NSG3500 EXAM 3 QUESTIONS WITH ANSWERS

NSG3500 EXAM 3 QUESTIONS WITH ANSWERS


During d/c teaching w/ sw sw sw




a pt who has experienced a DVT during labor and delivery & has been described Warfarin
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, the nurse should be sure to emphasize avoiding which of the following and why?
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1. Excessive alcohol consumption
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2. MMR vaccine sw sw sw




3. Ibuprofen sw sw




4. Large amounts of leafy, green veggies
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5. Vitamin C - ans-MMR Vaccine - it interacts w/ the Warfarin
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What is Endometritis? - ans--During the immediate PP period
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-Most common site of infection is the endometrium (lining of the uterus)
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Inflammation of uterine lining that usually starts @ placental site & spreads to endometriu sw sw sw sw sw sw sw sw sw sw sw sw sw




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-Can extend to fallopian tubes, ovaries, perineum, pelvic veins or pelvic connective tissue
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Signs of Endometritis - ans--temp over 101
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-develops within 24-48 hrs after birth sw sw sw sw sw sw




-tachycardia
-uterine tenderness sw sw




-suprapubic pain sw sw




-subinvolution sw




-malaise sw




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heavy, FOUL SMELLING lochia (later sign = entire endometrium is involved) when anaer
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obic organisms are present
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-scant, odorless lochia is noted when beta-hemolytic strep is present
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RN is performing assessment on mom 44 hours after uneventful delivery. Which of the foll
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owing would cause the RN to suspect the pt is developing endometritis?
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1. Deviated fundus
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2. Temp of 101.2
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3. Suprapubic pain
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4. Foul smelling lochia
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5. Scant, odorless lochia - ans-2, 3, 4, 5
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Mom is 42 wks & is being induced with oxytocin d/
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t postdate. Her medical hx shows that she takes Levothyroxine for hypothyroidism, she ha
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d an ectopic pregnancy 5 years ago, and her BMI is 23%. Which part of this info would indi
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cate to the nurse that she is @ risk for a PPH?
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1. Hypothyroidism
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, 2. Inductionsw sw




3. BMI sw




4. Ectopic pregnancy - ans-2
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PP c- sw




section mom calls to nurses station and says it is painful to breathe and she feels like her h
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eart is racing. RN enters the room to find mom holding her chest & coughing. Mom says sh
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e's scared & can't catch her breath. What complication should the RN expect?
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1. Flu sw sw




2. Endometritis
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3. Pulmonary embolism
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4. PPH - ans-3
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The first line of treatment for uterine atony is __________________________ - ans-
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fundal massage sw




The failure of the uterus to return to its pregpregnancy state is called ____________ -
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ans-subinvolution
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A mom came into the ER c/
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o body aches, fatigue, breast pain, fever & chills. What dx would the RN expect the MD to
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give this pt? sw sw




1. Flu sw sw




2. Clogged milk duct
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3. Mastitis sw sw




4. Endometritis - ans-3
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During a morning assessment, mom who delivered a healthy baby girl 2 days ago, tells the
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RN that the devil told her the baby will never be healthy unless she leaves her in a bathtub
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of water. What should the RN do @ this time?
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1. Finish the assessment & charge moms statement for MD to follow up on during rounds
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2. Ask mom what drugs she is taking in case they need to be adjusted
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3. Push the call light for the charge RN and MD to come into room immediately
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4. Nothing - ans-3
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Nurse is caring for a G3P1 mom while she is in labor. She is 38 wks, med hx of 36% BMI, c
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hronic hypertension, gallbladder removal 2 yrs ago, and uneventful past pregnancies. She
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had a reactive NST in triage when she arrived 14 hrs ago. She delivered approx 15 mins a
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go and is showing signs of PPH with a QBL of 1600ml. Which of the follow orders from the
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MD should the RN question and why?
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1. Methergine 0.2mg IV Q2H x3 doses
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2. Oxytocin 40 units IV bolus
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3.Indwelling urinary cath & monitor I&Os sw sw sw sw sw sw




4. Monitor v/s Q15 mins x2 hrs - ans-1 - pt's who have HTN cannot have Methergine
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