The drug of choice to reverse the effects of anticoagulant therapy is - ANSWER protamine sulfate via slow IV push.
Svetlana has a history of Marfan syndrome and has arrived for an office visit for preconception counse
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The drug of choice to reverse the effects of anticoagulant therapy is - ANSWER protamine sulfate via slow IV push.
Svetlana has a history of Marfan syndrome and has arrived for an office visit for preconception counseling. Her primary care provider has ordered laboratory work and an echocardiogram to help determine the potential childbearing options. The prognosis for maternal outcomes in pregnancies of women with Marfan syndrome is related to - ANSWER degree of aortic root dilation.
The normal decline in systemic vascular resistance that occurs in pregnancy may become problematic for women with cardiac lesions or cardiac diseases. Which describes a shunt reversal that involves unoxygenated blood delivered into the systemic circulation? - ANSWER right to left
Marielle has been admitted to the intensive care unit with worsening pulmonary edema after being treated for preterm labor. She is wearing a Venturi mask with 40% oxygen for worsening blood gases. The primary care physician suspects acute respiratory distress syndrome. Which medications should be avoided while Marielle is in critical condition? - ANSWER terb
Halili has a history of mechanical valve replacement and has been on anticoagulants during pregnancy. Her medications were discontinued in labor. She had a normal spontaneous vaginal birth 2 hours ago and has just completed her recovery period. Her anticoagulant therapy should be reinitiated after birth within - ANSWER 6 hours
The cardiac lesions that may be more likely to present for the first time in pregnancy because of increased demands on the heart are - ANSWER valvular
Intensive nursing and medical management in women with pregestational diabetes should begin in the - ANSWER preconception period.
Treating hypertension with vasodilating agents during pregnancy may be associated with - ANSWER decreased uteroplacental blood flow.
Mrs. J. has been receiving heparin therapy and is being transitioned to warfarin in the postpartum period. Which of the following medications may act as antagonists or decrease the actions of warfarin? - ANSWER Aspirin, antihistamines, and vitamin K (wrong)
Which of the following is a cause of vascular permeability (noncardiogenic) pulmonary edema? - ANSWER Preeclampsia
Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac muscle, resulting in decreased cardiac output? - ANSWER Cardiomyopathy
Linnette arrives at her 16 week prenatal visit reporting worsening asthma symptoms. The fetal heart rate is 142 beats per minute and Linnette has gained 2 pounds since her previous visit 4 weeks ago. Her breath sounds include bilateral wheezes, and she has a chronic dry cough. Which of the following medications should Linnette avoid during her pregnancy? - ANSWER Cough suppressants
The period of time during labor and birth when the greatest cardiac stress associated with the highest cardiac output occurs is the - ANSWER immediate postpartum period.
When assessing a pregnant woman with rheumatic heart disease at 28 weeks gestation, you must be alert for signs of cardiac decompensation. A sign of cardiac decompensation is - ANSWER rapid irreg weak pulse
In patients with chronic hypertension, elevated uric acid levels in which of the following ranges may indicate risk for superimposed preeclampsia? - ANSWER 4.5-6.0 mg/dl (268-357 umol/l)
A pregnant woman who has been on anticoagulant therapy and is receiving regional anesthesia is at risk for - ANSWER epidural hematoma
Vaginal birth is the preferred method of delivery for most women with cardiac disease. One indication for cesarean birth may be - ANSWER use of warfarin therapy within 2 weeks of delivery.
Maternal cardiac output begins to increase by 5 weeks gestation and peaks at - ANSWER 25-30 weeks
Mrs. Madison has arrived at her prenatal visit at 36 weeks gestation. She has gestational diabetes, and her glucose levels have been controlled by diet alone. She documented several high glucose values over the past week. It is important to discuss that prolonging pregnancy beyond 38 weeks in women with diabetes may result in fetal - ANSWER macrosomia.
Advanced maternal age, hypertension, and diabetes are risk factors associated with which type of cardiac disease in pregnancy? - ANSWER ischemic
You are caring for a mother/baby couplet. Approximately 40 hours ago, Melinda, a 32-year-old primiparous woman, had an urgent cesarean birth after a prolonged second stage of labor during which she had a Category-III abnormal fetal heart tracing. Melinda has been weepy and has not wanted to get out of bed. She describes symptoms of dyspnea, abdominal pain, and chest pain. Her vital signs are blood pressure of 84/56 while lying down, pulse of 118 beats per minute, and respirations of 26 breaths per minute. Melinda is displaying symptoms of - ANSWER pulmonary embolus
Jing is a 36-year-old multiparous woman who presents for a routine prenatal visit. She says she has pain in her right lower leg. Her calf is inflamed and warm to touch. A noninvasive diagnostic tool that may be used in pregnancy to determine whether Jing has deep vein thrombosis is - ANSWER doppler US
Pregnant woman who have undiagnosed and untreated hypothyroidism are at risk for - ANSWER preeclampsia, placental abruption, and stillbirth.
Zahara is admitted at 32 weeks gestation with a headache, nausea, vomiting, epigastric pain, and malaise. She is a primiparous woman with a twin gestation pregnancy who was recently diagnosed with preeclampsia. Zahara is at risk for which autosomally inherited disorder? - ANSWER Acute fatty liver disease
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-hour urine levels exceed - ANSWER 300
Mrs. Barnes is 14 weeks pregnant and presents with a history of atrial fibrillation in conjunction with mitral valve stenosis. Her primary care provider has determined that she should be treated with anticoagulant therapy throughout her pregnancy. Which anticoagulant is superior in preventing clot formation but is also a known teratogen and should not be used during organogenesis? – ANSWE
Module 7 - AWHONN
Module 7 - AWHONN - ANSWER For training purposes only. Not for use in field or with HCP's.
What does AWHONN stand for and what year are they celebrating in 2019 being a formal organization? - ANSWER Association of Women's Health, Obstetric, and Neonatal Nurses Celebrating 50 years: 1969-2019
What is AWHONN's position on selecting skin care products? - ANSWER Select products which have been safety-tested on neonates or infants. Products containing preservatives should demonstrate safety and tolerability in newborns. Preservatives are needed to promote overgrowth in microorganisms
What is AWHONN's position on choosing cleansers? - ANSWER Select mild liquid cleaners or bars having a neutral or mildly acidic pH (pH 5.5-7.0) and those shown to have minimal impact on baby skin surfaces
What is AWHONN's statement on using herbal therapy products? - ANSWER While herbal products may be safe for adult use, caution is recommended for newborn use since some products have not been tested on neonates.
What is AWHONN's statement on the role of cleansers? - ANSWER Cleaner's should not cause skin irritation, disrupt the normal pH of the skin surface or cause stinging or irritation of the eyes.
Does AWHONN see a difference in babies bathed in water alone vs the tested baby wash? - ANSWER No difference in TEWL between babies bathed in water alone vs. the tested baby wash. Researchers concluded that the tested baby wash (or technically equivalent cleanser) would not disrupt skin barrier integrity. (Lavender, et al, 2013)
Does AWHONN have a recommendation for Diaper Dermatitis and Diaper Wipes? - ANSWER Yes - Use petrolatum based ointments or skin barriers containing zinc oxide at every diaper change in infants at risk for developing diaper dermatitis. Give preference to formulations that contain fewer ad
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