NUR 327 Detailed Semester Paper Exam 2 2026

NUR 327 NUR 327 NUR 327 Detailed Semester Paper Exam 2 2026 Priority actions for the newborn - -ABCs, dry off, suction, assess breathing Priority interventions for umbilical cord prolapse - - Relieve pressure on the cord to improve umbilical blood flow until delivery. Priority is to relieve pressure on the cord to improve umbilical blood flow until delivery. Priority interventions for umbilical cord prolapse - -The priority of care is to reduce compression and restore normal blood flow through the cord by elevating the presenting part while giving the mother oxygen to maximize her blood oxygen concentration. The classic sign of _____ is the sudden onset of painless uterine bleeding in the last half of pregnancy - -placenta previa Delivery may be scheduled if the fetus is older than 36 weeks of gestation and the lungs are mature. Immediate delivery may be necessary regardless of fetal immaturity if bleeding is excessive, the woman demonstrates signs of hypovolemia, or signs of fetal compromise are present. - -placenta previa When communicating with the patient, avoid _____ - - -Don't say it'll be okay, or be enabling -No false reassurance, and promote open communication _____ are indicators that the newborn is receiving enough during feedings. - - -Not losing more than 10% body weight -Of dirty diapers and diaper weight (at least 3 wet diapers and 3 stools a day by the third day) Primary ways nurses protect newborns are by _____ - - (1) ensuring that infants always go to the correct parents (2) taking precautions to prevent infant abductions (3) preventing infections or recognizing early signs (4) preventing infant falls. Appropriate interventions for proper umbilical cord care. - -Clean the cord with plain water, if necessary, and keep it dry. Fold the diaper below it so it is not wet by urine. NUR 327 NUR 327 _____ is hypertension (systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg) occurring after 20 weeks of pregnancy in women with previously normal blood pressure usually accompanied by proteinuria. - -Preeclampsia _____ is characterized as the following: Systolic blood pressure of 160 mm Hg or greater or a diastolic blood pressure of 110 mm Hg or greater on at least 2 occasions at least 4 to 6 hours apart while the patient is on bed rest - -Severe Preeclampsia Mothers with preeclampsia should do the following: - --reduced activity (sedentary activity most of the day) -home blood pressure monitoring (same time & arm) -f/u visits to the provider every 3 to 4 days. -ample protein/calorie diet _____ requires inpatient hospitalization. Current recommendations for management depend on disease severity and include progression toward delivery, even if the gestation is less than 34 weeks. - -Severe preeclampsia When treating preterm babies, what are the main nursing considerations to adhere to - --Minimizing stimulus (dimming lights, decreasing visitors, decreasing noise) -Cluster care Nursing considerations for treatment of a patient with _____ is : -Have patient urinate/void bladder -Fundal massage - -Deviated fundus _____ is defined as depression that takes place after childbirth and persists longer than 2 weeks, typically presents within the first 3 months postpartum, and has the potential to last up to a year. - -Postpartum depression _____ is a mild, transient condition which resolves within 2 weeks - -Postpartum blues Increased clotting factors predispose the postpartum woman to thrombus formation. _____ helps prevent thrombophlebitis. - -Early, frequent ambulation When treating a patient with active bleeding at 40wks or greater, _____ should be the immediate interventions. - --Never do a vag exam on actively bleeding patient. -Prepare for delivery asap The most common sign of _____ are fetal and maternal tachycardia, paired with weak maternal peripheral pulses. - -Hypovolemia Smoking, thrombocytopenia, HTN, prior PMHx of embolus are all contraindications for what medications. - -Oral contraceptives NUR 327 NUR 327 Medications most commonly given to the newborn. - -HEP B vaccine, erythromycin eye ointment, Vitamin K What is considered normal bilirubin at 0-1 day - -1.4-8.7 What is considered normal bilirubin at 1-2 days - -3.4-11.5 What is considered normal bilirubin at 3-5 days - -1.5-12 What is considered normal bilirubin at 5 days to adulthood - -0.3 What is considered normal glucose from newborn to 1 day - -40-60 What is considered normal glucose from newborn to greater than 1 day - -50-90 When reporting lab values of a newborn, what is the highest priority abnormal labs to report - -Bilirubin and glucose Newborns with hypoglycemia, or at an increased risk of hypoglycemia exhibit _____ - Jitteriness, tremors Rh, ABO, or other incompatible blood between the mother and the infant may increase RBC breakdown, causing _____ - -Jaundice What to do when patient is unable to get up to void - --Use bedpan, promote self-voiding -no cath unless absolutely necessary (retaining and unable to void) _____ is reserved for women with consistently elevated systolic pressures above 160 mm Hg or diastolic pressures above 90 to 100 mm Hg - -Antihypertensive therapy _____ is the drug of choice to treat hypertension because of its record of safety and effectiveness in pregnancy. - -Methyldopa (Aldomet) _____ elevates blood pressure and should not be given to a woman who is hypertensive. - -Methylergonovine (Methergine) _____ is the most reliable contraceptive that prevents pregnancy - --IUD and abstinence -Higher levels of beta-hCG than expected for gestation -Characteristic "snowstorm" ultrasound pattern -Absence of a fetal sac or fetal heart activity in a complete molar pregnancy -Larger than expected uterus for gestational age -Vaginal bleeding, which varies from dark-brown spotting to profuse hemorrhage -Excessive nausea and vomiting or hyperemesis gravidarum -Early development of preeclampsia before 24 weeks gestation - -S/sx of hydatidiform mole NUR 327 NUR 327 -Missed menstrual period -Positive pregnancy test -Abdominal pain -Vaginal "spotting" - -S/sx of ectopic pregnancy Nurses help prevent _____ by assisting women to begin breastfeeding early and to feed frequently. - -engorgement _____ is air-drying of the skin that results in cooling. Drying the infant, especially the head, as quickly as possible helps prevent loss of heat by _____. - -evaporation Movement of heat away from the body occurs when newborns have direct contact with objects that are cooler than their skin. Warming objects that will touch the infant or placing the unclothed infant against the mother's skin ("skin to skin") helps prevent _____ heat loss. - -conductive When infants are in incubators, the circulating warm air helps keep them warm by _____. Providing a warm, draft-free environment avoids _____ heat loss. - -convection _____ is the transfer of heat to cooler objects that are not in direct contact with the infant. - -Radiation Infection of the newborn whose mother is known to be HBsAg-positive usually can be prevented by administration of _____, followed by hepatitis B vaccine within 12 hours of birth. - -hepatitis B immune globulin (HBIG, Hep-B-Gammagee) During the _____, the mother is focused primarily on her own need for fluid, food, and sleep. - -taking-in phase During the _____ the mother also takes in every detail of the neonate but seems content to allow others to make decisions (not quite independent yet). - -taking-in phase The _____ may be thin with loose skin and little subcutaneous fat. The umbilical cord is thin with little Wharton's jelly. There is little or no vernix caseosa, but the infant generally has abundant hair on the head and long nails. The skin is wrinkled, cracked, and peeling - -post-term infant When dealing with a family experiencing _____, it is important for nurses to provide an opportunity for these mothers/fathers to express their distress and fears. Referrals to support groups or mental health providers may be appropriate. - -fetal death Lactating mothers require _____ extra calories as compared to prepregnancy requirements to meet the needs of lactation. - -500 The required daily protein intake during lactation is _____ each day. - -71 g NUR 327 NUR 327 -Overdistention of the uterus (multiple gestation, a large infant, or hydramnios) -Multiparity -Obesity -Minimally effective contractions (prolonged labor) -Excessively vigorous contraction (precipitous labor) -Induced labor -Placenta retention - -Risks for postpartum hemorrhage Cyclical deep unilateral/bilateral pain (dull or sharp), and infertility with painful intercourse are s/sx of _____ - -Endometriosis -Bleeding, which may be evident vaginally or concealed behind the placenta -Uterine tenderness localized at the site of the abruption -Uterine irritability with frequent low-intensity contractions and poor relaxation between contractions -Abdominal or low back pain that may be described as aching or dull -High uterine resting tone identified with use of an intrauterine pressure catheter -"Board-like" abdomen—the abdomen feels firm to touch because of the blood that can be concealed. -"Port wine" colored amniotic fluid -Nonreassuring FHR patterns or fetal death -Signs of hypovolemic shock - -S/sx of abruptio placentae _____ more likely to occur in infants who have suffered hypoxemia, respiratory acidosis, infection, dehydration, or other injury that impairs the blood-brain barrier and allows unconjugated bilirubin to enter the brain - -Hyperbilirubinemia Platelets 100k, elevated liver enzymes, serum creatinine 1.1, and oliguria 500ml per day are s/sx of _____ - -Severe preeclampsia _____ is the drug most often used to prevent seizures in patient's with preeclampsia/eclampsia. - -Magnesium sulfate The therapeutic serum level for _____ is 5 to 8 mg/dL, although it is elevated in terms of normal laboratory values. - -Magnesium sulfate Assess the woman for respiratory rate above 12 breaths per minute, presence of DTRs, and urinary output greater than 30 mL/hr before administering _____ - -Magnesium sulfate Place resuscitation equipment (suction and oxygen) in the room, and ensure calcium gluconate, which acts as an antidote to _____, is readily available, along with syringes and needles - -Magnesium sulfate