NURS 372 Final, 2024 Updated Review Questions and Answers A+ 100% Pass_Western Governors University

Western Governors University When does a pregnancy mom begin to feel quickening? - CORRECT ANSWER-16-20 weeks When educating a mom on fetal movement counting, it is important to include that if less than _____ movements occur within 2 hours further assessment is necessary - CORRECT ANSWER-6 Describe the process of screening for gestational diabetes mellitus - CORRECT ANSWER-50g of glucose given to mom & blood glucose measured 1 hr later to see how she tolerated it. Results: -7.8 mmol/L normal -7.8-11 mmol/L further testing required -11 mmol/L GDM HELLP is an acronym used for s/s that occur in 20% of women with severe eclampsia. What does it stand for? - CORRECT ANSWER-Hemolysis Elevated Liver enzymes Low Platelets What is placenta previa? - CORRECT ANSWER-A placenta implanted in the lower uterine segment rather than the upper portion A pregnant women comes into the clinic with bright red blood/discharge, but reports no pain. She is most likely experiencing... - CORRECT ANSWER-Placenta previa What is abrupto placenta? - CORRECT ANSWER-Premature separation of placenta from uterine wall after the 20th week of gestation. Leads to hemorrhage A pregnant women comes into the clinic with the following symptoms: dark vaginal, non-clotting bleeding, abdominal pain, lower back pain, uterine contractions, and uterine tenderness. The fetus has an abnormal HR. This women most likely has... - CORRECT ANSWER-abrupto placenta (premature separation of the placenta from the uterine wall after the 20th week leading to hemorrhage) What does fetal station refer to? - CORRECT ANSWER-The relationship of the presenting part to the women ischial spines (negative # = higher up, # increases as baby closer to birth, 0 = at level of ischial spines) What are the 2 phases of the 1st stage of labour? How long do they last? - CORRECT ANSWER-Latent (early) phase: ~6-8 hrs Active phase: ~3-6 hrs If a women is 0-3 cm dilated, she is in the _________ stage of labour. - CORRECT ANSWER-Latent (early) phase of the 1st stage of labour If a women is 4-10 cms dilated, she is in the __________ stage of labour. - CORRECT ANSWER-Active phase of the 1st stage of labour What is in the 1st stage of labour? - CORRECT ANSWER-Onset of regular contractions to 10cm dilated & 100% effacement The softening, thinning, and shortening of the cervical canal is referred to as... - CORRECT ANSWER-Effacement What are referred to as "practice" contractions that have no regular pattern and do not cause dilation or effacement? - CORRECT ANSWER-Braxton Hicks Contractions What is the acronym used to assess amniotic fluid after rupture of membranes? - CORRECT ANSWER-C = color O = odor A = amount T - time it occurred A pregnant women comes into the hospital and her membranes rupture. The amniotic fluid is clear with small flecks and particles in it. Is this normal? - CORRECT ANSWER-Yes. It is associated with vernix What occurs in the second stage of labour? - CORRECT ANSWER-Full cervical dilation & complete effacement to babies birth (consists of passive & active pushing phase) What occurs in the 3rd stage of labour? - CORRECT ANSWER-Delivery of placenta What occurs in the 4th stage of labour? - CORRECT ANSWER-~1-2 hours after birth Which side of the placenta is shiny/grey - CORRECT ANSWER-The fetal side If the shiny/grey side of the fetus is presented first, the placenta separated... - CORRECT ANSWER-Inside - out The acronym REEDA is used to assess perineal laceration repairs, episiotomies, and cesarean scars. What does it stand for? - CORRECT ANSWER-R = redness (erythema) E = edema E = ecchymosis (bruising) D = discharge A = approximation A new born baby has a HR of 90, she cries strong and vigorous in response to stimulation, is partially flexed, and is acrocyanotic. What is the babies APGAR score? - CORRECT ANSWER-Total Score: 7 Activity/muscle tone - 1 Pulse - 1 Grimace response - 2 Appearance - 1 Respirations - 2 How do you interpret APGAR scores? - CORRECT ANSWER-1-3: needs life saving interventions 4-6: may need suctioning or O2 7-10: routine monitoring; little/no difficulties True or False: A babies APGAR score predicts long term health of the child - CORRECT ANSWER-False What are normal newborn vital signs? (resps, HR, temp) - CORRECT ANSWER-Respirations: 30-60 breaths/min Heart Rate: 120-160 beats/min Temperature: 36.5-37.5 (degrees celcius) A baby has a large amount of creases on the soles of her feet, very dry skin, and not much linugo. As a student nurse, would you anticipate this baby being preterm, term, or over term? - CORRECT ANSWER-Over term When is erythromycin eye ointment generally inserted into the infants eyes? - CORRECT ANSWER-1-2 hours after birth How much Vitamin K would you give to a newborn as prophylaxis for hemorrhagic disease of the newborn? - CORRECT ANSWER-1.5mg (Baby 1500g) 0.5mg (Baby 1500g) What are 5 elements of a ripe cervix? - CORRECT ANSWER-Partially dilated, shortened/effaced, softened, positive fetal station, and anterior cervix What chemical is usually used to ripen a cervix? - CORRECT ANSWER-Prostaglandin E2 (most common is prepedil gel placed intravaginally) Why can nipple stimulation ripen a cervix? - CORRECT ANSWER-Is released oxytocin, which initiates contractions What are 2 methods to labour induction? - CORRECT ANSWER-1. Amniotomy (artificial ROM) 2. Oxytocin Administration