NURS 337 FINAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
Situation of Becca Perez - Answers - -intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy
for late decelerations and minimal variability. Infant pale, limp, passed to the delivery
RN for resuscitation
-postpartum hemorrhage
Meds for Becca perez - Answers - -oxytocin (pitocin): used for prevention/management
of postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum
hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent
postpartum hemorrhage
primary action in all of these is to cause uterine contraction*
Normal blood loss for vaginal delivery? C-section? - Answers - <500 vaginal
<1000 c-section
What med is Becca perez currently receiving for postpartum hemorrhage - Answers -
pitocin
A primary nursing intervention when caring for a woman experiencing an obstetric
hemorrhage associated with uterine atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder. - Answers - B. perform fundal massage
Medications used to manage postpartum hemorrhage (PPH) include (Select all that
apply):
a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate - Answers - A C D
, Criteria for postpartum hemorrhage besides cumulative blood loss: - Answers - 15%
change in vitals
HR >110
BP <85/45
O2 <95%
How many times has Becca Perez been pregnant? - Answers - 1
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-
minute assessment, she tells you that she "feels all wet underneath." You discover that
both pads are completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations. - Answers - A. Assess the fundus for firmness.
Becca Perez required a vacuum assisted delivery after experiencing the following labor
complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress - Answers - B. Late decelerations with slow return to baseline
Erin Dodge situation - Answers - -chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
-pitting edema in lower legs
-nocturia
-fatigue
-low sodium cardiac diet
-10 lb weight gain in one month
-pack a day smoker
-high triglycerides
Which of the following statements is true about Erin Dodge while she was being seen in
the Emergency Department?
A. she was bradycardic
B. she was hypertensive
C. she was tachycardic
D. she was actively bleeding - Answers - C. she was tachycardic
ANSWERS
Situation of Becca Perez - Answers - -intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy
for late decelerations and minimal variability. Infant pale, limp, passed to the delivery
RN for resuscitation
-postpartum hemorrhage
Meds for Becca perez - Answers - -oxytocin (pitocin): used for prevention/management
of postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum
hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent
postpartum hemorrhage
primary action in all of these is to cause uterine contraction*
Normal blood loss for vaginal delivery? C-section? - Answers - <500 vaginal
<1000 c-section
What med is Becca perez currently receiving for postpartum hemorrhage - Answers -
pitocin
A primary nursing intervention when caring for a woman experiencing an obstetric
hemorrhage associated with uterine atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder. - Answers - B. perform fundal massage
Medications used to manage postpartum hemorrhage (PPH) include (Select all that
apply):
a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate - Answers - A C D
, Criteria for postpartum hemorrhage besides cumulative blood loss: - Answers - 15%
change in vitals
HR >110
BP <85/45
O2 <95%
How many times has Becca Perez been pregnant? - Answers - 1
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-
minute assessment, she tells you that she "feels all wet underneath." You discover that
both pads are completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations. - Answers - A. Assess the fundus for firmness.
Becca Perez required a vacuum assisted delivery after experiencing the following labor
complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress - Answers - B. Late decelerations with slow return to baseline
Erin Dodge situation - Answers - -chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
-pitting edema in lower legs
-nocturia
-fatigue
-low sodium cardiac diet
-10 lb weight gain in one month
-pack a day smoker
-high triglycerides
Which of the following statements is true about Erin Dodge while she was being seen in
the Emergency Department?
A. she was bradycardic
B. she was hypertensive
C. she was tachycardic
D. she was actively bleeding - Answers - C. she was tachycardic
