Exam 2 Blueprint - Maternal & Pediatric Nursing PDF

**Exam 2 Blueprint - Maternal & Pediatric Nursing** **Violence Against Women (2 Questions)** - Signs and Symptoms of Intimate Partner Violence - Appropriate Screening Techniques (SAVE Model, Abuse Assessment Screening) **Chronic Conditions (8 Questions)** - **Diabetes and Testing**...

**Exam 2 Blueprint - Maternal & Pediatric Nursing** **Violence Against Women (2 Questions)** - Signs and Symptoms of Intimate Partner Violence - Appropriate Screening Techniques (SAVE Model, Abuse Assessment Screening) **Chronic Conditions (8 Questions)** - **Diabetes and Testing** - Gestational Diabetes: Risk factors, screening (24-28 weeks, high-risk early testing), abnormal glucose tolerance results - Complications: Macrosomia, hypoglycemia, congenital anomalies, ketoacidosis, difficult labor - Dietary Management: Meal planning, exercise, medication if needed - **Infections (Rubella, CMV, GBS, HIV)** - **Rubella**: Transmission, fetal effects (congenital cataracts, cardiac defects, hearing loss) - **Cytomegalovirus (CMV)**: Transmission, fetal risks (hearing loss, intellectual disability) - **Group B Streptococcus (GBS)**: Screening (35-37 weeks), neonatal complications (sepsis, pneumonia, meningitis) - **HIV**: Transmission, labor considerations (avoid invasive procedures, viral load determines delivery method) - **Cardiac Conditions in Pregnancy** - Increased cardiac output exacerbating conditions - Monitoring for decompensation (SOB, chest pain, rapid respirations) - **Anemia in Pregnancy** - **Iron Deficiency Anemia**: Risk factors, symptoms (fatigue, tachycardia, pica), treatment (iron supplements, vitamin C intake) **Pregnancy-Related Complications (20 Questions)** - **High-Risk Pregnancy Risk Factors**: Chronic conditions, previous pregnancy complications - **Early Pregnancy Loss & Disorders** - **Miscarriage (1st and 2nd Trimester)**: Types (threatened, inevitable, incomplete, complete, missed), management (D&C, misoprostol) - **Molar Pregnancy**: S&S (prune juice-like bleeding, excessive HCG, preeclampsia before 24 weeks), management (D&C, monitoring HCG) - **Ectopic Pregnancy**: Risk factors (STIs, IUD, tubal scarring), S&S (one-sided pain, referred shoulder pain), treatment (methotrexate, surgery) - **Pregnancy-Specific Conditions** - **Hyperemesis Gravidarum**: Severe N/V, dehydration, electrolyte imbalance, dietary and medication management - **Cervical Insufficiency & Cerclage**: Painless dilation, management (cerclage, bed rest) - **Placenta Previa**: Painless bright red bleeding, no vaginal exams, C-section if complete previa - **Placental Abruption**: Painful dark red bleeding, rigid abdomen, risk factors (HTN, trauma, smoking) - **Hypertensive Disorders** - **Gestational HTN**: HTN without proteinuria after 20 weeks - **Preeclampsia**: HTN + proteinuria, severe cases require hospitalization, magnesium sulfate - **Eclampsia**: Seizures, warning signs (headache, blurred vision, RUQ pain) - **HELLP Syndrome**: Hemolysis, elevated liver enzymes, low platelets, dangerous form of preeclampsia - **ABO/Rh Incompatibility**: Management with Rhogam for Rh-negative mothers - **Amniotic Fluid Disorders** - **Oligohydramnios**: Low fluid, risks (cord compression, hypoxia), may require amnioinfusion - **Polyhydramnios**: Excess fluid, associated with diabetes, GI obstructions, multiple gestations **Labor Complications (15 Questions)** - **Cord Prolapse**: Variable decels, emergency intervention (lift presenting part, trendelenburg) - **Shoulder Dystocia**: Turtle sign, interventions (McRoberts maneuver, suprapubic pressure) - **Induction & Augmentation**: Bishop score, cervical ripening, oxytocin use - **Preterm & Postterm Labor** - **Preterm Labor**: Between 20-37 weeks, treatment (tocolytics, corticosteroids) - **Postterm Pregnancy**: \>42 weeks, risks (macrosomia, meconium aspiration, dystocia) - **Assisted & Operative Births** - **Forceps/Vacuum Delivery**: Indications (maternal fatigue, fetal distress), risks (maternal tears, neonatal bruising) - **Vaginal Birth After Cesarean (VBAC)**: Contraindications (classic incision, myomectomy) - **Emergency & Critical Labor Events** - **Amniotic Fluid Embolism**: Hypoxia, DIC, emergency management - **Precipitous Labor**: \