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Exam (elaborations)

NURS 372 Final exam with 241 complete solutions.

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NURS 372 Final exam with 241 complete solutions. NURS 372 Final exam with 241 complete solutions. NURS 372 Final exam with 241 complete solutions. NURS 372 Final exam with 241 complete solutions. NURS 372 Final exam with 241 complete solutions. NURS 372 Final exam with 241 complete solutions.

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NURS 372 Final exam with 241 complete
solutions.
NURS 372 Final exam with 241 complete
solutions.
When does a pregnancy mom begin to feel quickening? - ANSWER 16-20 weeks



When educating a mom on fetal movement counting, it is important to include that if less than _____
movements occur within 2 hours further assessment is necessary - ANSWER 6



Describe the process of screening for gestational diabetes mellitus - ANSWER 50g of glucose given to
mom & blood glucose measured 1 hr later to see how she tolerated it.

Results:

-<7.8 mmol/L normal

-7.8-11 mmol/L further testing required

->11 mmol/L GDM



HELLP is an acronym used for s/s that occur in 20% of women with severe eclampsia. What does it stand
for? - ANSWER Hemolysis

Elevated

Liver enzymes

Low

Platelets



What is placenta previa? - ANSWER A placenta implanted in the lower uterine segment rather than the
upper portion



A pregnant women comes into the clinic with bright red blood/discharge, but reports no pain. She is
most likely experiencing... - ANSWER Placenta previa

,NURS 372 Final exam with 241 complete
solutions.
What is abrupto placenta? - ANSWER Premature separation of placenta from uterine wall after the 20th
week of gestation. Leads to hemorrhage



A pregnant women comes into the clinic with the following symptoms: dark vaginal, non-clotting
bleeding, abdominal pain, lower back pain, uterine contractions, and uterine tenderness. The fetus has
an abnormal HR. This women most likely has... - ANSWER abrupto placenta

(premature separation of the placenta from the uterine wall after the 20th week leading to hemorrhage)



What does fetal station refer to? - ANSWER The relationship of the presenting part to the women ischial
spines (negative # = higher up, # increases as baby closer to birth, 0 = at level of ischial spines)



What are the 2 phases of the 1st stage of labour? How long do they last? - ANSWER Latent (early) phase:
~6-8 hrs

Active phase: ~3-6 hrs



If a women is 0-3 cm dilated, she is in the _________ stage of labour. - ANSWER Latent (early) phase of
the 1st stage of labour



If a women is 4-10 cms dilated, she is in the __________ stage of labour. - ANSWER Active phase of the
1st stage of labour



What is in the 1st stage of labour? - ANSWER Onset of regular contractions to 10cm dilated & 100%
effacement



The softening, thinning, and shortening of the cervical canal is referred to as... - ANSWER Effacement



What are referred to as "practice" contractions that have no regular pattern and do not cause dilation or
effacement? - ANSWER Braxton Hicks Contractions



What is the acronym used to assess amniotic fluid after rupture of membranes? - ANSWER C = color

, NURS 372 Final exam with 241 complete
solutions.
O = odor

A = amount

T - time it occurred



A pregnant women comes into the hospital and her membranes rupture. The amniotic fluid is clear with
small flecks and particles in it. Is this normal? - ANSWER Yes. It is associated with vernix



What occurs in the second stage of labour? - ANSWER Full cervical dilation & complete effacement to
babies birth (consists of passive & active pushing phase)



What occurs in the 3rd stage of labour? - ANSWER Delivery of placenta



What occurs in the 4th stage of labour? - ANSWER ~1-2 hours after birth



Which side of the placenta is shiny/grey - ANSWER The fetal side



If the shiny/grey side of the fetus is presented first, the placenta separated... - ANSWER Inside - out



The acronym REEDA is used to assess perineal laceration repairs, episiotomies, and cesarean scars. What
does it stand for? - ANSWER R = redness (erythema)

E = edema

E = ecchymosis (bruising)

D = discharge

A = approximation



A new born baby has a HR of 90, she cries strong and vigorous in response to stimulation, is partially
flexed, and is acrocyanotic. What is the babies APGAR score? - ANSWER Total Score: 7

Activity/muscle tone - 1

Pulse - 1

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