Hondros NUR 166 Exam 1 Questions and Answers 2024 Graded A

Precipitous labor - Labor that lasts 3 hours or less from onset of contractions to time of delivery Utilization Review - reviews the appropriateness of healthcare services and guidelines for physicians for treatment of illness, controlling management of care to achieve cost containment frequency of contractions - beginning of one contraction to the beginning of the next duration of contractions - beginning of one to the end of one intensity of contractions - are the highest peak during a contraction on the FHR monitor Endorphins - "morphine within"--natural, opiatelike neurotransmitters linked to pain control and to pleasure. variability (BPM change) on FHR monitor - moderate variability is good (6-25 bpm) POISON - resuscitation for baby - P - position - change position of mom O - oxygen - put mom on oxygen I - IV bolus - give mom fluid S - sterile vaginal exam O - oxytocin off N - notify uterine rupture - a tear in the wall of the uterus Prolapsed cord - when the cord lies below the presenting part of the fetus Shoulder dystocia - delayed or difficult birth of the fetal shoulders after the head is born Leopold maneuver - external palpation of the maternal abdomen to determine fetal lie, presentation, attitude, and position cerclage - suturing of the cervix to prevent it from dilating prematurely during pregnancy Chadwick's sign - bluish or purplish discoloration of the cervix/vagina/vulva - caused by vascular congestion Supine Hypotension - a drop in blood pressure due to altered venous return from a gravid uterus exerting pressure on the ascending vena cava Gynecoid Pelvis - most favorable pelvis for successful labor. HELLP Syndrome - hemolysis, elevated liver enzymes, low Platelets - due to severe preeclampsia Isoimmunization - If fetal Rh-positive blood leaks into the Rh-negative mother's circulation, her body may respond by making antibodies to destroy the Rh-positive erythrocytes. Pre-Eclampsia - a condition in pregnancy characterized by high blood pressure, sometimes with fluid retention and proteinuria. Hyper-emesis Gravidarum - severe and persistent vomiting resulting in weight loss and electrolyte imbalance - more than 5% of pre-pregnancy weight loss Postpartum - occurring after childbirth marginal placenta previa - Edge of the placenta meets the rim of cervical os complete placenta previa - Placenta lies over the entire cervical os Placenta Abruption - premature separation of the placenta from the wall of the uterus Hydatiform Mole - Non-visible embryo which develops in the placenta and presents with all the signs of pregnancy - very high HCG - snow storm Naegle's Rule - estimated date of delivery - minus 3 months add 7 days Polyhydramnios (hydramnios) - too much amniotic fluid -Suspect gestational diabetes, fetal anomalies, or multiple gestation. -The mother is also at risk for prolapse of the umbilical cord because of increased amount of fluid pushes the fetus high into the uterine cavity. Preterm rupture of the membranes, another complication associated with hydramnios, increases the risks of both infection and prolapsed cord Side effect of epidural is - hypotension and urinary retention nursing care for epidural - assist woman to maintain postion as needed record blood pressure every 5 minutes until stable record fetal heart rate may need to catheterize mom if bladder full but cannot void causes of pre-term labor - exposure to diethystilbestrol