NUR 337 final exam Arizona State University-Downtown Phoenix |
UPDATED Questions with 100% Verified Answers
Question:
Situation of Becca Perez
Answer:
-intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy for
late decelerations and minimal variability. Infant pale, limp, passed to the delivery RN for
resuscitation
-postpartum hemorrhage
Question:
Meds for Becca perez
Answer:
-oxytocin (pitocin): used for prevention/management of postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum
hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent postpartum
hemorrhage
primary action in all of these is to cause uterine contraction*
Question:
Normal blood loss for vaginal delivery? C-section?
Answer:
<500 vaginal
<1000 c-section
Question:
What med is Becca perez currently receiving for postpartum
hemorrhage
Answer:
,pitocin
Question:
A primary nursing intervention when caring for a woman
experiencing an obstetric hemorrhage associated with uterine
atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder.
Answer:
B. perform fundal massage
Question:
Medications used to manage postpartum hemorrhage (PPH)
include (Select all that apply):
a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate
Answer:
ACD
Question:
Criteria for postpartum hemorrhage besides cumulative blood
loss:
Answer:
15% change in vitals
HR >110
BP <85/45
O2 <95%
Question:
, How many times has Becca Perez been pregnant?
Answer:
1
Question:
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you
arrive to perform her 15-minute assessment, she tells you that
she "feels all wet underneath." You discover that both pads are
completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations.
Answer:
A. Assess the fundus for firmness.
Question:
Becca Perez required a vacuum assisted delivery after
experiencing the following labor complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress
Answer:
B. Late decelerations with slow return to baseline
Question:
Erin Dodge situation
Answer:
-chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
UPDATED Questions with 100% Verified Answers
Question:
Situation of Becca Perez
Answer:
-intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy for
late decelerations and minimal variability. Infant pale, limp, passed to the delivery RN for
resuscitation
-postpartum hemorrhage
Question:
Meds for Becca perez
Answer:
-oxytocin (pitocin): used for prevention/management of postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum
hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent postpartum
hemorrhage
primary action in all of these is to cause uterine contraction*
Question:
Normal blood loss for vaginal delivery? C-section?
Answer:
<500 vaginal
<1000 c-section
Question:
What med is Becca perez currently receiving for postpartum
hemorrhage
Answer:
,pitocin
Question:
A primary nursing intervention when caring for a woman
experiencing an obstetric hemorrhage associated with uterine
atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder.
Answer:
B. perform fundal massage
Question:
Medications used to manage postpartum hemorrhage (PPH)
include (Select all that apply):
a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate
Answer:
ACD
Question:
Criteria for postpartum hemorrhage besides cumulative blood
loss:
Answer:
15% change in vitals
HR >110
BP <85/45
O2 <95%
Question:
, How many times has Becca Perez been pregnant?
Answer:
1
Question:
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you
arrive to perform her 15-minute assessment, she tells you that
she "feels all wet underneath." You discover that both pads are
completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations.
Answer:
A. Assess the fundus for firmness.
Question:
Becca Perez required a vacuum assisted delivery after
experiencing the following labor complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress
Answer:
B. Late decelerations with slow return to baseline
Question:
Erin Dodge situation
Answer:
-chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
