NUR 353 Final Exam Questions and Complete Solutions
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Course
NUR 353
Institution
NUR 353
Contraception: natural family planning -identify fertile period: usually 5-7 days around the middle of the cycle ad several days before and after ovulation -about 75% effective -pros: low to cost, no chemicals or hormones, mensural cycle isn't altered -cons: must keep a strict record, not as effect...
NUR 353 Final Exam Questions and
Complete Solutions
Contraception: natural family planning ✅-identify fertile period: usually 5-7 days around
the middle of the cycle ad several days before and after ovulation
-about 75% effective
-pros: low to cost, no chemicals or hormones, mensural cycle isn't altered
-cons: must keep a strict record, not as effective if the women's cycle is irregular, not
very reliable, doesn't protect against stds
Contraception: barrier method ✅-contraception and protection against stds
-diaphragm: silicone device with a flexible rim that covers the cervix and has spermicide
on it
-Cervical cap: cap fits snugly around the base of the cervix close to the junction of the
cervix and vaginal fornices
-Sponge: a small, round, polyurethane sponge that contains N-9 spermicide, it's
designed to fit over the cervix and has spermicide on it
Contraception: hormonal methods ✅-Estrogen and progestin: Evra patch, pills, vaginal
ring (nuvaring)
Contraception: IUD ✅-ex: Paraguard and Mirena
-how they work: they disrupt the endometrium of the uterus just enough for it to release
ebcs, prostaglandins, and enzymes (these substances prevent sperm from reaching the
fallopian tube and make the uterine lining less receptive to implantation)
-pros: last 5-10 years and very effective
Contraception: sterilization ✅-females: tubal ligation
-males: vasectomy
-cons: risk of regret, not reversible, requires minor surgery
-pros: permanent, one-time cost, no hormonal side effects
This is an organ of respiration, nutrition, excretion, storage, and transportation.
✅Placenta
Do mom and baby's blood mix in the placenta? ✅NO
,Pathophysiology of preeclampsia: where does it start/what does it cause? ✅-starts in
the maternal spiral arteries in the placenta (the arteries don't widen enough)
-causes widespread vasospasm
When looking at a fetal heart rate tracing what's the first thing you should look at?
✅the baby's baseline (this will give you a reference for everything else)
Fetal heart rate: VEAL CHOP ✅-Variable decelerations = Cord compression
-Early decelerations= Head compression
-Accelerations= Okay
-Late decelerations= Placental insufficiency
Where are oxygen and nutrients exchanged between mother and baby ✅intervillous
space
How many veins does the umbilical cord have? How many arteries? ✅-1 vein
-2 arteries
(AVA)
When do pregnant patients typically feel fetal movements? ✅16-20 weeks
Quickening ✅fetal movements
TPAL ✅Term (after 37 wks.)
Preterm (before 37)
Abortion
Living children
Normal fetal heart rate ✅110-160
Recommended maternal weight gain for someone with a BMI less than 18.5
(underweight) ✅28-40 lbs
Recommended maternal weight gain for someone with a BMI of 18.5-24.9 (normal)
✅25-35 lbs
Recommended maternal weight gain for someone with a BMI of 25-29.9 (overweight)
✅15-25 lbs
Recommended maternal weight gain for someone with a BMI greater than 30 (obese)
✅11-20 lbs
, What are teratogens ✅-potential toxins that can potentially harm the fetus
-ex: alcohol, tobacco, radiation, infectious agents
When should teratogens be avoided? ✅a women should avoid exposure during her
entire pregnancy but especially during the embryonic period (weeks 4-8) because this is
when all internal and external structures are developing
How does fundal height correlate to weeks of gestation? ✅-the number of weeks
gestation typically correlates to with the number of cm of fundal height
-exception: the last couple of weeks when the baby drops the fundal height might not
correlate
What are the criteria to have a reactive Non-stress Test (NST) ✅-2 accelerations in a
20 minute period (each have to be at least 15 beats above baseline and last for at least
15 seconds)
-On a FHR strip it would be a box and a half over
First stage of labor (and phases) ✅-0-10 cm dilated
-latent phase: -0-3 cm
-Active phase: 4-7 cm
-Transition phase: 8-10 cm
Second stage of labor ✅10cm-delivery of baby
Third stage of labor ✅delivery of baby-delivery of the placenta
Fourth stage of labor ✅everything after placenta delivery
How do you provide education to a pregnant women about what true labor contractions
are ✅true labor contractions cause cervical change, you can't make them go away, if
patient is stressed the contractions might shut off but as soon as they relax contractions
will come back
When a patient's water breaks what do you do? ✅monitor with continuous fetal HR
monitoring for 20-30 minutes, make sure the cord isn't compressed and no other issues
What kind of decelerations is there if the cord is compressed? ✅variable decelerations
Main side effect with epidural placement ✅hypotension (give IV fluid bolus before to
prevent this)
Most common way to manage gestational diabetes ✅most are managed with diet
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