NUR 3500 Final
34 week gestation who has preeclampsia. Temp ninety eight.9, BP 160/105, HR 89, RR 20, sats
ninety seven. Antepartum going home interventions preeclampsia. Bedrest 3 weeks and
labetalol. Gravida4 para3, records of preeclampsia, diet manipulate, Hgb 11, Hct 35, platelet
98,000, creatinine 1.Five, BUN 30, uric acid 10, proteinuria 3, patron is wakeful reports
headache began the day before today 7/10, DTR three+, pitting edema +3 and lower
extremities, dizziness and blurred vision, reviewing EMR, predicted, nonessential or
contraindicated? - ANS--Anticipated: Mag sulfate 4g IV bolus, restriction fluid one hundred
twenty five mL/hr, maintain lighting dim, monitor BP and RR each 15 min
-Contraindicated: patron in supine function
-Nonessential: urine specimen and culture
36 week gestation suspected of placenta previa, what's locating to aid this? - ANS-Painless red
vaginal bleeding
39 week gestation in energetic exertions, coronary heart tones above umbilicus and midline,
what is the fetus function? - ANS-Frank breech
Admitting patron received IV oxytocin and has heavy lochia rubria. HR one hundred eighty, RR
18, BP is high. What prescriptions might you want to have clarified? Pt has hypotonic uterus so
what wishes rationalization? - ANS-Methergine due to the fact that BP already accelerated
Admitting purchaser who has analysis of preterm labor, anticipates order from document for
following meds, select all that observe? - ANS-Mag sulfate, methergine, indomethacin (now not
right for toddler)
Assessing consumer 12 hrs postpartum, received spinal anesthesia for c segment, what needs
instant intervention? - ANS-RR of 10
Assessing customer for postpartum contamination. What finding indicate purchaser evaluation
desires for endometritis? - ANS-pelvic ache
Assessing consumer pregnant for preeclampsia, what findings suggest consumer requires
similarly assessment? - ANS-Elevated BP
Assessing customer who had epidural for ache remedy. What might you identify as difficulty of
epidural block? - ANS-Hypotension
Assessing newborn following vacuum assisted delivery, what signs and symptoms ought to you
notify the provider? - ANS-Poor sucking
, Breastfeeding pt have to eb taught secure technique to dispose of breast from baby's mouth.
Which concept is first-rate with the aid of the nurse? - ANS-Break suction through putting finger
into nook of infants mouth
C section through an hour in the past, vitamin K given by using vastus lateralis, weight 9 lb nine
oz., gestational age evaluation 39 weeks, newborn jittery and reduced muscle tone, R 170, RR
68, temp ninety six.Nine, kind O Rh tremendous? - ANS--Diagnosis: hypoglycemia
-Actions to take: test glucose with heel sticks, placed infant on hotter
-Monitor: seizure hobby and temp
Caring for two hr postpartum, see gradual perineal pad in 10 min, skin shade ashen, vulnerable
and lightheaded, oxygen nonrebreather mask 10mL. What moves need to she do? -
ANS-Fundal massage to sell contractions
Caring for 4 hr postpartum vag shipping, saturated perineal pad within 10 min, what action to
take? - ANS-Massage fundus
Caring for 6 hr postpartum, newborn Rh superb, direct Coombs check ordered, what is
appropriate reaction to coombs? Why are they getting this? - ANS-Detects Rh high quality
antibodies in moms blood
Caring for client in hard work and assists company who plays amniotomy, that is precedence
action following system? - ANS-Assess FHR
Caring for patron in exertions with outside fetal reveal, see late decels and interprets as
indicating which of the following? - ANS-Placental insufficiency
Caring for consumer in labor, gravida 2 para 1 28 weeks gestation, allergies records, temp
98.Nine, HR eighty four, RR 18, 108/eighty four, ninety eight sats. Reports clean vaginal
leakage, fetal motion present, temporal headache few hours 2/10, mild drainage peripad, fundal
peak 30 cm, FHR 150, slight variability, no decels, no contractions noted. Speculum exam cervix
closed, high-quality for ROM, crystalline fill within the blank. What is she at finest hazard of
growing? - ANS-She is at incredible danger for developing chorioamnionitis evidenced via
leakage of vaginal fluid
Caring for middle grownup girl patron reports menstrual durations irregular and having warm
flashes. What must you assume to have for early menopause? - ANS-Dryness with intercourse
Caring for pt during NST take a look at. At quit of 30 min, word FHR one hundred twenty with
minimum variability and no accelerations. 2 decels of 15 min in FHR at some stage in period
fetal motion every lasting 20 sec. Which of the following interpretations of finding might the
nurse make? - ANS-Nonreactive check
34 week gestation who has preeclampsia. Temp ninety eight.9, BP 160/105, HR 89, RR 20, sats
ninety seven. Antepartum going home interventions preeclampsia. Bedrest 3 weeks and
labetalol. Gravida4 para3, records of preeclampsia, diet manipulate, Hgb 11, Hct 35, platelet
98,000, creatinine 1.Five, BUN 30, uric acid 10, proteinuria 3, patron is wakeful reports
headache began the day before today 7/10, DTR three+, pitting edema +3 and lower
extremities, dizziness and blurred vision, reviewing EMR, predicted, nonessential or
contraindicated? - ANS--Anticipated: Mag sulfate 4g IV bolus, restriction fluid one hundred
twenty five mL/hr, maintain lighting dim, monitor BP and RR each 15 min
-Contraindicated: patron in supine function
-Nonessential: urine specimen and culture
36 week gestation suspected of placenta previa, what's locating to aid this? - ANS-Painless red
vaginal bleeding
39 week gestation in energetic exertions, coronary heart tones above umbilicus and midline,
what is the fetus function? - ANS-Frank breech
Admitting patron received IV oxytocin and has heavy lochia rubria. HR one hundred eighty, RR
18, BP is high. What prescriptions might you want to have clarified? Pt has hypotonic uterus so
what wishes rationalization? - ANS-Methergine due to the fact that BP already accelerated
Admitting purchaser who has analysis of preterm labor, anticipates order from document for
following meds, select all that observe? - ANS-Mag sulfate, methergine, indomethacin (now not
right for toddler)
Assessing consumer 12 hrs postpartum, received spinal anesthesia for c segment, what needs
instant intervention? - ANS-RR of 10
Assessing customer for postpartum contamination. What finding indicate purchaser evaluation
desires for endometritis? - ANS-pelvic ache
Assessing consumer pregnant for preeclampsia, what findings suggest consumer requires
similarly assessment? - ANS-Elevated BP
Assessing customer who had epidural for ache remedy. What might you identify as difficulty of
epidural block? - ANS-Hypotension
Assessing newborn following vacuum assisted delivery, what signs and symptoms ought to you
notify the provider? - ANS-Poor sucking
, Breastfeeding pt have to eb taught secure technique to dispose of breast from baby's mouth.
Which concept is first-rate with the aid of the nurse? - ANS-Break suction through putting finger
into nook of infants mouth
C section through an hour in the past, vitamin K given by using vastus lateralis, weight 9 lb nine
oz., gestational age evaluation 39 weeks, newborn jittery and reduced muscle tone, R 170, RR
68, temp ninety six.Nine, kind O Rh tremendous? - ANS--Diagnosis: hypoglycemia
-Actions to take: test glucose with heel sticks, placed infant on hotter
-Monitor: seizure hobby and temp
Caring for two hr postpartum, see gradual perineal pad in 10 min, skin shade ashen, vulnerable
and lightheaded, oxygen nonrebreather mask 10mL. What moves need to she do? -
ANS-Fundal massage to sell contractions
Caring for 4 hr postpartum vag shipping, saturated perineal pad within 10 min, what action to
take? - ANS-Massage fundus
Caring for 6 hr postpartum, newborn Rh superb, direct Coombs check ordered, what is
appropriate reaction to coombs? Why are they getting this? - ANS-Detects Rh high quality
antibodies in moms blood
Caring for client in hard work and assists company who plays amniotomy, that is precedence
action following system? - ANS-Assess FHR
Caring for patron in exertions with outside fetal reveal, see late decels and interprets as
indicating which of the following? - ANS-Placental insufficiency
Caring for consumer in labor, gravida 2 para 1 28 weeks gestation, allergies records, temp
98.Nine, HR eighty four, RR 18, 108/eighty four, ninety eight sats. Reports clean vaginal
leakage, fetal motion present, temporal headache few hours 2/10, mild drainage peripad, fundal
peak 30 cm, FHR 150, slight variability, no decels, no contractions noted. Speculum exam cervix
closed, high-quality for ROM, crystalline fill within the blank. What is she at finest hazard of
growing? - ANS-She is at incredible danger for developing chorioamnionitis evidenced via
leakage of vaginal fluid
Caring for middle grownup girl patron reports menstrual durations irregular and having warm
flashes. What must you assume to have for early menopause? - ANS-Dryness with intercourse
Caring for pt during NST take a look at. At quit of 30 min, word FHR one hundred twenty with
minimum variability and no accelerations. 2 decels of 15 min in FHR at some stage in period
fetal motion every lasting 20 sec. Which of the following interpretations of finding might the
nurse make? - ANS-Nonreactive check
