NUR1025C COMPLETE FINAL BASED
QUESTIONS AND 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?
- ANS-✅Down syndrome
What are signs of fetal alcohol syndrome? - ANS-✅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 - ANS-✅- 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 - ANS-✅- 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 - ANS-✅- 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 - ANS-✅- 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) - ANS-✅- gentamycin, streptomycin, clindamycin
- ototoxicity (tinnitus, fullness in ears, dizziness, hearing loss) and nephrotoxicity (urinary output <
30ml/hr)
What type of woman is at risk for uterine rupture? - ANS-✅Woman who has had multiple c sections
What is a woman on antibiotics at risk for developing? - ANS-✅fungal infection (yeast infection)
Treatment for mastitis (7) - ANS-✅- antibiotics
- bed rest
- complete emptying by breastfeeding, pumping, or hand expression
- cabbage leaves
- heat
- NSAIDs
- adequate fluid intake
Hyperemesis gravidarum puts a woman at risk for developing what? Typical side effects? Initial
treatment? - ANS-✅metabolic alkalosis (pH > 7.45)
- weight loss, dehydration, electrolyte imbalance
- initial tx: IV therapy
How do you treat GBS? - ANS-✅antibiotics
Major complication of otitis media - ANS-✅hearing loss
What are the 3 types of hearing loss? - ANS-✅- conductive
- sensorineural
- mixed conductive
most common type of hearing loss; sound/info cannot get through outer and middle ear; interference
with loudness of sound - ANS-✅conductive hearing loss
inner ear nerve damage or auditory nerve damage; distortion of sounds and problems with
discrimination - ANS-✅sensorineural hearing loss
problem with transmission of sound to middle ear and along neural pathways - ANS-✅mixed conductive
hearing loss
What are nursing interventions for a patient with ICP? - ANS-✅- position HOB 30 degrees, keep head
and neck midline, avoid hip flexion
- don't cluster care
- avoid coughing, bending, straining, vomiting
- decrease environmental stimuli, low stress
- maintain airway (suctioning can increase, may need sedation)
- mannitol
signs of hearing loss in an infant/child - ANS-✅no startle/moro reflex, don't look at you when trying to
get attention, no inflection of the voice
A patient is given an epidural, and their blood pressure is now low. What do you do? - ANS-✅reposition,
give/increase IV fluids, O2
A mother brings in her infant to urgent care presenting with yellow/green drainage from the eyes. She
did not receive prenatal care during her pregnancy. What disease process do you suspect? - ANS-
✅chlamydia
What does VEAL CHOP MINE mean? - ANS-✅Variable decels - Cord compression - Maternal
repositioning
Early decels - Head compression - Identify labor process
Accelerations - Okay - No interventions
Late decels - Placental insufficiency - Execute interventions
What instructions do you give a patient discharged post myringotomy on antibiotics? - ANS-✅complete
the entire course of antibiotics
QUESTIONS AND 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?
- ANS-✅Down syndrome
What are signs of fetal alcohol syndrome? - ANS-✅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 - ANS-✅- 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 - ANS-✅- 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 - ANS-✅- 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 - ANS-✅- 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) - ANS-✅- gentamycin, streptomycin, clindamycin
- ototoxicity (tinnitus, fullness in ears, dizziness, hearing loss) and nephrotoxicity (urinary output <
30ml/hr)
What type of woman is at risk for uterine rupture? - ANS-✅Woman who has had multiple c sections
What is a woman on antibiotics at risk for developing? - ANS-✅fungal infection (yeast infection)
Treatment for mastitis (7) - ANS-✅- antibiotics
- bed rest
- complete emptying by breastfeeding, pumping, or hand expression
- cabbage leaves
- heat
- NSAIDs
- adequate fluid intake
Hyperemesis gravidarum puts a woman at risk for developing what? Typical side effects? Initial
treatment? - ANS-✅metabolic alkalosis (pH > 7.45)
- weight loss, dehydration, electrolyte imbalance
- initial tx: IV therapy
How do you treat GBS? - ANS-✅antibiotics
Major complication of otitis media - ANS-✅hearing loss
What are the 3 types of hearing loss? - ANS-✅- conductive
- sensorineural
- mixed conductive
most common type of hearing loss; sound/info cannot get through outer and middle ear; interference
with loudness of sound - ANS-✅conductive hearing loss
inner ear nerve damage or auditory nerve damage; distortion of sounds and problems with
discrimination - ANS-✅sensorineural hearing loss
problem with transmission of sound to middle ear and along neural pathways - ANS-✅mixed conductive
hearing loss
What are nursing interventions for a patient with ICP? - ANS-✅- position HOB 30 degrees, keep head
and neck midline, avoid hip flexion
- don't cluster care
- avoid coughing, bending, straining, vomiting
- decrease environmental stimuli, low stress
- maintain airway (suctioning can increase, may need sedation)
- mannitol
signs of hearing loss in an infant/child - ANS-✅no startle/moro reflex, don't look at you when trying to
get attention, no inflection of the voice
A patient is given an epidural, and their blood pressure is now low. What do you do? - ANS-✅reposition,
give/increase IV fluids, O2
A mother brings in her infant to urgent care presenting with yellow/green drainage from the eyes. She
did not receive prenatal care during her pregnancy. What disease process do you suspect? - ANS-
✅chlamydia
What does VEAL CHOP MINE mean? - ANS-✅Variable decels - Cord compression - Maternal
repositioning
Early decels - Head compression - Identify labor process
Accelerations - Okay - No interventions
Late decels - Placental insufficiency - Execute interventions
What instructions do you give a patient discharged post myringotomy on antibiotics? - ANS-✅complete
the entire course of antibiotics
