Unit 6
Which of the following heart defects are cyanotic?
A. Ventricular Septal Defect
B. Patent Ductus Arteriosis
C. Coarctation of the Aorta
D. Tetralogy of Fallot
E. Hypoplastic Left Heart Syndrome
D and E
What is the most accurate test for gestational diabetes?
Two Step Test
The two step method involves the first step consisting of a 50 g oral glucose load followed by a plasma glucose measurement 1 hour later. A value of 130-140 mg/dL is considered positive. The second step is a 3 hour (100 g) oral glucose tolerance test on another day.
How is placenta previa diagnosed?
Abdominal U/S followed by transvaginal ultrasound
Name all four defects involved in tetralogy of fallot
ventricular septal defect
pulmonic stenosis
overriding aorta
right ventricular hypertrophy
I'm currently 39 weeks pregnant, I have had two children born at 37 and 35 weeks. I lost 3 pregnancies prior to 12 weeks and have 2 living children
G6 T1 P1 A2 L2
Define a grade 1 placental abruption and treatment
1 (mild) – 10 – 20% separation
· Minimal bleeding
· Less than 500 mL
· Normal uterine tone
· May have tenderness and pain
Grade 1 placental abruption = rest and tocolytics at premature gestation
As the registered nurse you are developing a plan of care for a patient with Tetralogy of Fallot. Select all the appropriate nursing diagnoses below that would be specific to this patient:
A. Risk for deficient fluid volume
B. Ineffective airway clearance
C. Activity Intolerance
D. Failure to thrive
E. Risk for impaired liver function
C and D
Softening of the cervix related to increased vascularity
goodell's sign
Probable sign of pregnancy
Which fontanel is the largest? when does the posterior fontanel close?
Anterior
· Largest and diamond shaped
· 2-3 cms in size
· Stays open until about 18 mos
· Promotes brain growth
Posterior
Closes around first 8 weeks of life
which of the following is an expected finding in an infant with heart failure?
A. reduced number of wet diapers
B. hypoactive bowel sounds
C. central cyanosis while crying
D. Bradypnea
A. reduced number of wet diapers
decreased output and water retention is a sign of heart failure
At what gestational age can the nullipara feel quickening?
At what gestational age can the multipara feel quickening?
Nullipara- around 18 weeks
Multipara- 14-16 weeks
Which of the following are signs of digoxin toxcity?
A. tachypnea, edema, decreased output
B. bradycardia, loss of appetite, dysrhythmias
C. tachycardia, hypotension, adventitious sounds
B. bradycardia, loss of appetite, dysrhythmias
What is a fetal complication related to oligohydraminos?
Renal failure