NSG432: Important for Exam 3 Questions
with Verified Answers| 100% Correct
1-13 weeks - CORRECT ANSWER--insulin dose is decreased due to molar pregnancy
2nd and third trimester - CORRECT ANSWER-increase insulin dose
Gestational diabetes first prenatal visit - CORRECT ANSWER--1 hour glucola
-Order 3 hours GTT
-1 hour fasting BS
-Glucola
-Lab draw
3/4 are elevated, then they are diagnosed as gestational diabetes
-metformin
-Or insulin
-Can go back to regular diet after delivery
-Baby needs to be BREASTFED ASAP due to accostomation to high levels of glucose.
-Accucheck 30 mins after first feed
-Other two are prior to baby feeding again
-Above 40, no more accuchecks done.
Diabetic Mothers - CORRECT ANSWER--Keep blood glucose under control
-Can end up with LGA
-At 36 wks sudden death of fetus can occur
, -Seek counseling, blood sugars under control, increases risk for fetal anomaly (high in type 1
diabetics).
-Non-Stress Test
-Biophysical profile (BPP)
-Kick counts
-Sometime on Regular Insulin drip during labor (needs separate line ON PUMP).
-Do regular accuchecks!!
Preterm Labor (PTL) - CORRECT ANSWER--Spontaneous
#1 Cause is Infection
-Indicated: medical indication that mom needs to deliver. (Maternal Fetal Medicine Doctors
make this decision).
Assessment of PTL - CORRECT ANSWER--Assess fetal well being
-Monitor contractions
-Monitor for baseline uterine activity
-Cervical exam
-Sterile SPECULUM exam ROM
-Screen for UTI and other infections
-Ultrasound- transvaginal and see exactly how many cm cervix is dilated
Predicting Preterm Labor - CORRECT ANSWER--99% accurate
-Fetal fibronectins (FFN): swab that you take from around cervix, if positive, within 2 weeks
mom can deliver.
-If negative, that at least for 2 weeks mom will NOT have baby.
-Ask if they were sexual active within the last 24 hours, it can be false positive.
with Verified Answers| 100% Correct
1-13 weeks - CORRECT ANSWER--insulin dose is decreased due to molar pregnancy
2nd and third trimester - CORRECT ANSWER-increase insulin dose
Gestational diabetes first prenatal visit - CORRECT ANSWER--1 hour glucola
-Order 3 hours GTT
-1 hour fasting BS
-Glucola
-Lab draw
3/4 are elevated, then they are diagnosed as gestational diabetes
-metformin
-Or insulin
-Can go back to regular diet after delivery
-Baby needs to be BREASTFED ASAP due to accostomation to high levels of glucose.
-Accucheck 30 mins after first feed
-Other two are prior to baby feeding again
-Above 40, no more accuchecks done.
Diabetic Mothers - CORRECT ANSWER--Keep blood glucose under control
-Can end up with LGA
-At 36 wks sudden death of fetus can occur
, -Seek counseling, blood sugars under control, increases risk for fetal anomaly (high in type 1
diabetics).
-Non-Stress Test
-Biophysical profile (BPP)
-Kick counts
-Sometime on Regular Insulin drip during labor (needs separate line ON PUMP).
-Do regular accuchecks!!
Preterm Labor (PTL) - CORRECT ANSWER--Spontaneous
#1 Cause is Infection
-Indicated: medical indication that mom needs to deliver. (Maternal Fetal Medicine Doctors
make this decision).
Assessment of PTL - CORRECT ANSWER--Assess fetal well being
-Monitor contractions
-Monitor for baseline uterine activity
-Cervical exam
-Sterile SPECULUM exam ROM
-Screen for UTI and other infections
-Ultrasound- transvaginal and see exactly how many cm cervix is dilated
Predicting Preterm Labor - CORRECT ANSWER--99% accurate
-Fetal fibronectins (FFN): swab that you take from around cervix, if positive, within 2 weeks
mom can deliver.
-If negative, that at least for 2 weeks mom will NOT have baby.
-Ask if they were sexual active within the last 24 hours, it can be false positive.
