NUR 2633 Maternal Child Health Study Guide – Test 4 (Final Exam) Questions /Answers

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NUR 2633 Maternal Child Health Study Guide – Test 4 (Final Exam) Questions /Answers 1. Dysmenorrhea – a common complaint with women – what are the non-pharmacological and pharmacological trea... tments. • Dysmenorrhea- painful menses • Non pharmacological-heat, exercise, increase calcium • Pharmacological- NSAIDs 2. Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age • Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and add one year • Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage organ development, 10-12 weeks heart tones, movement starts at 16 weeks multigravida, 18 weeks primigravida 3. Poor nutrition, drugs, HTN, DM are all issues of perfusion – what will the fetal result be. • IUGR are large head skinny not much brown fat had poor perfusion • Small for gestational are proportional have brown fat • Macrosomic- body as big as head, worried about birth injuries they usually come from uncontrolled diabetic, Poor lung maturity, hypoglycemic(jittery, lethargy) • Meconium staining- post dates because of stress 4. Anemia becomes a problem in pregnancy – can you discuss the maternal and fetal risks • Most pregnant women have anemia, normal phenomenon, plasma volume goes up not RBC volume so women become anemic, iron supplements • Constipation- they are already constipated and then the iron supplements make them even more, exercise water calcium orange juice no laxatives fiber stool softener [Show More]

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