NUR242 / NUR 242 Final Exam (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Questions and Verified Answers | 100% Correct | Grade A - Galen

Final Exam: NUR242 / NUR 242 (Latest 2024 / 2025) Medical-Surgical Nursing Concepts Exam | Questions and Verified Answers | 100% Correct | Grade A - Galen Q: A score of greater than or equal to ______ is considered favorable for induction. Answer: 6 higher the bishop score the more successful the chances for vaginal delivery Q: What 5 areas does the Bishop score cover to see if someone is favorable for induction? Answer: - Dilation - Effacement - Station - Consistency of cervix - Cervical position Q: what are the ranges of preterm labor Answer: 20-37 6/7 weeks Q: What type of uterine activity would you see if someone is in preterm labor? Answer: > 6 contractions in 1 hr - With or without pain changes in cervix, dilation, efficiency Q: If someone reports to the hospital between 24-34 weeks and we think she is in preterm labor, what test can be done? Answer: Fetal fibronectin - Found by performing a vaginal swab and is predictive of preterm labor if positive labor in 1-2 weeks. if negative you won't have preterm labor in two weeks Q: What is fetal fibronectin? Answer: It is a glycoprotein that attaches fetal sac to uterus - Not normal between 24 to 34 weeks. Q: What are 3 contraindications to performing a vaginal swab for fetal fibronectin? Answer: - Sex in past 24 hours - Vaginal bleeding - Vaginal exam in the past 24 hours Q: what can contractions be from if pt is not in preterm labor? Answer: Dehydration UTI or STD Q: What is some patient education on what to do if symptoms of premature labor are occurring? Answer: 1. Notify your provider and possibly go to the hospital 2. Sit down, prop up your feet, hydrate, and see if the contractions go away or continue Q: What are psychosocial adverse effects of bedrest? Answer: - Anxiety, depression, hostility, anger, guilt - Boredom, loneliness - Increased stress Q: T or F ; Medications are commonly used to soften the cervix, relax the cervical smooth muscle, and produce contractions Answer: True! - We ripen the cervix to allow it to give way to the babies head Q: If someone scores < 5 on their Bishop score, what is used first to induce labor? Answer: cervical ripening agent Q: _______ is given for induction or augmentation of labor, not for cervical ripening. Answer: oxytocin (pitocin) Q: What is the dosage for Pitocin (Oxytocin)? Answer: 30 mU in 500 mls of LR resulting in an infusion rate of 1 mU/min = 1 ml/hr Q: How is Pitocin (Oxytocin) given? Answer: - Should always be piggybacked into main IV line - Titrate until in active labor then d/c Q: What are 4 nursing actions when administering Pitocin (Oxytocin)? Answer: - Closely monitor contractions - Continuous fetal monitoring - Avoid tachysystole - Assess vital signs per policy Q: when should you stop oxytocin Answer: hyperstimulation, fetal tachycardia, bradycardia Q: what are two signs of hyperstimulation Answer: - Uterine contraction > 5 in 10 minutes - Nonreassuring FHR Q: What are 7 nursing interventions for uterine hyperstimulation? Answer: