Exam (elaborations)
NUR 221 EXAM 2
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Exam of 24 pages for the course Hondros NUR 221 at Hondros NUR 221 (NUR 221 EXAM 2)
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NUR 221 EXAM 2Study online at https://quizlet.com/_dv1uwl
1.Absent FHR vari-
abilityamplitude range undetected
2.Minimal FHR variability1-5 bpm
3.Moderate FHR variability6-25 bpm what we want
4.Marked FHR vari-
ability>25 bpm
5.What is Leopolds maneuver?Purpose: to determine presentation and position of fetus and aid in knowing where to position FHR monitor
Method: explain procedure to pt, have woman empty blad-
der, wash hands, stand beside, facing woman's head
4 maneuvers
6.What is normal FHR?110-160 bpm
newborn is the same
7. NUR 221 EXAM 2
Study online at https://quizlet.com/_dv1uwl
bradycardia FHR and causes<110 bpm
due to perfusion issues, body is in distress
8.Tachycardia FHR and causes>160 bpm
if mom is tachy too could be due to infection
9.What is tachysystole?greater than 5 contractions in 10 minutes and there is fetal tachycardia or late decelerations
10.When is the only time the baby is being perfused while in labor?at rest (between contractions)
11.Frequency of contractions are measured from the...peak of one contraction to the peak of the next contraction (or beginning to beginning)
12.Duration of con-
tractions are measured from the...start to finish of one contraction
13.Intensity of con-
tractionsstrength of contraction at its peak (mild, moderate, strong) NUR 221 EXAM 2
Study online at https://quizlet.com/_dv1uwl
14.How can you tell the intensity of a contraction by feeling?cheek= resting
nose= mild
chin= moderate
forehead= strong
15.What is TOCO? For uterine activity palpate uterus for contraction
Apply over fundus- make sure there is contact
GOES ON TOP
tells frequency and duration of contractions
16.Accelerations in FHRan apparent, abrupt increase in the FHR above baseline.
-Greater than or equal to 32 weeks gestation
-The increase from onset to peak in <30 seconds
-The peak must be at least 15 bpm and last at least 15 seconds
-If <32 weeks gestation at least 10 bpm for 10 seconds
This is a normal good finding... Just document and contin-
ue to monitor.
17.Early Decelera-
tions - Fetal Heart Ratehave a shape that is symmetrical, with a gradual decrease and return of FHR to baseline in association with a con-
traction
-Means Head compression-normal labor process
**gradual decrease
**mirror image of contraction
JUST OBSERVE-prepare for delivery, document normal labor
18.nadir the lowest point after the onset of an early/late decelera-
tion and variable
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