Exam (elaborations)
NUR 230 Exam 1- Questions & Answers
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NUR 230 Exam 1- Questions & Answers
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NUR 230 Exam 1- Questions & AnswersWhat is considered a "preterm" pregnancy? Correct Ans-20- less than 37 weeks
What is a viable pregnancy? Correct Ans-Ability to live outside of the uterus: 22-24 weeks
What is Vena Cava syndrome? Correct Ans-Dizziness related to the fetus pressing on the
inferior vena cava. Re position the patient on her left side
What is gestational diabetes? Correct Ans-Insulin needs decrease in the first trimester and
increase in the second and third. Baby can be born macrosomic meaning larger than 9 lbs
Describe pregnancy induced Hypertension Correct Ans-Systolic is 30mg above baseline.
Swollen hands and edema
What is placenta previa? Correct Ans-Abnormal implantation of the placenta in the lower
uterus. No pain but bright vaginal bleeding.
When does labor begin? Correct Ans-With the first uterine contraction.
What are the different ways that uterine contractions are assessed? Correct Ans--Frequency
-Intensity
-Duration
-Effacement
Examples of true labor Correct Ans--Regular contractions
-Pain starts in back and radiates to abdomen
-Cervical changes
, -Interval between contractions gets smaller
Examples of false labor Correct Ans--Irregular contractions
-Discomfort localized in the abdomen
-No change in the cervix
In which situations would you not give oxytocin? Correct Ans--Breech position
-Placenta previa
-Maternal cardiac disease
What will be monitored on a patient who was just given an epidural? Correct Ans-Monitor
for hypotension
VEAL/CHOP Correct Ans-Variable = Cord compression
Early = Head compression
Accelerations = Ok
Late = Placental insufficiency
Can the rubella vaccine be given during pregnancy? Correct Ans-No: it is a live vaccine
What is it called when the cervix are sewed up due to an incompetent cervix? Correct Ans-
Cerclage
What is the drug of choice for preeclampsia? Correct Ans-Mag Sulfate
What needs to be monitored when a patient is on Mag sulfate? Correct Ans-RR, reflexes, and
LOC
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