NUR 3500 Final Exam – Questions With Right
Solutions
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Terms in this set (90)
Pregnant person premature labor and Tachycardia (look for increased HR) (normally used
getting terbutaline. What to monitor bronchodilator causing tachycardia)
for adverse effects?
Female pt telling how to check basal morning before getting up (have thermometer at
temp to determine when ovulating. bedside)
What is time frame they should be
following to take basal temp?
Have someone who experienced a Level of umbilicus
vag delivery 12 hrs ago, post delivery
what position would you expect her
fundus to be at?
Have a 8 hr postpartum pt who is Three fingers pressed above the fundus and
multiferous, what would alert you she displaced to the side
needs to urinate?
, Newborn 6 hrs post delivery, mom -Diagnosis: meningocele
was 30 gravida 2 para 2, c section, -Actions to take: (sterile dressing) moist compress,
AFP positive, med history, surg history place prone position
none, group beta strep positive, -Monitor: CSF leakage, head circumference
weight 5 lb 8 oz (18.9 inches long),
temp 99, HR 120, RR 50, skin warm and
dry, color consistent, mild amount of
lanugo present, head circumference
34 cm, sutures, anterior fontanel flat
and soft, pupils equal reactive to light,
no retractions, umbilical cord
clamped, no herniations, sac noted on
lumbar area, reflexes intact, meconium
stool noted. What is the diagnosis?
What are the actions to take? What
parameters should be monitored?
Have group of pts on intrapartum unit, Epigastric pain and unresolved headache
what would you report to provider
immediately?
Second stage of labor of a 28 year -Diagnosis: Shoulder dystocia
old G2para1 39 weeks, history of -Actions to take: suprapubic pressure, flex clients
insulin GDM, 4 cm into labor, -1 legs against abdomen (mcroberts position)
station, client reports needs to have -Monitor: movement of upper extremities, maternal
bowel movement, sterile vaginal perineum for trauma
exam, 10cm, 100% effaced, FHR 130,
variable decels, provider notified, 3:03
and fetal head crowning with provider
there. What condition and 2 actions
and 2 monitors.
Providing teaching to 30 week She thinks she has to lie flat on her back during the
gestation mom to have non stress test. test (needs to be in semi fowlers position)
What would tell you pt needs further
teaching?
Solutions
Save
Terms in this set (90)
Pregnant person premature labor and Tachycardia (look for increased HR) (normally used
getting terbutaline. What to monitor bronchodilator causing tachycardia)
for adverse effects?
Female pt telling how to check basal morning before getting up (have thermometer at
temp to determine when ovulating. bedside)
What is time frame they should be
following to take basal temp?
Have someone who experienced a Level of umbilicus
vag delivery 12 hrs ago, post delivery
what position would you expect her
fundus to be at?
Have a 8 hr postpartum pt who is Three fingers pressed above the fundus and
multiferous, what would alert you she displaced to the side
needs to urinate?
, Newborn 6 hrs post delivery, mom -Diagnosis: meningocele
was 30 gravida 2 para 2, c section, -Actions to take: (sterile dressing) moist compress,
AFP positive, med history, surg history place prone position
none, group beta strep positive, -Monitor: CSF leakage, head circumference
weight 5 lb 8 oz (18.9 inches long),
temp 99, HR 120, RR 50, skin warm and
dry, color consistent, mild amount of
lanugo present, head circumference
34 cm, sutures, anterior fontanel flat
and soft, pupils equal reactive to light,
no retractions, umbilical cord
clamped, no herniations, sac noted on
lumbar area, reflexes intact, meconium
stool noted. What is the diagnosis?
What are the actions to take? What
parameters should be monitored?
Have group of pts on intrapartum unit, Epigastric pain and unresolved headache
what would you report to provider
immediately?
Second stage of labor of a 28 year -Diagnosis: Shoulder dystocia
old G2para1 39 weeks, history of -Actions to take: suprapubic pressure, flex clients
insulin GDM, 4 cm into labor, -1 legs against abdomen (mcroberts position)
station, client reports needs to have -Monitor: movement of upper extremities, maternal
bowel movement, sterile vaginal perineum for trauma
exam, 10cm, 100% effaced, FHR 130,
variable decels, provider notified, 3:03
and fetal head crowning with provider
there. What condition and 2 actions
and 2 monitors.
Providing teaching to 30 week She thinks she has to lie flat on her back during the
gestation mom to have non stress test. test (needs to be in semi fowlers position)
What would tell you pt needs further
teaching?
