NSG 210 FINAL EXAM QUESTIONS
AND REVISED ANSWERS (ALL
ARE CORRECT)
What could cause placental insufficiency? - Answer-Lying flat compresses the aorta and
vena cava - TURN THE PATIENT!
Disrupted placental position - (Abruption and Previa)
Too many contractions - fetus is being starved of oxygen
What are our treatments for late decelerations? - Answer-Stop Pitocin if being
administered
LION
L - Turn the patient drastically onto left side
I - IV bolus of 500 mL (LR is best choice)
O - Oxygen via facemask at 10 - 15 LPM
N - Notify provider
Categories for fetal heart rate patterns - Answer-Category 1 - normal and reassuring
Category 2 - Indeterminate, equivocal or ambiguous data.
**Tachycardia
**Bradycardia with presence of variability
**Minimal or marked baseline variability
**Absent variability with no recurrent decelerations
**Periodic or episodic variations
Category 3 - nonreassuring
**Nonreassuring patterns where favorable signs are absent, or signs associated with
fetal hypoxia are present
Fetal Station and Engagement - Answer-Zero station - engaged, head is at the ischial
spine and no/low risk for cord compromise
- numbers (above ischial spine) have risk of cord compromise if ROM occurs
+ numbers (below ischial spine) indicate fetal head is passing through the pelvis
What is a TOCO? - Answer-fetal monitoring that is put on fundus to assess contractions
What complications can a full bladder cause during labor? - Answer-Can inhibit fetal
descent and cause discomfort
When to Go to Hospital or Birth Center - Answer-Nullipara: regular contractions 5
minutes apart for 1 hour
,Multipara: regular contractions 10 minutes apart for 1 hour
Rupture of membranes
Bleeding
Decreased fetal movement
Naegele's Rule - Answer-add 7 days to LMP, subtract 3 months, add 1 year
What is the primary risk factor for developing CAD? - Answer-Atherosclerosis
What are the primary risk factors for developing Atherosclerosis? - Answer-Smoking
and hypertension
Normal troponin level - Answer-0.0 - 0.1 ng/mL
Normal CK-MB - Answer-0-3 ng/mL
Contraindications for beta blockers - Answer-Asthma
COPD
--Chronic bronchitis
--Emphysema
----(causes bronchoconstriction)
AV block
HR <50-60
BP <90-100
Normal aPTT - Answer-30-40 seconds
normal cholesterol level - Answer-Total - <200
LDL - <100
HDL - >40
Triglycerides - <150
normal ejection fraction - Answer-50-70 % (below 40% = CHF)
What is produced and released by the ventricles during fluid overload? - Answer-B-type
natriuretic peptide (BNP)
Normal BNP - Answer-<100
S/S of left sided heart failure - Answer-L=Lungs
-Pulmonary congestion
-dyspnea
-cough
-blood-tinged frothy sputum
-restlessness
-tachycardia
, -S-3
-Orthopnea
-nocturnal dyspnea
S/S of right sided heart failure - Answer--Jugular vein distention
-Anorexia
-N/V
-Abdominal distention
-Ascites
-Hepatomegaly
-Dependent edema, peripheral edema
-Weight gain
Normal digoxin level - Answer-0.5-2
When should you hold digoxin? - Answer-If HR is <60
What is cor pulmonale? What causes it? - Answer-right sided heart failure
prolonged high blood pressure in the pulmonary artery and right ventricle of the heart
Medications to treat TB - Answer-Rifampin and Isoniazid
How long are TB medications take for latent TB? Active TB? - Answer-Latent - 4 months
Active - 6-12 months
Nursing education for patient taking Isoniazid - Answer-Avoid antacids and take on
empty stomach
Take multivitamins that contain B-complex
Avoid ETOH due to liver damage
Report signs of liver toxicity
Nursing education for patient taking Rifampin - Answer-Expect orange staining of skin &
urine
Sexually active women should use another form of contraception for up to 1 month after
stopping the drug
Avoid ETOH due to liver damage
Nursing education for Ethambutol - Answer-Report changes in vision
Avoid ETOH due to liver damage
Take with 8 oz of water to reduce uric acid buildup
INR Values (on and off anticoagulation meds) and what it tests for - Answer-Off - 0.9-
1.2
On - 2.0-3.0
Tests clotting time for patient on Coumadin
AND REVISED ANSWERS (ALL
ARE CORRECT)
What could cause placental insufficiency? - Answer-Lying flat compresses the aorta and
vena cava - TURN THE PATIENT!
Disrupted placental position - (Abruption and Previa)
Too many contractions - fetus is being starved of oxygen
What are our treatments for late decelerations? - Answer-Stop Pitocin if being
administered
LION
L - Turn the patient drastically onto left side
I - IV bolus of 500 mL (LR is best choice)
O - Oxygen via facemask at 10 - 15 LPM
N - Notify provider
Categories for fetal heart rate patterns - Answer-Category 1 - normal and reassuring
Category 2 - Indeterminate, equivocal or ambiguous data.
**Tachycardia
**Bradycardia with presence of variability
**Minimal or marked baseline variability
**Absent variability with no recurrent decelerations
**Periodic or episodic variations
Category 3 - nonreassuring
**Nonreassuring patterns where favorable signs are absent, or signs associated with
fetal hypoxia are present
Fetal Station and Engagement - Answer-Zero station - engaged, head is at the ischial
spine and no/low risk for cord compromise
- numbers (above ischial spine) have risk of cord compromise if ROM occurs
+ numbers (below ischial spine) indicate fetal head is passing through the pelvis
What is a TOCO? - Answer-fetal monitoring that is put on fundus to assess contractions
What complications can a full bladder cause during labor? - Answer-Can inhibit fetal
descent and cause discomfort
When to Go to Hospital or Birth Center - Answer-Nullipara: regular contractions 5
minutes apart for 1 hour
,Multipara: regular contractions 10 minutes apart for 1 hour
Rupture of membranes
Bleeding
Decreased fetal movement
Naegele's Rule - Answer-add 7 days to LMP, subtract 3 months, add 1 year
What is the primary risk factor for developing CAD? - Answer-Atherosclerosis
What are the primary risk factors for developing Atherosclerosis? - Answer-Smoking
and hypertension
Normal troponin level - Answer-0.0 - 0.1 ng/mL
Normal CK-MB - Answer-0-3 ng/mL
Contraindications for beta blockers - Answer-Asthma
COPD
--Chronic bronchitis
--Emphysema
----(causes bronchoconstriction)
AV block
HR <50-60
BP <90-100
Normal aPTT - Answer-30-40 seconds
normal cholesterol level - Answer-Total - <200
LDL - <100
HDL - >40
Triglycerides - <150
normal ejection fraction - Answer-50-70 % (below 40% = CHF)
What is produced and released by the ventricles during fluid overload? - Answer-B-type
natriuretic peptide (BNP)
Normal BNP - Answer-<100
S/S of left sided heart failure - Answer-L=Lungs
-Pulmonary congestion
-dyspnea
-cough
-blood-tinged frothy sputum
-restlessness
-tachycardia
, -S-3
-Orthopnea
-nocturnal dyspnea
S/S of right sided heart failure - Answer--Jugular vein distention
-Anorexia
-N/V
-Abdominal distention
-Ascites
-Hepatomegaly
-Dependent edema, peripheral edema
-Weight gain
Normal digoxin level - Answer-0.5-2
When should you hold digoxin? - Answer-If HR is <60
What is cor pulmonale? What causes it? - Answer-right sided heart failure
prolonged high blood pressure in the pulmonary artery and right ventricle of the heart
Medications to treat TB - Answer-Rifampin and Isoniazid
How long are TB medications take for latent TB? Active TB? - Answer-Latent - 4 months
Active - 6-12 months
Nursing education for patient taking Isoniazid - Answer-Avoid antacids and take on
empty stomach
Take multivitamins that contain B-complex
Avoid ETOH due to liver damage
Report signs of liver toxicity
Nursing education for patient taking Rifampin - Answer-Expect orange staining of skin &
urine
Sexually active women should use another form of contraception for up to 1 month after
stopping the drug
Avoid ETOH due to liver damage
Nursing education for Ethambutol - Answer-Report changes in vision
Avoid ETOH due to liver damage
Take with 8 oz of water to reduce uric acid buildup
INR Values (on and off anticoagulation meds) and what it tests for - Answer-Off - 0.9-
1.2
On - 2.0-3.0
Tests clotting time for patient on Coumadin
