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Exam (elaborations)

NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pass ||Complete A+ Guide

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NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pass ||Complete A+ Guide

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NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pa
||Complete A+ Guide

1. Absent FHR variability: amplitude range undetected
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2. Minimal FHR variability: 1-5 bpm
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3. Moderate FHR variability: 6-25 bpm what we want
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4. Marked FHR variability: >25 bpm
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5. What is Leopolds maneuver?: Purpose: to determine presentation a nd position
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of fetus and aid in knowing where to position FHR monitor
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nds, stand q q q q q q
q



Method: explain procedure to pt, have woman empty bladder, wash ha beside,
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facing woman's head
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4 maneuvers
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6. What is normal FHR?: 110-160 bpm
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newborn is the same
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7. bradycardia FHR and causes: <110 bpm q q q q q




due to perfusion issues, body is in distress
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8. Tachycardia FHR and causes: >160 bpm q q q q q




if mom is tachy too could be due to infection
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and there is
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9. What is tachysystole?: greater than 5 contractions in 10 minutes
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fetal tachycardia or late decelerations
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10. When is the only time the baby is being perfused while in labor?: at rest
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(between contractions)
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ne contraction
q
1 q/ q39

,NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pa
||Complete A+ Guide
11. Frequency of contractions are measured from the...: peak of o
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to the peak of the next contraction (or beginning to beginning)
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12. Duration of contractions are measured from the...: start to fin ish of one
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contraction
q




2 q/ q39

,NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pa
||Complete A+ Guide

13. Intensity of contractions: strength of contraction at its peak (mi strong)
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ld, moderate, q q q q q q q q
q




14. How can you tell the intensity of a contraction by feeling?: cheek= resting
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nose= mild
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chin= moderate q




forehead=
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strong
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15. What is TOCO?: For uterine activity palpate uterus for contraction
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Apply over fundus- make sure there is contact
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GOES ON TOP q q




tells frequency and duration of contractions
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16. Accelerations in FHR: an apparent, abrupt increase in the FHR above baseline.
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-Greater than or equal to 32 weeks gestation
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-The increase from onset to peak in <30 seconds
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-The peak must be at least 15 bpm and last at least 15 seconds
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-If <32 weeks gestation at least 10 bpm for 10 seconds
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This is a normal good finding... Just document and continue to monitor.
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17. Early Decelerations - Fetal Heart Rate: have a shape that is symmetrical, with a
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gradual decrease and return of FHR to baseline in association with a contraction
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-Means Head compression-normal labor process
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**gradual decrease q




**mirror image of contraction q q q




JUST OBSERVE-prepare for delivery, document normal labor
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3 q/ q39

, NUR 221 EXAM 2 Latest Update Questions And Answers (Correct Verified Answers), 100% Guaranteed Pa
||Complete A+ Guide
18. nadir: the lowest point after the onset of an early/late deceleration and variable
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19. Late decelerations - Fetal Heart Rate: have a shape that is symmetrical. with
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q a gradual decrease and return of FHR to baseline in association with a contraction
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-is usually due to uteroplacental insufficiency and fetal hypoxia
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-Although acidosis is not always present, may be associated with fet al acidosis
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q (EMERGENCY, THIS IS THE WORST DECEL) q q q q q




-Intervention: POISON q




20. Variable decelerations- Fetal Heart Rate: are an abrupt onset of decreased
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q FHR below baseline that may occur with or after a contraction
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acidosis.
-Is usually due to cord compression and may be associated with fetal
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Intervention- Put mom on left side. Administer 10 L O2 nonrebreather
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4 q/ q39

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