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NURS 2150: Exam 2 ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTTED SUCCESS $13.49   Add to cart

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NURS 2150: Exam 2 ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTTED SUCCESS

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Bladder dysfunction - answer- bladder sensation dulled --> emptying impaired several hours after delivery and can lead to breakthrough pain Postdural puncture headache - answer- patient sits or stands --> decreased csf volume creates traction on pain-sensitives cns structures Treatment: c...

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  • October 9, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing Pediatrics
  • Nursing Pediatrics
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NURS 2150: Exam 2 ALL EXAM REVISION QUESTIONS AND CORRECT

ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%

GUARANTTED SUCCESS.

Bladder dysfunction - answer- bladder sensation dulled --> emptying impaired several hours

after delivery and can lead to breakthrough pain


Postdural puncture headache - answer- patient sits or stands --> decreased csf volume creates

traction on pain-sensitives cns structures

Treatment: caffeine, supine, hydration, blood patch


Epidural - answer- indwelling catheter inserted next to dura to allow for repeated and

continuous dosing of local anesthetic + opioid

· goal: take away contraction and birth pain but does not take away the ability/urge to push


Advantages of epidural: - answer- · patient is awake


· dose can be adjusted

· no medications to fetus

· airway remain intact

· medications wear off after 2 hours


Disadvantages of epidural: - answer- · hypotension à uteroplacental insufficiency à late

decelerations

Need iv and preload

,· 30 minutes for onset

Occasional dizziness and weakness

Difficulty emptying bladder

Shivering

·postdural puncture seizures

· Cardiorespiratory arrest

· May cause increased temperature in newborn


Contraindications of epidural - answer- · absolute: refusal, local or systemic infection,

uncorrected hypovolemia, coagulation disorders, allergy, increased icp

· Relative: platelet < 100k, spine abnormalities, severe preeclampsia, previous back surgery,

suspicion of neurologic disease, long-term asa, abruptio placentae, acute infection at site, heart

failure


What solution do you give to a patient on an epidural - answer- · 500-1000 ml preload of non-

dextrose iv

O need non-dextrose because you could increase mother glycemia and cause fetus hypoglycemia


Inadequate analgesia/one sided block - answer- the catheter migrates because of position -->

need to switch patients to ensure proper amount of anesthesia is giving


Cse advantages and disadvantages - answer- cse advantages:


· rapid onset

,· increased satisfaction

· motor blockade is decreased

· dilation may be accelerated

· decrease risk of toxicity or high spinal

Cse disadvantages:

· hypotension

· nausea

· itching

· headache

· fetal bradycardia


Malignant hyperthermia - answer- anesthetic crisis triggered by certain general anesthetic

agents and succinylcholine and is autosomal dominant trait




· signs: tachycardia, increased metabolism, muscle rigidity, muscle breakdown, increased acid

content, fever (possibly of 110)

O possible: death, brain damage, kidney failure, muscle damage, organ dysfunction


Decision to incision - answer- 30 minutes


How long should the birth take if doing an emergency c-section without epidural - answer- ·8

minutes

, Hypoxemia - answer- lack of oxygen in fetal blood


Hypoxia - answer- lack of oxygen in fetal tissue


Limitations of efm: - answer- · only a tool à not diagnostic


· overly optimistic

· provides information only on current acid-baes status in fetus


What does certain feelings of the abdomen indicate - answer- · mild (feeling of nose) - early in

labor, things aren't intense yet

· moderate (chin) - start a little more pain, need to hold something

· firm (forehead) - can't talk through them, late to transitional phase

· intense


Tocodynamometer (toco) - answer- monitors how often and how long contractions last


Intrauterine pressure catheter (iupc) - answer- monitors contractions and how intense they are


· must have ruptured membranes


Terms to assess uterine contraction: - answer- · frequency - time between beginning of one

contraction and beginning of next

· number - number of contraction in 10 minutes

· duration - measured from the beginning of contraction to completion of contraction

· intensity - strength, peak of contraction - resting tone

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