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Exam (elaborations)

NSG 3500 EXAM 2 QUESTIONS WITH CORRECT ANSWERS

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NSG 3500 EXAM 2 QUESTIONS WITH CORRECT ANSWERS

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NSG 3500 EXAM 2 QUESTIONS WITH CORRECT
ANSWERS



Which of the following is a reassuring pattern of contractions? - ans-
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Three minutes and less than 90 seconds
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The fetal heart rate decelerates to the 90's for three minutes after a 90 second contraction.
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The nurse documents: - ans-Prolong decelerations to the 90's, provider notified
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CPD (cephalopelvic disproportion) is: - ans-
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The most common indication for cesarean section
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The patient is complaining of severe headache and blurry vision. The nurse should: - ans-
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Take the BP (rule out pre-eclampsia)
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A pregnant woman should go to the hospital when she begins to experience: - ans-
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frequent and intense contractions (q 5 min and lasts >=50 seconds)
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The patient presents for induction of labor due to oligohydramnios. The nurse knows to ca
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refully monitor for: - ans-Late decelerations (because of placental insufficiency)
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Which of the following is a characteristic of false labor? - ans-
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Walking relieves contractions sw sw




The provider wants to perform an episiotomy on the patient. Which anesthetic technique w
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ill the ob perform? - ans-Pudendal block
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The patient requests an epidural anesthetic. What must the nurse know prior to calling an
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esthesia? - ans-What is the platelet count? sw swsw sw sw sw sw




The four stages of labor are: - ans-
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Dilation and effacement, expulsion, placenta delivery, and recovery
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The provider performs AROM and the fluid is green. This indicates: - ans-
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Anal patency in the fetus
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A multipara at 39 weeks comes in complaining of bleeding. The nurse should: - ans-
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Assess the amount of bleeding the patient is having
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Prostaglandins are responsible for: - ans-Menstrual cramps sw sw sw sw swsw sw

, A patient at 42 weeks comes in for induction of labor. After evaluation, the patient wants to
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know what a score of "5" is. The nurse tells the patient: - ans-
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She will need Cervidil to help her go into labor (less than 6 needs cervical ripening)
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The apgar score system assesses: - ans-
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Fetal heartrate, respiratory effort, reflex irritability, muscle tone, and color
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Three signs of impending labor are: - ans-
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Bloody show, irregular contractions, and cramping
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What are the four interrelated components that make up the process of labor and birth? -
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ans-Powers, passage, passenger, and psyche
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Artificial rupture of the membranes is called - ans-Amniotomy
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When the umbilical cord vessels are implanted in the membranes it is called: - ans-
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velementous insertion (vasa previa is a type of this) sw sw sw sw sw sw sw sw




Dilaton, effacement, position, station, and consistency are components of: - ans-
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The Bishop Score sw sw




Which is the most important assessment immediately after a woman recieves an epidural
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? - ans-Blood pressure
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Vaginal examinations reveals the presenting part is the infant's head which is well flexed u
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pon the chest. What is this presentation? - ans-Vertex (Cephalic)
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What does the nurse note when measuring the frequency of the laboring woman's contrac
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tions? - ans-The time between the start of one contraction and the start of the next
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The peak of the contraction is called the: - ans-Acme
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The nurse caring for the labor patient notices deep variable decelerations just after arom.
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The priority action is: - ans-Examine the patient for prolapsed cord
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Where is the fundus just after vaginal birth? - ans-Firm and 3-finger-
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breadths below the umbilicus sw sw sw




The nurse palpates the abdomen prior to placing monitors to: - ans-
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Feel where the baby is located, and make sure the uterus is soft when placing the monitor
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Which technique is most likely to help with back labor? - ans-
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Applying firm pressure to the sacral area sw sw sw sw sw sw




Your patient wants to get up and walk. Which of the following should the nurse know befor
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e getting the patient up? - ans-
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