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Hondros NUR 166 exam 1 * 2024/2025 Questions With Completed & Verified Solutions.
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Hondros NUR 166 exam 1 * 2024/2025 Questions With Completed & Verified Solutions.
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Hondros NUR 166 exam 1 *Precipitous labor - ANS Labor that lasts 3 hours or less from onset of contractions to time of
delivery
Utilization Review - ANS reviews the appropriateness of healthcare services and guidelines for
physicians for treatment of illness, controlling management of care to achieve cost containment
frequency of contractions - ANS beginning of one contraction to the beginning of the next
duration of contractions - ANS beginning of one to the end of one
intensity of contractions - ANS are the highest peak during a contraction on the FHR monitor
Endorphins - ANS "morphine within"--natural, opiate like neurotransmitters linked to pain control
and to pleasure.
variability (BPM change) on FHR monitor - ANS moderate variability is good (6-25 bpm)
POISON - resuscitation for baby - ANS P - position - change position of mom
O - oxygen - put mom on oxygen
I - IV bolus - give mom fluid
S - sterile vaginal exam
O - oxytocin off
N - notify
uterine rupture - ANS a tear in the wall of the uterus
Prolapsed cord - ANS when the cord lies below the presenting part of the fetus
Shoulder dystocia - ANS delayed or difficult birth of the fetal shoulders after the head is born
Leopold maneuver - ANS external palpation of the maternal abdomen to determine fetal lie,
presentation, attitude, and position
cerclage - ANS suturing of the cervix to prevent it from dilating prematurely during pregnancy
Chadwick's sign - ANS bluish or purplish discoloration of the cervix/vagina/vulva - caused by
vascular congestion
Supine Hypotension - ANS a drop in blood pressure due to altered venous return from a gravid
uterus exerting pressure on the ascending vena cava
, Gynecoid Pelvis - ANS most favorable pelvis for successful labor.
HELLP Syndrome - ANS hemolysis, elevated liver enzymes, low Platelets - due to severe
preeclampsia
Isoimmunization - ANS If fetal Rh-positive blood leaks into the Rh-negative mother's circulation,
her body may respond by making antibodies to destroy the Rh-positive erythrocytes.
Pre-Eclampsia - ANS a condition in pregnancy characterized by high blood pressure,
sometimes with fluid retention and proteinuria.
Hyper-emesis Gravidarum - ANS severe and persistent vomiting resulting in weight loss and
electrolyte imbalance - more than 5% of pre-pregnancy weight loss
Postpartum - ANS occurring after childbirth
marginal placenta previa - ANS Edge of the placenta meets the rim of cervical os
complete placenta previa - ANS Placenta lies over the entire cervical os
Placenta Abruption - ANS premature separation of the placenta from the wall of the uterus
Hydatiform Mole - ANS Non-visible embryo which develops in the placenta and presents with all
the signs of pregnancy - very high HCG - snow storm
Naegle's Rule - estimated date of delivery - ANS minus 3 months add 7 days
Polyhydramnios (hydramnios) - ANS too much amniotic fluid
-Suspect gestational diabetes, fetal anomalies, or multiple gestation.
-The mother is also at risk for prolapse of the umbilical cord because of increased amount of
fluid pushes the fetus high into the uterine cavity. Preterm rupture of the membranes, another
complication associated with hydramnios, increases the risks of both infection and prolapsed
cord
Side effect of epidural is - ANS hypotension and urinary retention
nursing care for epidural - ANS assist woman to maintain postion as needed
record blood pressure every 5 minutes until stable
record fetal heart rate
may need to catheterize mom if bladder full but cannot void
causes of pre-term labor - ANS exposure to diethystilbestrol
being underweight
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