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NURA 2100 Intrapartal Nursing Care Questions and Answers

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NURA 2100 Intrapartal Nursing Care Questions and Answers Uterine actions in the Third Stage of labor - Answer-Will ball up super tight Attempts to stop bleeds on it's own Gush blood Don't do what with the cord with regard to placenta delivery? - Answer-Don't pull on it too hard, may cause it...

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  • August 23, 2024
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  • 2024/2025
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  • NURA 2100 Intrapartal Nursing Care
  • NURA 2100 Intrapartal Nursing Care
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NURA 2100 Intrapartal Nursing Care
Questions and Answers

Uterine actions in the Third Stage of labor - Answer-Will ball up super tight
Attempts to stop bleeds on it's own
Gush blood

Don't do what with the cord with regard to placenta delivery? - Answer-Don't pull on it
too hard, may cause it to break off in pieces

Uterus anatomy tip. - Answer-Basket weave of musculature
Reason for the need to contract and tighten to stop bleeding

In the Third Stage of Labor the nurse needs to promote - Answer-Bonding with fetus

Fourth Stage of Labor- Recovery Period - Answer-Post major procedure
Watch for bleeding of mom
Monitor vitals every 15min

Fourth Stage of Labor not good findings - Answer-Play dough feeling uterus higher risk
of bleeding

Uterus should feel how in the Fourth Stage of Labor? - Answer-Should be firm like a
softball or baseball
Should be midline

Vaginal Bleeding tips - Answer-DONT STICK YOUR HAND IN THERE
Determine what the cause of the bleed is

Placenta previa- what is it? - Answer-Painless bright red bleeding

Placenta Apruptio- define - Answer-Tearing pain sensation
Extreme pain
Dark red bleeding

Sings and Symptoms of Labor Getting Near - Answer-Contraction strength and duration
narrows
Feeling of pressure in vagina
"Brackston Hicks" contractions not relieved with walking
Water breaking, or mucus plug vaginal discharge
Pain wraps from back
Lightening feeling, baby dropping into position

, Polyuria, increase in frequency, stress incontinence
Energy Burst, nesting
Weight loss
"I need to poop" feeling

When and if the water breaks - Answer-CHECK FHR FIRST

Assessment involving water breaking - Answer-FHR monitor first
Check appearance, volume, color, odor, pH test, Time of ROM

Amniotic fluid characteristics that are bad - Answer-Cloudy consistency-indicates
infection possible
Green, dark, or Brown color- indicates meconium

Rh Factor Issues - Answer-Rh Positive is the bulk of the Population
Rh Negative mom not a worry with 1st pregnancy

Make cards for Rh later - Answer-Make cards for Rh later

Gestational Diabetes concerns - Answer-Check Blood Glucose
May have large baby's
Monitor increase in Blood Glucose
Baby weight will drop post delivery
May need C Section
Nursery ideal- but can stay in room
Educate on S/S to mom
May need supplemental sugar for baby

Gestational Hypertension concerns - Answer-BP
Urine Output
HR
Decrease perfusion during and after delivery
Meds needed to bring it down
Increase chance of stroke- educate moms

PreEclampsia concerns - Answer-Seizure Risk elevated
Fetal Distress
Fetal something
Urine Protien
Suction and O2 needed in the room and functioning

Eclampsia Concerns - Answer-Delivery soon w/C Section
Seizures may occur
MagSulfate drug of choice-calcium gluconate antidote
Monitor for Mag Toxicity
May be on meds for a while

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