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NUR 4141: Women and Newborn Health Nursing Student Worksheet and Study Guide

Antepartum Testing (chapter 26) Assessment What is it? Why is it done? When is it done? (weeks gestation) How is it done? Special notes or instructions

Fetal movement counts Ultrasound (U/S) Biophysical profile (BPP) Amniocentesis (amnio) Chorionic villus sampling (CVS) Maternal serum alpha fetoprotein (MSAFP) Triple-marker and quad screen Nonstress test (NST)

Hypertensive Disorders (chapter 27) What is the difference between chronic hypertension and gestational hypertension? What is the difference between gestational hypertension and preeclampsia? What is the difference between mild preeclampsia and severe preeclampsia?

What are the elements of physical exam that the nurse would include in his/her assessment of a patient with preeclampsia? How does Magnesium Sulfate work? Discuss the nursing care for a patient on MgSO4.

Antepartum Hemorrhagic Disorders (chapter 28) Early pregnancy bleeding (understand especially the types, how a woman would present with each, and the management) o Threatened o Inevitable o Incomplete o Complete o Missed Incompetent cervix Ectopic pregnancy Late pregnancy bleeding (understand especially the types, how a woman would present with each, and the management) o Placenta previa o Abruptio placentae Clotting disorders

Endocrine Disorders (chapter 29) Diabetes Mellitus Pregestational Diabetes Mellitus o Counseling o Maternal risks and complications o Fetal risks and complications o Care management Gestational Diabetes Mellitus o Fetal risks o Screening o Care management Hyperemesis gravidarum

Med-Surg Problems in Pregnancy (chapter 30) Cardiac disease in pregnancy o Understand the New York Heart Associations classification system (p. 710) o DO NOT need to know details about the various congenital, acquired, ischemic, and other cardiac diseases

o Care management (p. 714-720) Anemia

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