Summary
Summary NSG 3332 Exam 2 Review
- Course
- NSG 3332
- Institution
- South College
This is a comprehensive and detailed review on Exam 2 for NSG 3332. It's all Yours!!
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Medications:Terbutaline: used for relaxing muscles in pt with tachysystole and preterm labor because it can make it
so they are not in preterm labor anymore /stop contractions/ or spread the contractions apart
Magnesium sulfate: can be used in preterm labor helps reduce contractions or space them out
Magnesium sulfate: can be used in preeclampsia and we assess these every hr: VS( resp and bp priority) ,
loc, DTR deep tendon reflexes, FHR (if they are pregnant), urinary output
Contraindations: Methergine: hypertension
Hemabate: asthma
Q: Mrs smith has baby you and you are the baby catcher and cut cord what are you looking to see in the
placenta? AVA
Q: Pt comes in 40 weeks gest and is bleeding do you do a sterile vag exam? no bc it could be abrution or
previa
Q: If you have a pt who is delivering a baby and is having lots of bleeding what is happening? Possible
hemorrhage what do you do? Massage fundus and drugs: Pitocin and Cytotec, TXA, methergine,
hemabate to stop hemorrhaging
Q: A pt is bleeding out, what is your (nurse) first priority? 1 st priority is start a line of iv…there needs to
be 2 and needs to be a large bore IV an 18 gauge
Q: How do you know the pt is in true labor? There is Cervix change
Q: What do you do about a cord prolapse within the vagina and outside of the vagina?
Cord prolapse in the vagina 1st relieve pressure by lifting the present part off of the cord, 2 nd call for help!
,Cord prolapse outside the vagina 1st wet sterile gauze on prolapse and lift present part off of the cord 2 nd
call for help!
V (variable) C (cord compression) M ( yeeet yer pt over to other side QUICKLY )
E (early Dcels) H (Head compression I (investigate SVE)
A (accelerations) O (OKAY) N (Nothing)
L (Late Dcels) P (placenta insufficiency) E (execute intervention *bolus, o2, pitocin off, reposition)
Questions about veal chop mine will be like the following:
-Mrs. smith nurse is monitoring her baby notices she is having early dcels what intervention does she
need to do?
-Late dcels what does nurse know about late dcels? Answer: placental insufficiency
-Variable dcels, what does nurse do? Answer: Yeet pt
Variable shaped like a V
, Q: What can cause a placental abruption? cocaine use, trauma, hypertension and requires c-section
immediately
Definition of episiotomy: Cut on the perineum cut from tooter to your rooter
Continuous fetal monitoring means non stop
When Induction medications are used the baby is on continuous monitoring
To get baby out via IUPC and FSE (the vacuum tool and the screw tool to get baby out) the pt must have:
ROM (amniotic sac ruptured) and no HIV
You can have a caput of cephalohematoma or abrasion, lacerations to vagina, cervix, perineum) with
vacuum and cannot use if pt has HIV
oligohydramnios = little amnio fluid – look a baby kidneys for function
polyhydramnios= too much amnio fluid - also look at baby kidneys
Know the stages of labor
Mrs smith getting report on her from other nurse and states she is 5-90- -1
5 CM… 90% effaced… and -1 presenting part is above ischial
+1, +2 is positive and means baby is coming and is below the ischial process
Bishops score, what is it?
Shoulder dystocia happens often with gestational diabetes- this is extremely dangerous the claviacle
needs to be broken to help baby to come out, also they do the mcroberts menouver- head of bed flat,
push legs as far as you can up to ears can be done by the nurse, also you can use super pubic pressure
(can be a nurse and is extra pressure on pubis) & Zavanelli maneuvar (may be misspelled)- baby head is
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