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NUR 1025C Final 2025 LATEST EXAM LATEST VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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NUR 1025C Final 2025 LATEST EXAM LATEST VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 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? - Answers - Down syndrome What are signs of fetal alcohol syndrome? - Answers - 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 - Answers - - 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 - Answers - - 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 - Answers - - 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 - Answers - - 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) - Answers - - 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? - Answers - Woman who has had multiple c sections What is a woman on antibiotics at risk for developing? - Answers - fungal infection (yeast infection) Treatment for mastitis (7) - Answers - - 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? - Answers - metabolic alkalosis (pH > 7.45) - weight loss, dehydration, electrolyte imbalance - initial tx: IV therapy How do you treat GBS? - Answers - antibiotics Major complication of otitis media - Answers - hearing loss What are the 3 types of hearing loss? - Answers - - conductive - sensorineural - mixed conductive most common type of hearing loss; sound/info cannot get through outer and middle ear; interference with loudness of sound - Answers - conductive hearing loss inner ear nerve damage or auditory nerve damage; distortion of sounds and problems with discrimination - Answers - sensorineural hearing loss

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April 16, 2025
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NUR 1025C Final 2025 LATEST EXAM
LATEST VERSIONS QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES
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? - Answers -✔✔ Down syndrome

What are signs of fetal alcohol syndrome? - Answers -✔✔ 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 - Answers -✔✔ - 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 - Answers -✔✔ - 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 - Answers -✔✔ - 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 - Answers -✔✔ - 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) - Answers -✔✔ - 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? - Answers -✔✔ Woman who has had
multiple c sections

What is a woman on antibiotics at risk for developing? - Answers -✔✔ fungal infection
(yeast infection)

Treatment for mastitis (7) - Answers -✔✔ - 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? - Answers -✔✔ metabolic alkalosis (pH > 7.45)
- weight loss, dehydration, electrolyte imbalance
- initial tx: IV therapy

How do you treat GBS? - Answers -✔✔ antibiotics

Major complication of otitis media - Answers -✔✔ hearing loss

What are the 3 types of hearing loss? - Answers -✔✔ - conductive
- sensorineural
- mixed conductive

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