Exam 3: NUR202/ NUR 202 (2024/ 2025 Update) Maternal Newborn Nursing Review | Q&A, Exams of Nursing

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Exam 3: NUR202/ NUR 202 (2024/ 2025 Update) Maternal Newborn Nursing Review | Questions and Verified Answers| 100% Correct| A Grade– Fortis QUESTION what are the suspicious equivocal contraction stress test results Answer: cannot determine fetal tolerance to stress QUESTION signs and symptoms of genital tract lacerations Answer: bleeding continues despite a firm contracted uterine fundus, bleeding can be a slow trickle, an oozing, or Frank hemorrhage QUESTION most common reasons why postpartum Hemorrhage occurs Answer: operative birth, precipitous birth, congenital abnormalities, contracted pelvis, size, abnormal presentation, and position of the fetus relative size of the presenting part and the birth canal, previous scarring from infection, injury or surgery, and vulvar perineal and vaginal varicosities QUESTION postpartum discharge instructions should include Answer: watch for signs and symptoms of postpartum hemorrhage, signs and symptoms of postpartum depression, you sitz baths, Perry bottles, stool softeners QUESTION meds for postpartum hemorrhage Answer: pitocin, cytotec, methergine, prostin QUESTION contraindication for internal monitoring Answer: must have a ruptured bag of waters and be dilated 2 to 3 centimeters QUESTION what is the rationale for electronic fetal monitoring with pitocin use Answer: to make sure the baby is oxygenating and responding to the contractions well QUESTION what is the purpose of tocolytic therapy Answer: used to stop or slow contractions, relaxes uterine muscles and increases blood flow to placenta QUESTION birth between 20 weeks and end of 37 weeks it's considered to be Answer: light bleeding no tissue pass no cervical dilation QUESTION signs of inevitable abortion Answer: moderate bleeding, severe cramping, cervical dilation QUESTION signs of incomplete abortion Answer: heavy or profuse bleeding, severe cramping, cervical dilation with tissue in the cervix, may require D&C or suction QUESTION signs of a complete abortion Answer: slight amount of bleeding, mild cramping, tissue passes, cervix close after tissue passes QUESTION signs of missed abortion Answer: notice light bleeding, no cramping, no tissue passed, no dilation, if not passed after 1 month then therapeutically removed QUESTION delivery options with placenta previa Answer: C-section is required QUESTION signs of placenta previa Answer: service covers the opening, bright red blood, no pain QUESTION range of motion or traction on the cord May rupture one or more vessels, continues to have contractions consistent to her current stage of Labor, fetal heart rate begins to decline rapidly, fetus May rapidly bleed to death are signs of Answer: Vasa previa QUESTION hemodialysis, elevated liver enzymes, low platelet count very serious requires immediate medical attention The Paddock dysfunction preeclampsia is known as what type of syndrome Answer: h e l l p syndrome QUESTION what are risk of hypertonic uterine contractions Answer: amniotic fluid embolus, first-time mothers QUESTION causes of postpartum hemorrhage Answer: uterine atony, lack of uterine muscle tone, inversion of the uterus, subinvolution of the uterus QUESTION risk factors for postpartum hemorrhage Answer: laceration of genital tract, steady trickle of bright red blood from vagina, hematomas, magnesium sulfate and other tocolytic use, d i c, retained placental fragments QUESTION contraindications for contraction stress test Answer: third trimester bleeding, marginal abruptio placentae QUESTION early decelerations of fetal heart rate during contractions is due to Answer: head compression QUESTION late decelerations of fetal heart rate during contraction is due to Answer: placental insufficiency QUESTION what are the positive contractions test results Answer: late D cells are present with 50% or more contractions QUESTION what are the nursing interventions during eclamptic seizure Answer: stay with the patient and call for help and seizure precautions QUESTION what is contraindicated for hemabate Answer: asthma QUESTION complications in infant of diabetic mother Answer: macrosomia, hypoglycemia, hyperglycemia, unexplained stillbirth, dka QUESTION when is the fetus at risk for dka leading to fetal death Answer: anytime during pregnancy QUESTION what is the ideal maternal glucose fasting Answer: 65 to 95 QUESTION what is the ideal maternal glucose non-fasting Answer: 1:30 to 1:40 after meals QUESTION what is the Bishop score in its purpose Answer: Bishop score is the cervix score and indicates the likelihood of spontaneous preterm labor or a pre-labor scoring that determines if induction of Labor is going to be necessary QUESTION care of infant after forceps or vacuum assisted birth includes Answer: newborn must be observed for signs of trauma and infection, also will be at risk for hyperbilirubinemia and neonatal jaundice as bruising resolves QUESTION when preterm birth is expected this is given to help develop the lungs Answer: betamethasone QUESTION leading cause of postpartum hemorrhage Answer: uterine atony QUESTION what is the primary intervention with uterine atony Answer: massage the fundus QUESTION what are the interventions for uterine atony Answer: massage the fundus, notify health care provider, assess for bladder distention, run pitocin wide open QUESTION priority interventions in postpartum hemorrhage Answer: early recognition is critical, first evaluate the contractility of the uterus then massage the fundus, assess for bladder distention, administer meds