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NRSG 2500 UNIT 2 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Nursing Care for Fetal Distress
Ans: Maternal position change (place mom on left side to increase uterine
blood flow to fetus).
Discontinue oxytocin if it is infusing.
Give Oxygen 8-10 liters by mask.
Increase IV rate to improve hydration.
Amnioinfusion can sometimes relieve cord compression.
Assist the provider to expedite delivery (possible C-section).
Hypertensive Disorders of Pregnancy
Ans: PIH
Preeclampsia
Eclampsia
HELLP Syndrome
Preeclampsia Risk Factors
Ans: First time pregnancies
Pregnant teens
Women over 40
History of hypertension prior to pregnancy
History of preeclampsia
Having a mother or sister who had preeclampsia
History of obesity
Carrying more than one baby
History of diabetes, kidney disease, lupus, or rheumatoid arthritis
Sunday, 02 March 2025
, Signs and Symptoms of Worsening Preeclampsia
Ans: Increasing edema, especially of the hands and face( if on bed rest
observe for sacral edema)
Worsening headache
Epigastric pain
Visual disturbances
Decreasing urinary output
Nausea/vomiting
Bleeding gums
Disorientation
Generalized complaints of not feeling well
Nursing Interventions for Eclampsia
Ans: Prepare for emergent delivery (if it hasn't already occurred)
Administer medications immediately (need IV access)
Start Magnesium and other meds as needed ie (Hydralazine, Labetalol
Nifedipine, Sodium nitroprusside, lasix)
Seizure precautions
Monitor vital signs, Deep Tendon Reflexes (DTR) and check for clonus.
Quiet environment low light to prevent cerebral disturbances
Monitor labs
Monitor for progression to HELLP
With high magnesium levels, reflexes....
Ans: may be diminished or absent
Magnesium Antidote
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