NUR1025C Final Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Mother delivers baby with the following findings: hypotonia, protruding tongue, separated
sagittal sutures, depressed nasal bridge, transverse palmar crease; what condition do you suspect
this baby has? - CORRECT ANSWER - Down syndrome
What are signs of fetal alcohol syndrome? - CORRECT ANSWER - small for gestational
age, wide eyes, thin upper lip, microcephaly; developmental/learning disabilities usually don't
present until school age
Nifedipine
- class
- use
- side effects (maternal and fetal)
- contraindications - CORRECT ANSWER - - calcium channel blocker
- relaxes smooth muscles including uterus; used to tx HTN (oral route only)
- maternal side effects: HA, flushing, tachycardia, hypotension
- fetal side effects: minimal/none
- contraindications: uterine infection, cardiac disease (tachycardia, palpitations), concurrent use
with magnesium sulfate
Methylergonovine
- class/use
- side effects
- contraindications
- nursing implications - CORRECT ANSWER - - uterotonic med to manage PPH
- side effects: hypo/hypertension, N/V, HA
, - contraindications: HTN, preeclampsia, cardiovascular disease
- check BP before giving, do not admin, if BP > 140/90
Carboprost
- class
- use
- side effects
- contraindications - CORRECT ANSWER - - synthetic prostaglandin
- used to contract uterus in management of PPH
- side effects: HA, N/V/D, fever, chills, tachycardia, HTN
- contraindications: asthma
Hydralazine
- class
- use
- maternal side effects
- fetal side effects
- nursing implications - CORRECT ANSWER - - arteriolar vasodilator
- decreases BP; used to tx HTN in preeclampsia
- maternal side effects: HA, flushing, palpitations, tachycardia, hypotension, decreased
uteroplacental blood flow
- fetal side effects: tachycardia, late decels and bradycardia if maternal DBP < 90
- wait at least 20 min b/t doses, assess BP frequently
Aminoglycosides
- examples (3)
- adverse effects (2) - CORRECT ANSWER - - gentamycin, streptomycin, clindamycin
- ototoxicity (tinnitus, fullness in ears, dizziness, hearing loss) and nephrotoxicity (urinary output
< 30ml/hr)
ACTUAL Exam Questions and CORRECT
Answers
Mother delivers baby with the following findings: hypotonia, protruding tongue, separated
sagittal sutures, depressed nasal bridge, transverse palmar crease; what condition do you suspect
this baby has? - CORRECT ANSWER - Down syndrome
What are signs of fetal alcohol syndrome? - CORRECT ANSWER - small for gestational
age, wide eyes, thin upper lip, microcephaly; developmental/learning disabilities usually don't
present until school age
Nifedipine
- class
- use
- side effects (maternal and fetal)
- contraindications - CORRECT ANSWER - - calcium channel blocker
- relaxes smooth muscles including uterus; used to tx HTN (oral route only)
- maternal side effects: HA, flushing, tachycardia, hypotension
- fetal side effects: minimal/none
- contraindications: uterine infection, cardiac disease (tachycardia, palpitations), concurrent use
with magnesium sulfate
Methylergonovine
- class/use
- side effects
- contraindications
- nursing implications - CORRECT ANSWER - - uterotonic med to manage PPH
- side effects: hypo/hypertension, N/V, HA
, - contraindications: HTN, preeclampsia, cardiovascular disease
- check BP before giving, do not admin, if BP > 140/90
Carboprost
- class
- use
- side effects
- contraindications - CORRECT ANSWER - - synthetic prostaglandin
- used to contract uterus in management of PPH
- side effects: HA, N/V/D, fever, chills, tachycardia, HTN
- contraindications: asthma
Hydralazine
- class
- use
- maternal side effects
- fetal side effects
- nursing implications - CORRECT ANSWER - - arteriolar vasodilator
- decreases BP; used to tx HTN in preeclampsia
- maternal side effects: HA, flushing, palpitations, tachycardia, hypotension, decreased
uteroplacental blood flow
- fetal side effects: tachycardia, late decels and bradycardia if maternal DBP < 90
- wait at least 20 min b/t doses, assess BP frequently
Aminoglycosides
- examples (3)
- adverse effects (2) - CORRECT ANSWER - - gentamycin, streptomycin, clindamycin
- ototoxicity (tinnitus, fullness in ears, dizziness, hearing loss) and nephrotoxicity (urinary output
< 30ml/hr)
