NSG-432 GRADE 001 QUESTIONS AND ANSWERS

NSG-432 GRADE 001 QUESTIONS AND ANSWERS. 2nd trimester caloric increase - Answer-340 cal/day 3 planes of pelvis - Answer-inlet midpelvis outlet 3rd trimester caloric increase - Answer-452 cal/day 5 ps of labor - Answer-Passenger, passageway, powers, position, and psychological response A position - Answer-anterior (facing mom's spine) absent variability (how many beats and what could be the cause) - Answer-0 beats a negative event has occured active phase - Answer-6-10 cm contractions 2-3 min amnioinfusion - Answer-fluid back into the uterus may be used for cord compression NEED MD ORDER android - Answer-male pelvis anterior fontanel shape - Answer-diamond anthropoid - Answer-anthropoid ape pelvis appendicitis implications - Answer-difficult to diagnose because mcburney's point moves WBC is up appendectomy is the only surgery done during pregnancy ballottement - Answer-fetus bounces away from examiners fingers blood pressure increases or decreases - Answer-decreases slightly returns after 32 weeks braxton hicks - Answer-no dilation stop with activity around 16-28 weeks carbs - Answer-45-64% cardinal movements of labor - Answer-engagement descent flexion internal rotation extension restitution and external rotation expulsion category 1 FHR - Answer-baseline 110-160 moderate variability may or may not have accelerations cannot have decels category 2 FHR - Answer-brady or tachy baseline any variability no accelerations periodic or episodic decels category 3 FHR - Answer-absent variability decels bradycardia sinusoidal pattern causes of category 3 FHR - Answer-fetal anemia (immediate delivery) maternal narcotics causes of fetal bradycardia - Answer-compression of umbilical cord hypoxia maternal hypoglycemia causes of fetal tachycardia - Answer-maternal fever terbutaline CBC notable factors - Answer-WBC increase increased clotting factors CDC - Answer-trends in health chadwick sign - Answer-blue cervix 6-8 weeks chorioamnionitis - Answer-infection in uterus CMP notable - Answer-prolactin rises insulin rises common time for epidural - Answer-active phase complete breech position - Answer- consult provider for ____ vitamins - Answer-fat soluble contraction stress test - Answer-watch FHR in response to contractions little or absent variability: positive good variability: negative dilation - Answer-opening up of cervix does water need to be broken for an amnioinfusion? - Answer-YES early decelerations appearance - Answer-start early, end early mirror reverse of contraction early decelerations cause - Answer-head compression early decelerations interventions - Answer-normal- no interventions needed early or latent phase - Answer-1-5 cm 100% effaced 0-2 station contractions 5-30 min apart effacement - Answer-thinning, shortening, drawing up of cervix electronic fetal monitoring - Answer-TOCO & ultrasound epidural complications - Answer-hypotension (fetal bradycardia, late decels) total spinal spinal headache infection epidural nursing implications - Answer-no pain, keep sensation vital signs Q5min hydrate with 500-1000 mL epidural side effects - Answer-bladder distention elevated temp back ache episodic - Answer-without contraction external fetal monitoring - Answer-palpation failure to rescue components - Answer-careful surveillance, quick action, team response false labor - Answer-irregular contractions no cervical change laying down or moving may make them stop no bloody show fetus not engaged fats - Answer-20-35% fetal attitude - Answer-relation of fetal body to each other ex: chin flexion fetal heart tones - Answer-early 1st trimester ultrasound fetal lie - Answer-relation of long axis of baby to long axis of mom fetal movement - Answer-16-20 weeks fetal position - Answer-fetal relation to mother's pelvis first degree episiotomy - Answer-laceration through skin and structure to muscle not repaired folate sources - Answer-meats legumes- beans, peas, chickpeas dark green veggies grains egg corn papaya, avocado, orange forms of contraction stress test - Answer-oxytocin stress test nipple stimulated stress test fourth degree episiotomy - Answer-laceration also involving anterior rectal wall watch for fistula frank breech position - Answer- friability - Answer-fragile cervix tissue easily damaged full term - Answer-41 weeks fundal height and measurement - Answer-indicates fetal growth after 18 weeks, cm height should match number of weeks funic souffle - Answer-blood through umbilical cord 110-160 general anesthesia uses - Answer-emergency childbirth only! use minimal amount goodell sign - Answer-softening cervix gravida - Answer-pregnant GTPAL - Answer-gravida term preterm abortion living gums - Answer-swelling from increased estrogen gynecoid - Answer-female pelvis hCG positive test - Answer-above 25 iu/L health promotion: obstetric care - Answer-primary and secondary health promotion: postpartum - Answer-tertiary heart rate increases or decreases - Answer-increases by 5 weeks not permanent hegar's sign - Answer-uterus softens 6 weeks in HRSA - Answer-reduce disparities induction methods - Answer-prostaglandins (cytotec, cervidil) balloon catheter dilation laminaria amniotomy (rupture membrane) pitocin