Total cholesterol - correct answer ✔✔130-200 mg/dL
Bilirubin - correct answer ✔✔< 1.0 mg/dL
Protein - correct answer ✔✔6.2-8.1 g/dL
Albumin - correct answer ✔✔3.4-5.0 g/dL
Digoxin - correct answer ✔✔0.5-2.0 ng/ml
,Lithium - correct answer ✔✔0.8-1.5 mEq/L
Dilantin - correct answer ✔✔10-20 mcg/dL
Theophylline - correct answer ✔✔10-20 mcg/dL
FHR - correct answer ✔✔120-160 BPM.
Variability - correct answer ✔✔6-10 BPM.
Contractions - correct answer ✔✔normal frequency 2-5 minutes apart; normal duration < 90 sec.;
intensity < 100 mm/hg.
Amniotic fluid - correct answer ✔✔500-1200 ml (nitrozine urine-litmus paper green/amniotic fluid-
litmus paper blue).
Apgar scoring - correct answer ✔✔A = appearance, P = pulses, G = grimace, A = activity, R = reflexes
(Done at 1 and 5 minutes with a score of 0 for absent, 1 for decreased, and 2 for strongly positive.)
Umbilical cord blood supply - correct answer ✔✔The umbilical cord has two arteries and one vein.
(Arteries carry deoxygenated blood. The vein carries oxygenated blood.)
Early decelerations - correct answer ✔✔Begin prior to the peak of the contraction and end by the end of
the contraction. They are caused by head compression. There is no need for intervention if the variability
is within normal range (that is, there is a rapid return to the baseline fetal heart rate) and the fetal heart
rate is within normal range.
Variable decelerations - correct answer ✔✔Are noted as V-shaped on the monitoring strip. Variable
decelerations can occur anytime during monitoring of the fetus. They are caused by cord compression.
The intervention is to change the mother's position; if pitocin is infusing, stop the infusion; apply oxygen;
and increase the rate of IV fluids. Contact the doctor if the problem persists.
, Late decelerations - correct answer ✔✔Occur after the peak of the contraction and mirror the
contraction in length and intensity. These are caused by uteroplacental insuffiency. The intervention is to
change the mother's position; if pitocin is infusing, stop the infusion; apply oxygen;, and increase the
rate of IV fluids. Contact the doctor if the problem persists.
TORCHS syndrome in the neonate - correct answer ✔✔This is a combination of diseases. These include
toxoplasmosis, rubella (German measles), cytomegalovirus, herpes, and syphyllis. Pregnant nurses
should not be assigned to care for the client with toxoplasmosis or cytomegalovirus.
Treatment for maternal hypotension after an epidural anesthesia - correct answer ✔✔1. Stop pitocin if
infusing. 2. Turn the client on the left side. 3. Administer oxygen. 4. If hypovolemia is present, push IV
fluids.
Anticoagulant therapy and monitoring- Coumadin (sodium warfarin) PT - correct answer ✔✔10-12 sec.
(control).
Coumadin Antidote - correct answer ✔✔The antidote for Coumadin is vitamin K.
Anticoagulant therapy and monitoring- Heparin/Lovenox/Dalteparin PTT - correct answer ✔✔30-45 sec.
(control).
Heparin Antidote - correct answer ✔✔The antidote for Heparin is protamine sulfate.
Anticoagulant therapy and monitoring- Therapeutic level - correct answer ✔✔It is important to maintain
a bleeding time that is slightly prolonged so that clotting will not occur; therefore, the bleeding time with
medication should be 1 1/2-2 times the control
Rule of nines for calculating TBSA for burns - correct answer ✔✔Head = 9% Arms = 18% (9% each Back =
18% Legs = 36% (18% each) Genitalia = 1%
Arab American cultural attributes - correct answer ✔✔Females avoid eye contact with males; touch is
accepted if done by same-sex healthcare providers; most decisions are made by males; Muslims (Sunni),
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