NR 327 exam 2 study guide Verified Questions and Answers

NR 327 exam 2 study guide Verified Questions and Answers normal fetal HR - CORRECT ANSWER-110-160 beat/min Accelerations in FHR - CORRECT ANSWER-■ Temporary increase - ■ Reassuring - no interventions Early decelerations - CORRECT ANSWER-■ Normal - no interventions, expected finding ■ Cause: compression of head on the pelvis Late deceleration: response after contraction - CORRECT ANSWER-■Non-reassuring - needs intervention ■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the provider, palpate uterus for tachysystole ■ Cause: uteroplacental insufficiency Variable decelerations - CORRECT ANSWER-■ Requires intervention ■ Intervention: knee to chest position or side-side reposition, d/c oxytocin, O2, notify provider ■ Cause: cord compression VEAL CHOP MINE - CORRECT ANSWER-Menomic for decelerations ■ Variable Cord compression Move the patient ■ Early Head compression Identify labor progress ■ Accelearate Okay No action ■ Late Placental insufficiency Execute "STOP" (stop Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased) Fetal bradycardia - CORRECT ANSWER-FHR drops below 110 for at least 10 minutes Fetal Bradycardia - Cause & Intervention - CORRECT ANSWER-■ Causes: uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic meds mom received ■ Interventions: stop oxytocin, left side position, O2, notify provider Fetal tachycardia - CORRECT ANSWER-FHR increases above 160 for over 10 minutes Fetal tachycardia - Cause & Intervention - CORRECT ANSWER-■ Causes: infection, cocaine use, dehydration ■ Interventions: antipyretics, oxygen, IV fluid bolus (B)UBBLE - CORRECT ANSWER-Breasts (size, contour, asymmetry, engorgement, redness, nipples: cracking, inverted, bleeding) B(U)BBLE - CORRECT ANSWER-Uterus (Fundal Height, Uterine Placement, and Consistency) ■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis pubis ■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus ■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1 cm) per day after childbirth ■ If the fundus is not firm gently message the uterus using a circular motion until it becomes firm BUB(B)LE - CORRECT ANSWER-Bladder ■ Assess the bladder for distention and adequate emptying after efforts to void ■ Note the location and condition of the fundus , a full bladder tends to displace the uterus up and to the right ■ Be alert for signs of infection, including infrequent or insufficient voiding (less than 200 ml) BU(B)BLE - CORRECT ANSWER-Bowels and GI function ■ Spontaneous bowel movements may NOT occur for 2-3 days after giving birth b/c of a decrease in muscle tone in the intestines during labor ■ Normal patterns of bowel elimination usually return within 8-14 days after birth ■ Inspect the woman's abdomen for distention, auscultate for bowel sounds in all 4 quadrants, & palpate for tenderness ■ Ask the woman if she has had a bowel movement or has passed gas since giving birth Lochia rubra - CORRECT ANSWER-Rubra- red 1-3 days Reddish or red-brown vaginal discharge that occurs immediat