NUR 221 - Final (e) Exam Questions with Correct Answers Verified by Experts| Latest Update
VBAC vaginal birth after cesarean section, if had a vertical section, transverse/horizontal
incision good
Birth Control most effective sterilization, IUD/implant most effective, more pills missed
noneffective; ACHES
ACHES Abd pain
Chest pain/SOB
HA
Eye problems
Severe leg pain
Mastitis keep nursing/breastfeeding, warm compress
PP blues vs PPD short term, gets better on own vs gets worse, needs tx, needs therapy &
antidepressants
PP Psychosis Inpatient/hospital Tx; hearing/seeing things, can't be alone with baby; break in
reality, confusion, delirium, delusions, hallucinations, panic, rapid mood swings, impulsive,
paranoid, grandiose, mania
PP Psychosis risk factors during prenatal period Fam hx, mental health at a higher risk, tell
fam to be aware, personal/fam h/o bipolar/psychosis
Resuscitation of baby low apgar 0-3, maternal infection, premature, meconium
Surfactant good at 35 wks; reduces surface tension on alveoli (gas exchange)
, Premature not enough surfactant, RDS, can give surfactant via ET tube to baby
Infection in mom especially Vag, effects baby, always monitor s/s of baby
Amniotic Fluid Green Meconium
Newborn Sepsis Feeding difficulty, unstable temp, & lethargy
Fam h/o bipolar risk factor postpartum psychosis
S/s of Chorioamnionitis foul smelling purulent yellow, mom has fever
S/S of Resp distress in baby Grunting, flaring, retracting
TTN fluid, tachypnea, fast breathing, caused by fluid, RR over 60 1st 1-2 hrs, resolves on its
own
RDS premature baby, surfactant deficiency d/t preterm, can develop infection; give O2,
Cpap, ET tube with surfactant, neutral thermal environment
Newborn Sepsis S/S fever, poor feeding, floppy, lethargy, decrease wt gain, unstable temp
Newborn Sepsis Causes fever, uterine infections, genital infections, chorio, amnioitis,
endometritis
Sepsis Labs CBC, CRP, Blood cultures; baby starts ATBs, repeat tests next day to compare,
monitor closely
VBAC vaginal birth after cesarean section, if had a vertical section, transverse/horizontal
incision good
Birth Control most effective sterilization, IUD/implant most effective, more pills missed
noneffective; ACHES
ACHES Abd pain
Chest pain/SOB
HA
Eye problems
Severe leg pain
Mastitis keep nursing/breastfeeding, warm compress
PP blues vs PPD short term, gets better on own vs gets worse, needs tx, needs therapy &
antidepressants
PP Psychosis Inpatient/hospital Tx; hearing/seeing things, can't be alone with baby; break in
reality, confusion, delirium, delusions, hallucinations, panic, rapid mood swings, impulsive,
paranoid, grandiose, mania
PP Psychosis risk factors during prenatal period Fam hx, mental health at a higher risk, tell
fam to be aware, personal/fam h/o bipolar/psychosis
Resuscitation of baby low apgar 0-3, maternal infection, premature, meconium
Surfactant good at 35 wks; reduces surface tension on alveoli (gas exchange)
, Premature not enough surfactant, RDS, can give surfactant via ET tube to baby
Infection in mom especially Vag, effects baby, always monitor s/s of baby
Amniotic Fluid Green Meconium
Newborn Sepsis Feeding difficulty, unstable temp, & lethargy
Fam h/o bipolar risk factor postpartum psychosis
S/s of Chorioamnionitis foul smelling purulent yellow, mom has fever
S/S of Resp distress in baby Grunting, flaring, retracting
TTN fluid, tachypnea, fast breathing, caused by fluid, RR over 60 1st 1-2 hrs, resolves on its
own
RDS premature baby, surfactant deficiency d/t preterm, can develop infection; give O2,
Cpap, ET tube with surfactant, neutral thermal environment
Newborn Sepsis S/S fever, poor feeding, floppy, lethargy, decrease wt gain, unstable temp
Newborn Sepsis Causes fever, uterine infections, genital infections, chorio, amnioitis,
endometritis
Sepsis Labs CBC, CRP, Blood cultures; baby starts ATBs, repeat tests next day to compare,
monitor closely
