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Summary Nur 2633 ATI exam Review
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This is a comprehensive and detailed ATI exam review for Nur 2633. Essential!! To your success in academics!!
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EXAM 1 A TISevere p reeclampsia
Frontal headache
Blurr ed vi son
Photophobia
Right upper quadrant pain Clonus
Brisk dtr
Hypertension
Oliguria
Proteinuria
Edema
oBedrest
oQuiet non-stimulating envir onment to pr event seizur es Most rel iable contraceptive method
IUD
Preterm labor meds
Indomethacin- r elax uterine smooth muscles, suppr ess uterine activity
Mag sulfate- tocolytic
Mag Sulfate
Tx of pr eeclamptic seizures
Toxicity : bradypnea, absent dtr - d/c med, give calcium gluconate, repo rt urine output <30ml/hr
Normal r esponse: facial flushing, nausea, bur ning injection site, dro wsy, dizzy
RR IS THE PRIORITY
Post-partum hemorr hage
Methylerg onovine- pr omotes uterine contractions
Oxytocin
Calcium for pr egnant women
Same r equirement as for non-pr eg
Caffeine
Over 340 mg- vasoconstriction = intrauterine gr owth restriction or miscarri age
Folic Acid
Prevents neural tube defects
During 1 trimesterst
Iron during pr egnancy
Need to double your intak e
Increasing rbc volume
1 Preg, terminated by elective abo rtion, twins birthed at 36 weeks, spontaneous abortion 15 weeks
G- 4
T- 0
P- 1
2
L- 2
Methylergonovine
Tx of pph caused by uterine atony or subinvolu tion
Increases uterine tone
Severe g estational Hypertension
Give mag sulfate
Have calcium gluconate on hands
Provide dark quiet envir onment
Assess loc q1 hr .
Assess r esp status q5 min and q 15 min during mag maint infusio n Provider will or der vitals to be monitor ed q 30-60 min depending on response to m ag sulfate
Placenta previa
36 weeks, bright r ed, painless vaginal bl eeding
Cervical e xam contraindicated
Prep for c-section
Get an u/s to determi ne wher e placenta is
Pelvic rest to avoid hemorr hage
Placenta Abrupto
Vaginal bleeding Abdominal pain
Uterine tenderne ss
Contractions
Hemorr hage can remain c oncealed
oHypertension- most common risk factor
Threatened abortion
Spotting of blood
Possible mild cramping prior to 20 weeks
Betamethasone
Glucocorticoid
Fetal lung maturity
Lung sur factant
Terbutaline
Can cause fetal tachycar dia
Best time to check basal body temp
Every am befor e arising
At same ti me before getti ng out of bed
Sequence of matern al changes
Amenorr hea
Godells sign
Quick ening
Lightning
12 weeks- cause of heartbur n # pro gesterone= $ motility of smooth muscle
Relaxation of car diac sphincter of stomach and delayed gastric emptying\
Contraindications for diaphragm use
Pelvic rel axation
Exercise
Moderate ex ercise improves cir culation
Daily jogging up to 30 mins is fine thr oughout preg
Wt. bearing ok
Avoid activities that mess with balance
Weight gain for BMI 26.5
overweight
For BMI 25-29.9
15-25 lbs.
Minimal gain in first trimester
BMI >30
Gain 11-20lbs
BMI 18-24.9
Gain 25-35 lbs.
2nd trimester skin assessment
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