NURA 2100 Intrapartal Nursing Care Questions and Answers
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Course
NURA 2100 Intrapartal Nursing Care
Institution
NURA 2100 Intrapartal Nursing Care
NURA 2100 Intrapartal Nursing Care Questions and Answers
Uterine actions in the Third Stage of labor - Answer-Will ball up super tight
Attempts to stop bleeds on it's own
Gush blood
Don't do what with the cord with regard to placenta delivery? - Answer-Don't pull on it too hard, may cause it...
NURA 2100 Intrapartal Nursing Care
Questions and Answers
Uterine actions in the Third Stage of labor - Answer-Will ball up super tight
Attempts to stop bleeds on it's own
Gush blood
Don't do what with the cord with regard to placenta delivery? - Answer-Don't pull on it
too hard, may cause it to break off in pieces
Uterus anatomy tip. - Answer-Basket weave of musculature
Reason for the need to contract and tighten to stop bleeding
In the Third Stage of Labor the nurse needs to promote - Answer-Bonding with fetus
Fourth Stage of Labor- Recovery Period - Answer-Post major procedure
Watch for bleeding of mom
Monitor vitals every 15min
Fourth Stage of Labor not good findings - Answer-Play dough feeling uterus higher risk
of bleeding
Uterus should feel how in the Fourth Stage of Labor? - Answer-Should be firm like a
softball or baseball
Should be midline
Vaginal Bleeding tips - Answer-DONT STICK YOUR HAND IN THERE
Determine what the cause of the bleed is
Placenta previa- what is it? - Answer-Painless bright red bleeding
Placenta Apruptio- define - Answer-Tearing pain sensation
Extreme pain
Dark red bleeding
Sings and Symptoms of Labor Getting Near - Answer-Contraction strength and duration
narrows
Feeling of pressure in vagina
"Brackston Hicks" contractions not relieved with walking
Water breaking, or mucus plug vaginal discharge
Pain wraps from back
Lightening feeling, baby dropping into position
, Polyuria, increase in frequency, stress incontinence
Energy Burst, nesting
Weight loss
"I need to poop" feeling
When and if the water breaks - Answer-CHECK FHR FIRST
Assessment involving water breaking - Answer-FHR monitor first
Check appearance, volume, color, odor, pH test, Time of ROM
Amniotic fluid characteristics that are bad - Answer-Cloudy consistency-indicates
infection possible
Green, dark, or Brown color- indicates meconium
Rh Factor Issues - Answer-Rh Positive is the bulk of the Population
Rh Negative mom not a worry with 1st pregnancy
Make cards for Rh later - Answer-Make cards for Rh later
Gestational Diabetes concerns - Answer-Check Blood Glucose
May have large baby's
Monitor increase in Blood Glucose
Baby weight will drop post delivery
May need C Section
Nursery ideal- but can stay in room
Educate on S/S to mom
May need supplemental sugar for baby
Gestational Hypertension concerns - Answer-BP
Urine Output
HR
Decrease perfusion during and after delivery
Meds needed to bring it down
Increase chance of stroke- educate moms
PreEclampsia concerns - Answer-Seizure Risk elevated
Fetal Distress
Fetal something
Urine Protien
Suction and O2 needed in the room and functioning
Eclampsia Concerns - Answer-Delivery soon w/C Section
Seizures may occur
MagSulfate drug of choice-calcium gluconate antidote
Monitor for Mag Toxicity
May be on meds for a while
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