Exam (elaborations)
Complete Summary For NURS 242 final exam Flash Cards, With Complete Solution. Updated 2024/2025.
- Course
- Institution
Complete Summary For NURS 242 final exam Flash Cards, With Complete Solution. Updated 2024/2025.
[Show more]
Seller
Follow
LectDan
Reviews received
Content preview
Complete Summary For NURS 242 final examFlash Cards, With Complete Solution. Updated
2024/2025.
Postpartum hemorrhage risk factors
-Grand multiparity (five or more)
-Over distention of the uterus (large baby, twins)
-Rapid or prolonged labor
-Retained placenta
-Placenta previa or previous placenta accrete or abruptio placentae
-Drugs (tocolytics, magnesium sulfate, general anesthesia, prolonged use of oxytocin)
-Operative procedures (cesarean birth, vacuum extraction, forceps)
-Uterine fibroids
-History of PP hemorrhage
-Preeclampsia
-Coagulation defects
Infection risk factors (postpartum)
-Operative procedures (cesarean birth, vacuum extraction, forceps)
-Multiple cervical examinations
-Prolonged labor
-Prolonged rupture of membranes
-Manual extraction of placenta or retained fragments
-Diabetes
-Catheterization
-Bacterial colonization of lower genital tract
Normal finding of fundal assessment
-Fundus firmly contracted
-Remains contract after massaging
-Located at level of umbilicus/midline
Abnormal finding of fundal assessment
-Soft and boggy (massage until firm)
-Soft after massaging (call HCP; give oxytocin; apply pressure to express clots)
-Displaced from midline (empty bladder and reassess)
Lochia Rubra
-1-3 days
-Bloody; small clots; fleshy earthy odor; red/brown
-Abnormal: large clots; saturated pads; foul odor
Lochia Serosa
-4-10 days
-Pink or brown; serosanguineous
-Abnormal: too much; foul smell; continued/recurrent reddish color
Lochia Alba
,-11-21 days (even until 6 weeks PP)
-White, cream, or light yellow
-Abnormal: persistent lochia serosa; return to lochia rubra; foul odor
Signs of mild fluid volume deficit
-Weight loss <5%
-Normal HR and BP
-Normal skin turgor
-Cap refill: <2 seconds; moist membranes
-Fontanel (normal/flat); normal eyes
Signs of moderate fluid volume deficit
-Weight loss 5-10%
-Normal/undetectable BP; increased HR
-Poor, prolonged skin recoil
-Cap refill: 2-3 seconds; dry membranes
-Fontanel (sunken); decreased tears
Signs of severe fluid volume deficit
-Weight loss >10%
-Normal/undetectable BP; tachy/thready/brady
-Very poor skin turgor - tenting
-Cap refill: 3-4 seconds; parched membranes
-Fontanel (markedly sunken); no tears
Treatment for minimal fluid volume deficit
-ORT not needed
-Age-appropriate diet
-Re-evaluate
Treatment for mild-moderate fluid volume deficit
-50-100mL/kg ORS, plus replace continuing losses over 3-4-hour period
-Breastfeed; resume regular diet after fixing F/E
-Oral dose of ondansetron (Zofran); re-evaluate
Treatment for severe fluid volume deficit
-Parenteral (IV) Therapy: IV fluid bolus (20mL/kg) over period of 20-30 minutes
-Then replacement rate over next 24 hours
-If alert enough for ORS, 100mL/kg over 2-4 hours
S/S of hyponatremia
Behavior changes, headache, dizziness, increased HR, decreased BP, cold/clammy
skin, nausea, cramps
S/S of hypernatremia
FRIED or SALTIER
--
Fever (low grade), flushed skin
Restless (irritable)
Increased fluid retention and increased BP
Edema (peripheral and pitting)
Decreased urinary output, dry mouth
SALTIER
, --
Skin flushed, dry, flaky / Seizures
Agitation / Attention span decreased
Lethargy; Low grade fever
Thirst / twitching
Increased urine specific gravity
Edema (pulmonary)
Reduce cardiac contractility, urine output
Normal Na+ level
135-145 mEq/L
S/S of hypokalemia
Leg cramps
Ileus (bowel obstruction)
Cardiac dysrhythmias (presence of U wave)
S/S of hyperkalemia
MURDER
-Muscle weakness, abdominal cramps
-Urine (oliguria, anuria)
-Resp distress
-Decreased cardiac contractility
-ECG changes (T tall, P small, QRS widened)
-Reflexes, hyperreflexia, or areflexia (flaccid)
Normal K+ level
3.5-5.0 mEq/L
S/S of fluid volume excess
Weight gain
Edema
Rapid bounding pulses
Increased BP
Dyspnea
Crackles/rales
Treatment for fluid volume excess
-Reduce fluid retention by salt and fluid restriction
-Diuretics to increase fluid excretion
-Treat underlying cause
Food jags
When a child will only eat the same food meal after meal
Physiologic anorexia
Decreased appetite because of relatively decreased caloric need - picky, fussy eating
Grazing
Unstructured snacking
By ___ age, children eat the same food prepared for the rest of the family
12 months
Starting at ___ age, children should be eating iron fortified cereals and iron-rich
foods
6 months
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 or Stuvia-credit 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 LectDan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
