NUR 243 FINAL 4 CERTIFICATION EVALUATION
TESTED QUESTIONS COMPLETE ANSWERS
◉ What is the first intervention when uterine tachysystole is
suspected?
Answer: Assess fetal heart rate (FHR) to ensure the baby is okay.
◉ What are the signs and symptoms of uterine tachysystole?
Answer: Increasing painful labor, abnormal fetal heart rate, and
contractions less than 1 minute apart.
◉ What does the acronym POISON stand for in the context of uterine
tachysystole intervention?
Answer: Reposition, 500 mL bolus of NaCl 0.9%, give O2,
discontinue Pitocin, start terbutaline.
◉ What is the purpose of repositioning a patient experiencing
uterine tachysystole?
Answer: To increase venous return and decrease pressure on the
inferior vena cava.
◉ What medication is given to manage uterine tachysystole, and
what is a potential side effect?
,Answer: Terbutaline, which can cause maternal tachycardia.
◉ What are the key changes in fetal heart rate (FHR) patterns
represented by VEAL|CHOP|MINE?
Answer: Variable decelerations: Cord compression; Early
decelerations: Head compressions; Accelerations: Okay; Late
decelerations: Placental insufficiency.
◉ What should be done if late decelerations are persistent in a
laboring patient?
Answer: Execute interventions such as stopping Pitocin, giving
oxygen, and possibly preparing for a C-section.
◉ What are the characteristics of stable angina?
Answer: Similar onset and duration, exercise-stress induced,
relieved by rest or nitroglycerin, typically lasts less than 10 minutes.
◉ What defines unstable angina?
Answer: Onset at rest, unrelieved by nitroglycerin, lasts more than
10 minutes, requires emergency care.
◉ What is the initial intervention for a patient experiencing angina?
Answer: Always check for a pulse.
,◉ What is the significance of ST-elevation on an EKG?
Answer: It indicates the need for immediate intervention, such as
sending the patient to the cath lab within 90 minutes.
◉ What should be done if a patient on nitroglycerin experiences
hypotension?
Answer: Administer fluids cautiously.
◉ What are the common causes of cirrhosis in the United States?
Answer: Chronic hepatitis C infection, nonalcoholic steatohepatitis
(NASH), and alcohol-induced liver disease.
◉ What is the role of nitroglycerin in angina management?
Answer: It is a vasodilator that can relieve angina but may cause
headache, dizziness, and drops in blood pressure.
◉ What should be done if a patient experiences Vfib?
Answer: Start CPR immediately and prepare to use a defibrillator.
◉ What is the appropriate action for Vtach if a pulse is present?
Answer: Check for a pulse and do not shock a rhythm with a pulse.
, ◉ What is the significance of a nitroglycerin drip in angina
treatment?
Answer: It requires careful monitoring and may necessitate fluid
administration if blood pressure drops.
◉ What is the expected duration of stable angina episodes?
Answer: Typically lasts less than 10 minutes.
◉ What is the recommended action for a patient with unstable
angina?
Answer: Go to the emergency department.
◉ What are the symptoms of uterine tachysystole that require
immediate intervention?
Answer: Abnormal fetal heart rate patterns, including late
decelerations and minimal variability.
◉ What is the importance of monitoring maternal temperature
during uterine tachysystole?
Answer: To assess for potential infection or complications.
◉ What can cause nutrition-related cirrhosis?
Answer: Extreme dieting, malabsorption, and obesity.
TESTED QUESTIONS COMPLETE ANSWERS
◉ What is the first intervention when uterine tachysystole is
suspected?
Answer: Assess fetal heart rate (FHR) to ensure the baby is okay.
◉ What are the signs and symptoms of uterine tachysystole?
Answer: Increasing painful labor, abnormal fetal heart rate, and
contractions less than 1 minute apart.
◉ What does the acronym POISON stand for in the context of uterine
tachysystole intervention?
Answer: Reposition, 500 mL bolus of NaCl 0.9%, give O2,
discontinue Pitocin, start terbutaline.
◉ What is the purpose of repositioning a patient experiencing
uterine tachysystole?
Answer: To increase venous return and decrease pressure on the
inferior vena cava.
◉ What medication is given to manage uterine tachysystole, and
what is a potential side effect?
,Answer: Terbutaline, which can cause maternal tachycardia.
◉ What are the key changes in fetal heart rate (FHR) patterns
represented by VEAL|CHOP|MINE?
Answer: Variable decelerations: Cord compression; Early
decelerations: Head compressions; Accelerations: Okay; Late
decelerations: Placental insufficiency.
◉ What should be done if late decelerations are persistent in a
laboring patient?
Answer: Execute interventions such as stopping Pitocin, giving
oxygen, and possibly preparing for a C-section.
◉ What are the characteristics of stable angina?
Answer: Similar onset and duration, exercise-stress induced,
relieved by rest or nitroglycerin, typically lasts less than 10 minutes.
◉ What defines unstable angina?
Answer: Onset at rest, unrelieved by nitroglycerin, lasts more than
10 minutes, requires emergency care.
◉ What is the initial intervention for a patient experiencing angina?
Answer: Always check for a pulse.
,◉ What is the significance of ST-elevation on an EKG?
Answer: It indicates the need for immediate intervention, such as
sending the patient to the cath lab within 90 minutes.
◉ What should be done if a patient on nitroglycerin experiences
hypotension?
Answer: Administer fluids cautiously.
◉ What are the common causes of cirrhosis in the United States?
Answer: Chronic hepatitis C infection, nonalcoholic steatohepatitis
(NASH), and alcohol-induced liver disease.
◉ What is the role of nitroglycerin in angina management?
Answer: It is a vasodilator that can relieve angina but may cause
headache, dizziness, and drops in blood pressure.
◉ What should be done if a patient experiences Vfib?
Answer: Start CPR immediately and prepare to use a defibrillator.
◉ What is the appropriate action for Vtach if a pulse is present?
Answer: Check for a pulse and do not shock a rhythm with a pulse.
, ◉ What is the significance of a nitroglycerin drip in angina
treatment?
Answer: It requires careful monitoring and may necessitate fluid
administration if blood pressure drops.
◉ What is the expected duration of stable angina episodes?
Answer: Typically lasts less than 10 minutes.
◉ What is the recommended action for a patient with unstable
angina?
Answer: Go to the emergency department.
◉ What are the symptoms of uterine tachysystole that require
immediate intervention?
Answer: Abnormal fetal heart rate patterns, including late
decelerations and minimal variability.
◉ What is the importance of monitoring maternal temperature
during uterine tachysystole?
Answer: To assess for potential infection or complications.
◉ What can cause nutrition-related cirrhosis?
Answer: Extreme dieting, malabsorption, and obesity.
