CONCORDIA NUR 418 PEDS /OB EXAM 1
EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
Abruption Placentae ( OB Text Chp 7 pg 184; OB Module 5
Presentation) - ANSWERS--risk factors: hypertensive
disorders, previous abruption, maternal age, preterm
pregnancies, uterine fibroids, cigarette smoking, meth use,
abdominal trauma -risk for woman: hemorrhage, maternal
death -risk for fetus: low birthweight, preterm delivery,
stillbirth -assesment: vaginal bleeding (severe), fetal
assessment: tachy, brady, late decelerations
S/S Abruption Placentae ( OB Text Chp 7 pg 184; OB Module
5 Presentation) - ANSWERS-•s/s: bright red vaginal
bleeding, severe abdominal pain, decreased fetal movement
,Abruptio Placentae ( OB Text Chp 7 pg 184; OB Module 5
Presentation) - ANSWERS-risk factors: endometrial scarring,
c-section, short pregnancy intervals, advanced maternal
age, diabetes, hypertension, cigarette smoking, uterine
abnomalities risks for woman: hemorrhage, hypovolemic
shock risk for fetus: anemia, hypoxia, death assessment:
painless vaginal bleeding in third trimester, may be
accompanied with abdominal pain, contractions; fetal HR
changes contraindications: vaginal exam Interventions: c-
section is necessary usually
•Placenta covering cervix. NO internal exam
Chronic Constipation (Peds Text Chp 15, pg 345) - ANSWERS-
-may have trace blood or pain -hirschsprung disease: causes
blockage of the intestine bc of lack of nerves in the bottom
segment of the colon -results in constipation from birth -eat
whole wheat foods
•Change diet, routine, activity •Miralax
Moderate Dehydration (ATI, Peds Text Chp 15 pg 325-346;
Module Presentation) - ANSWERS--causes: poor oral
, hydration, increased aerobic activity, recent illness -causes
in body system: diabetes, CF, fever, burns, tachypnea, HR,
renal failure -prevent fluid and electrolyte imbalance -more
prone to imbalances because a greater percentage of body
water in infants is extracellular -limited ability to dilute and
concentrate urine
Oral rehydration NOT water (pedialyte) Check fontanelle for
depression
Severe Dehydration (ATI, Peds Text Chp 15 pg 325-346;
Module Presentation) - ANSWERS--weight loss is most
significant indicator of dehydration -rapid respiration can
cause dehydration because they can cause evaporation of
fluid on mucus membranes -can lead to shock
IV fluids, no oral hydration
Fluid Volume and Metabolic Differences in Peds pt's (ATI,
Peds Text Chp 15 pg 325-346; Module Presentation) -
ANSWERS--GI tract has larger proportion of surface area
than adults -infants have greater body surface area than
adults -metabolic rate is higher -more likely to lose ECP than
ICP *fluid output 1ml/kg/hr
EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
Abruption Placentae ( OB Text Chp 7 pg 184; OB Module 5
Presentation) - ANSWERS--risk factors: hypertensive
disorders, previous abruption, maternal age, preterm
pregnancies, uterine fibroids, cigarette smoking, meth use,
abdominal trauma -risk for woman: hemorrhage, maternal
death -risk for fetus: low birthweight, preterm delivery,
stillbirth -assesment: vaginal bleeding (severe), fetal
assessment: tachy, brady, late decelerations
S/S Abruption Placentae ( OB Text Chp 7 pg 184; OB Module
5 Presentation) - ANSWERS-•s/s: bright red vaginal
bleeding, severe abdominal pain, decreased fetal movement
,Abruptio Placentae ( OB Text Chp 7 pg 184; OB Module 5
Presentation) - ANSWERS-risk factors: endometrial scarring,
c-section, short pregnancy intervals, advanced maternal
age, diabetes, hypertension, cigarette smoking, uterine
abnomalities risks for woman: hemorrhage, hypovolemic
shock risk for fetus: anemia, hypoxia, death assessment:
painless vaginal bleeding in third trimester, may be
accompanied with abdominal pain, contractions; fetal HR
changes contraindications: vaginal exam Interventions: c-
section is necessary usually
•Placenta covering cervix. NO internal exam
Chronic Constipation (Peds Text Chp 15, pg 345) - ANSWERS-
-may have trace blood or pain -hirschsprung disease: causes
blockage of the intestine bc of lack of nerves in the bottom
segment of the colon -results in constipation from birth -eat
whole wheat foods
•Change diet, routine, activity •Miralax
Moderate Dehydration (ATI, Peds Text Chp 15 pg 325-346;
Module Presentation) - ANSWERS--causes: poor oral
, hydration, increased aerobic activity, recent illness -causes
in body system: diabetes, CF, fever, burns, tachypnea, HR,
renal failure -prevent fluid and electrolyte imbalance -more
prone to imbalances because a greater percentage of body
water in infants is extracellular -limited ability to dilute and
concentrate urine
Oral rehydration NOT water (pedialyte) Check fontanelle for
depression
Severe Dehydration (ATI, Peds Text Chp 15 pg 325-346;
Module Presentation) - ANSWERS--weight loss is most
significant indicator of dehydration -rapid respiration can
cause dehydration because they can cause evaporation of
fluid on mucus membranes -can lead to shock
IV fluids, no oral hydration
Fluid Volume and Metabolic Differences in Peds pt's (ATI,
Peds Text Chp 15 pg 325-346; Module Presentation) -
ANSWERS--GI tract has larger proportion of surface area
than adults -infants have greater body surface area than
adults -metabolic rate is higher -more likely to lose ECP than
ICP *fluid output 1ml/kg/hr
