NURSE 4470: ABNORMAL PREGNANCY
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS UPDATED 2023-
2024 GRADED A+
1.1st test in screening for gestational diabetes –
ANS-1 hour glucose tolerance test: none fasting
Drink sugar sit for 1 hr. then draw blood
Do second test if did pass first
Greater than 130-140 mg/dl indicates further testing
2.2nd test in screening for gestational diabetes –
ANS-3 hour glucose tolerance test: fasting required, GDM diagnosed if two levels met or
exceeded
1 hr.: 180, 2 hr.: 155, 3 hr. 140 or above for all
ABO incompatibilities –
ANS-Population at risk
Mother type O, infant type A or B
Pathophysiology
Maternal serum antibodies (such as anti A and B) cross placenta less readily than th anti- D
(+/-)
Treatment
Not treated antenatal
Neonatal risks
Hemolysis of fetal red blood cells still occurs but not as severe
Milk anemia in neonates and hyperbilirubinemia risk
3. Effects of infection in stages of pregnancy –
ANS-early: most harm done
After: Growth restriction
Nonimmune hydrops
Neurologic disturbances
4. after birth management of RH incompatibility for not sensitized –
ANS-Antepartum management
Rhogam is the drug to decrease sensitivity to RH +
None sensitized
Give Rhoga
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