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Exam (elaborations)

Nrsg 3302 Exam 1 Questions & Answers

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NRSG 3302 EXAM 1 QUESTIONS & ANSWERS

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NRSG 3302 EXAM 1 QUESTIONS & ANSWERS

3 types of mandatory reporting - Answer -elder abuse
child abuse
partner violence

MANDATORY REPORTING
Definition: "Mandatory reporting is a legal requirement, in state statute or regulation, for
nurses to report an occurrence or individual, including another nurse, when the
_______________" - Answer -public is at risk

Take active steps to benefit the patient's welfare. Maximize the benefits and minimize
potential harm - Answer -beneficence

Tell the truth, communicate honestly, share relevant, accurate, clear and
understandable information - Answer -veracity

correct range for a term infant - Answer -37-41 6/7 weeks

If a baby's heart rate was less than 60, do they get a score of 0 for part of their APGAR
or a 1? - Answer -if the HR is <60, they get a 0 (and respiratory support...and positive
pressure ventilation with positive pressure ventilation...followed by chest compressions)

Is Infant mortality rate per 1,000 people or births? - Answer -birth rate is the number of
live births per 1000 people. The infant mortality rate is number of infant deaths per 1000
live births.

Normal PP blood loss - Answer -200-500 mL (vaginal), 700-1000 mL (cesarean)

Ovulation resumes for Non-breastfeeding at how many weeks - Answer -5 weeks

what does breastfeeding do for ovulation? - Answer -inhibits ovulation

why does postpartum diuresis happen? - Answer -decrease aldosterone production -
decrease Na+ retention and increased urinary production

perineal care interventions - Answer -ice packs (within 24 hours)

how to suppress lactation - Answer -cold packs
anti-inflammatory

taking in phase - Answer -occurs directly after the birth of the child. The new mother is
aware of her baby and her needs but often focuses on getting her own needs met. The
exhaustion from the labor process often leaves her in a physically vulnerable state.

, taking hold phase - Answer -focuses on maternal role and care of the newborn; eager
to learn; may develop blues

what happens with Postpartum Blues - Answer -self limiting behavior from 2-4 days
after birth - 14 days

FACTORS AFFECTING LABOR PROGRESS (5 P's) - Answer -passageway
passenger
physiologic forces/power of labor
position
psychosocial considerations

What is the ischial spine? - Answer -zero station and narrowest part

normal fetus birthing position - Answer -occiput anterior

What is progesterone? - Answer -relaxes uterus, slows preterm pregnancy

estrogen - Answer -excites uterine response

STOPS contractions in preterm labor - Answer -Indocin (an antiprostaglandin)

What is tachysystole? - Answer -more than 5 contractions in a 10-minute period
(there's no resting phase so the baby is not getting enough oxygen)

Intensity - Answer -measured from the point of resting tone to the highest point of acme

amniotic fluid pH - Answer -7-7.5

urine pH - Answer -6

Vaginal secretions pH - Answer -4.5-5.5

Premonitory Signs of Labor - Answer -braxton hicks contractions, lightening, increase
in clear and nonirritating vaginal secretions, "bloody show", energy spurt, small weight
loss

true labor - Answer -progressive cervical dilation and effacement

early/latent phase - Answer -0-3 cm dilated

active phase - Answer -4-7 cm dilation

transition phase - Answer -8-10 cm dilation; fetal descent

Palpate contractions every _____ - Answer -15-30 mins

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