
Bedrest (If active bleeding)
See MD if active bleeding
Kickcounts
No vaginal exams
EFM
Prep for C/S - Answers Nursing considerations of placental previa
Placental abruption - Answers Placenta separates from the uterine wall before the 3rd stage of
labor
intense pain and tenderness
Hypotension
Decreased urine output - Answers Signs of placental abruption
Drug use
HTN
Previous abruption
trauma (fall, car accident) - Answers Risk factors of placental abruption
, Ultrasound
Prep for C/S - volume replacement - Answers Treatment for placental abruption
late decels (Position the mom for optimal oxygenation) - Answers What EFM reading will you
get for placental abruption?
Placental abruption
Cerebral hemorrhage
Hepatic/renal dysfunction
DIC
Pulmonary edema
Seizures - Answers Pregos with HTN are at risk for what?
Increased perinatal mortality
IUGR
Preterm birth - Answers PreE is associated with what complications?
Chronic HTN - Answers HTN before 20 weeks is considered
Gestational HTN - Answers HTN that develops after 20 weeks with no proteinuria is considered
AntiHTN
no salt
Limit activity
Monitor for PreE - Answers HTN management
>140/>90 and proteinuria - Answers PreE is considered
Headache, visual changes, confusion, RUQ abd pain, Increased ALT/AST, low platelets, oliguria,
oligohydramnios, edema (esp pul), paresthesia, hyperreflexia - Answers PreE Clinical
Manifestations
Limit activity
BP monitoring
Follow up at Q3-4 days - Answers Mild PreE Management
Bedrest (lateral position)
Gastric Acid inhibitors (used with hyperemesis Gravidarum) - Answers Esomeprazole,
omeprazole
Histamine-receptor antagonist (used with HG) - Answers Famotidine
Histamine receptor antagonist (used with HG) - Answers Ranitidine
Antiemetic (used with HG) - Answers Metoclopramide (Reglan)
Antiemetic (used with HG) - Answers Zofran (pump) and phernergan
antihistamines (benadryl), Gastric acid inhibitors, antiemetics - Answers What kind of drugs
could you use for HG?
Monitor labs, daily weights
Eliminate strong odors
BRAT diet (dry starchy carbs)
liquids btwn meals - Answers Nursing consideration for HG
Threatened spontaneous abortion - Answers Vaginal bleeding occurs (have not lost the baby yet
still a chance tho)
Inevitable spontaneous abortion - Answers Membranes rupture, cervix dilates
Incomplete spontaneous abortion - Answers Some products of conception are expelled
Complete spontaneous abortion - Answers All products of conception are expelled
Missed spontaneous abortion - Answers The fetus dies but is retained in the uterus
recurrent spontaneous abortion - Answers >3 spontaneous abortions
Monitor HCG and progesterone
Transvag US
Limit Sexual activity until bleeding stops - Answers Threatened spon abortion management
Pitocin or methergine (control bleeding)
D&C - Answers Inevitable and incomplete spon abortion management
DIC and infection - Answers Missed abortion risks
Cytotec - pitocin and methergine
,D/C - Answers Inevitable/incomplete abortion
Yes (Massive amount - Answers Can you have a positive pregnancy test with hydatidiform mole
"Molar pregnancy"?
Hyperemesis
PreE
Bleeding
uterine size
HTN - Answers Clinical manifestations of hydatidiform mole
Painless bright red bleeding - Answers Placental previa characteristic sign
Fetal deoxygenation
C/S (prevent complications all together) - Answers What is your main concern with a laboring
mom with placental previa and what will you do to prevent it complications?
Bedrest (If active bleeding)
See MD if active bleeding
Kickcounts
No vaginal exams
EFM
Prep for C/S - Answers Nursing considerations of placental previa
Placental abruption - Answers Placenta separates from the uterine wall before the 3rd stage of
labor
intense pain and tenderness
Hypotension
Decreased urine output - Answers Signs of placental abruption
Drug use
HTN
Previous abruption
trauma (fall, car accident) - Answers Risk factors of placental abruption
, Ultrasound
Prep for C/S - volume replacement - Answers Treatment for placental abruption
late decels (Position the mom for optimal oxygenation) - Answers What EFM reading will you
get for placental abruption?
Placental abruption
Cerebral hemorrhage
Hepatic/renal dysfunction
DIC
Pulmonary edema
Seizures - Answers Pregos with HTN are at risk for what?
Increased perinatal mortality
IUGR
Preterm birth - Answers PreE is associated with what complications?
Chronic HTN - Answers HTN before 20 weeks is considered
Gestational HTN - Answers HTN that develops after 20 weeks with no proteinuria is considered
AntiHTN
no salt
Limit activity
Monitor for PreE - Answers HTN management
>140/>90 and proteinuria - Answers PreE is considered
Headache, visual changes, confusion, RUQ abd pain, Increased ALT/AST, low platelets, oliguria,
oligohydramnios, edema (esp pul), paresthesia, hyperreflexia - Answers PreE Clinical
Manifestations
Limit activity
BP monitoring
Follow up at Q3-4 days - Answers Mild PreE Management
Bedrest (lateral position)
