Exam (elaborations)
NRS 322 - Final Exam Questions and Answers 100% Solved
- Module
- Institution
NRS 322 - Final Exam
[Show more]
Seller
Follow
julianah420
Reviews received
Content preview
NRS 322 - Final Exampostpartum hemorrhage - answerdefined as a loss of greater than 500 mL for vaginal
birth or greater than 1000 mL for c-section
- life-threatening obstetric emergency with little warning
- cause - uterine atony (boggy), genital tract lacerations, hematoma, nonadherent
placenta, inversion, subinvolution
- management- firm fundal massage, asses uterine tone, weigh used per pads to
estimate blood loss, encourage urination, replace fluids, take labs, give meds, monitor
for shock
- medications- oxytocin, misoprostol, hemabate, methylergonovine
nonadherent placenta - answerpieces of placenta are left behind after delivery
inverion - answerturning inside out of the uterus
subinvolution - answerlate postpartum bleeding caused by thee failure of the uterus to
return to a non-pregnant state
- results in retained placental fragments and pelvic infection
amniotomy (AROM) - answerdefined as the artificial rupture of membranes via chemical
or mechanical methods
- labor usually begins within 12 hours of rupture
- indicated for slow labor when induction or augmentation is indicated
- considerations- monitor FHR and maternal vital signs, ensure presenting part of fetus
is engaged in the pelvis, document amniotic fluid characteristics
- take temperature every 2 hours after rupture (increased risk of infection with ruptured
membranes)
hyperemesis gravidarum - answerdefined as excessive vomiting accompanied by
dehydration, electrolyte imbalance, ketosis and weight loss
- interventions- possible IV fluid replacement, avoid having an empty stomach, eat small
and frequent meals , keep crackers at bedside
true labor - answer- cervical changes (effacement)
- regular contractions not relieved by anything
- presenting part of fetus engages
false labor - answer- no cervical change
- sporadic contractions (Braxton Hicks) relieved by walked and movement
, nonstress test - answer- assess FHR via doppler ultrasound. Mother pushes a. button
when she feels baby move. FHR should have accels during each movement
- if no movement is felts, might use a vibroacoustics or peristalsis to wake baby up
- may have reaction or nonreactive test results
reactive - answer2 or more accels with movement in 20 minutes
nonreaction - answerless than 2 accels in 20 minutes, refer patient to a biophysical
profile for further assessment
newborns first hour of life - answer- provide warmth (swaddle, skin to skin, hat)
- position and clear airway with a bulb syringe (mouth then nose)
- APGAR at 1 and 5 minutes
- dry stimulate and reposition
- evaluate critical signs (respiratory rate and effort, heart rate, color)
- vitamin K and hep B injections
placental abruption - answerdefined as a premature separation of the placenta from the
uterine wall
- s/s- sudden, intense pain (may mimic contraction), may bleed, rigid and tender
abdomen, late decels, absent variability
- most often caused by trauma or coccaine use
- management- immediately birth of baby
placenta previa - answerdefined as placenta implanting near of over the cervical os
- s/s - painless, bright red bleeding from vagina during the 2nd and 3rd trimester
- requires c-section when fetus is ready, no vaginal exams, do not want cervical dilation
to occur (no penetration)
intimate partner violence - answerdefined as behavior within an intimate relationship
that causes physical, sexual, or psychological harm
- assess at every visit ,get mother alone to ask questions
gestational hypertensionn - answerdefined as pregnancy induced hypertension
- BP greater than 140/90
- onset of HTN without proteinuria after 20 weeks of gestation
- BP should return to baseline by 12 weeks postpartum
- associated with placental abruption, kidney failure, hepatic rupture, preterm birth, and
maternal/fetal death
preeclampsia - answerdefined as generalized systemic vasospasm (all organ perfusion
reduced), gestational HTN with proteinuria greater than +1
- s/s - headache, visual disturbances, hyper reflexive, HTN, proteinuria
- sudden worsening- facial edema, oliguria, weight gain
- goal is to control preeclampsia before eclampsia (seizures) can occur, use MgS to
prevent potential seizures
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £11.36. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now