NSG222/ NSG 222 Exam 2: (New 2024/ 2025
Update) Family Nursing Review| Questions
and Verified Answers| 100% Correct | A
Grade – Herzing
QUESTION
assessments during first stage of labor**
Answer:
- contractions (30-60 min during latent, 15-30 min during active)
- status of membranes
- fetal heart rate
- fetal position and station
- pain level
- encourage breathing techniques
- educate on importance of positioning
QUESTION
labs assessed during first stage of labor (if not already done)
Answer:
- urinalysis
- CBC
- syphilis
- HbsAg
- GBS
- HIV
- drug screen
QUESTION
What is the best position for the laboring mother?**
Answer:
, whatever is most comfortable for the mother, although research shows the upright position is
best
QUESTION
transition phase of labor**
Answer:
- occurs during last part of active labor when mother is 8-10 cm dilated
- strong to very strong contractions every 2-3 min lasting 45-90 seconds
- check FHR every 15-30 min
- check mother's vital signs every 15-30 min
- check temperature q4h (q2h if ROM)
QUESTION
indications for induction of labor with Oxytocin (Pitocin)
Answer:
- large fetus
- gestational age greater than 42 weeks
- maternal hypertension, diabetes, or lung disease
- spontaneous rupture of membranes without start of labor
QUESTION
amniotomy
Answer:
artificial rupture of membranes
QUESTION
nursing interventions during 4th stage of labor**
Answer:
- support
- prevent hemorrhage (fundal massage if needed)
, - fundal checks (every 15 minutes for first hour after birth)
- bladder voiding
- comfort measures
- parent/newborn attachment
QUESTION
involution
Answer:
return of the uterus to its pre-pregnancy size after birth
QUESTION
Where is the fundus immediately after birth?
Answer:
at the umbilicus
QUESTION
When should the fundus no longer be palpable?
Answer:
10 days postpartum
QUESTION
How fast does the fundus descend after birth?**
Answer:
about one finger breadth per day (measured from the umbilicus)
QUESTION
signs and symptoms of urinary retention**
Answer:
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