Nur 346 Exam 2 Latest Questions And Verified Answers

Hashimotos in Pregnancy {Ans: (hypothyroidism) causes high-risk complications such as miscarriage, pre-eclampsia, placental abruption, preterm births, etc.}Metabolic Disease {Ans: pre-gestational diabetes in pregnant women turns into this if not well maintained, can cause low insulin levels and/or decrease in the response to insulin}Rubella in Pregnancy {Ans: 100% teratogenic in the first 9 weeks of pregnancy, most at risk in first trimester fetal risks: cataracts deafness congenital heart defects cerebral palsy mental retaradation}Cervical Ripening {Ans: the process of softening and thinning the cervix by artificial means i.e. balloon catheters, membrane sweeping, hygroscopic dilators CAUTION for chemical agents (Misoprostol - prostaglandins) risk: uterine tachysystole}Nursing Interventions for Variable Decelerations {Ans: d/c pitocin change position administer O2 notify provider administer amnio-infusion}Asthma in Pregnancy {Ans: maintain oxygenation to fetus by preventing maternal hypoxia risks for poorly controlled asthma: - premature birth - low birth wt - cleft lip - maternal HTN preferred treatment: Budesonide (Pulmicort), use Albuterol for rescue therapy}IV Pain Medications in Labor {Ans: morphine fentanyl remifentanil buporphanol nalbuphine IM is avoided during active labor ***opioids do cross the placenta and can cause neonatal respiratory depression at birth}Cutaneous Stimulation in Labor {Ans: counter pressure light massage