NUR1025C Exam 3 with 263 complete
solutions.
NUR1025C Exam 3 with 263 complete
solutions.
Postpartum hemorrhage blood loss for vaginal delivery and C-section - ANSWER • Vaginal delivery
>500ml
• C-section >1000ml
Biggest concern in a large newborn baby? - ANSWER Hypoglycemia
How do we instruct infants parents to take care of the circumcision after its done? - ANSWER Clean
penis w/ water and put petroleum jelly on the glans after diaper cleaning.
If bby was delivered preterm and parents came to visit in NICU and they stood back and appeared to be
afraid of coming up to see the baby, what would you do? - ANSWER Introduce them, educate on
equipment, let them know they can come closer
What are late preterm babies at increased risk for? - ANSWER Respiratory distress, hypothermia,
hyperbilirubinemia, hypoglycemia, sepsis (increase risk for infection)
If you had a newborn JUST born, and you are assessing bby, the baby was dusky and turn cyanotic when
crying.
What is your next move? - ANSWER Call doctor
Home health nurse enters house and mom, grandma and dad present. What should you do first? -
ANSWER Observe, checking for bonding, watch interactions.
New born baby, baby is a little cold, little decrease in temp more than we're comfortable with. What do
we do? - ANSWER Swaddle, cap on head, kangaroo care (skin to skin and blanket on top)
,NUR1025C Exam 3 with 263 complete
solutions.
If suctioning baby, what do you suction first, mouth or nose? - ANSWER Mouth
Why do we do newborn screenings? - ANSWER Early detection
Child is hospitalized, you're having trouble getting them to eat and drink, what's a nursing intervention
to encourage food and fluid intake? - ANSWER Give them what they like
What do you think is the major cause of death for children younger than 1 year of age? - ANSWER
Congenital abnomalities
Leading cause of death after 1 year of age through adolescents? - ANSWER Accidents
Informed consent: Anything that requires informed consent in an adult requires informed consent as a
child. Examples? - ANSWER Lumbar puncture, CAT scan w/ contrast.
IV & oxygen are not an invasive procedures.
Had to give child med that tasted nasty, what would you do that would help? - ANSWER Sweet additive
Ex. Icecream
Emergency, newbaby has become apneic? What are you gonna do? - ANSWER Gently stimulate trunk or
rub bottom of feet (are you okay, are you okay)
What is the leading cause of maternal death worldwide? - ANSWER Post partum hemorrhage
Causes of post partum hemorrhage - ANSWER • Uterine atony (uterus fails to contract)
• Retained placenta
• Lacerations of the genital tract
• Hematomas
• Inversion of the uterus
,NUR1025C Exam 3 with 263 complete
solutions.
It is key to notice signs of post partum hemorrhage _____. - ANSWER early
Care management of postpartum hemorrhage - ANSWER • Firm massage (more frequent in beginning)
• Oxytocin
• Misoprostol
• Methergine
• Hemabate
• Oxygen PRN
• Foley PRN (if women can't feel fullness of bladder)
• Bimanual compression
• Bakri tamponade balloon
• Ligation of select arteries/vessels that may be causing the problem
• Hysterectomy (worst case scenerio)
• EDUCATE PT BEFORE DISCHARGE OF LATE PPH
Bimanual uterine compression - ANSWER Massage for PPH.
One hand vagina, other hand outside pressing on uterus.
Bakri tamponade balloon - ANSWER tx for PPH
Balloon inserted into uterus and inflated.
Nursing interventions for hemorrhagic(hypovolemic) shock - ANSWER • 2 large bore IVs (1 for blood, 1
for fluids)
• Begins infusions per providers orders
• Ensure patent airway
• Monitoring of status
, NUR1025C Exam 3 with 263 complete
solutions.
Idiopathic Thrombocytopenic Purpura (ITP) - ANSWER Coagulopathy autoimmune disorder
Antiplatelet antibodies ↓ platelet lifespan
Can cause severe hemorrhage after C-section or cervical/vaginal lacerations (even from small cut)
tx: steroids or IV immune globulins
Von Willebrand Disease - ANSWER Most common inherited bleeding disorder
Deficiency or defect in blood clotting protein (called von Willebrand factor)
tx: Plasma transfusion, antihemophilic factor concentrate
Venous Thromboembolic Disease definition - ANSWER Results from blood clot caused by inflammation
or partial obstruction of vessel.
Venous Thromboembolic Disease clinical manifestations - ANSWER • superficial venous thrombosis
• Homan's sign
• Verified by ultrasound
SUPERFICIAL Venous Thromboembolic Disease medical management - ANSWER • Analgesics
• Compression Stockings
• Rest w/ elevated extremities
• Heat applications
DVT Venous Thromboembolic Disease medical management - ANSWER • IV Heparin 3-5 days, then
Coumadin x3 months
• Bed rest w/ elevated extremity
solutions.
NUR1025C Exam 3 with 263 complete
solutions.
Postpartum hemorrhage blood loss for vaginal delivery and C-section - ANSWER • Vaginal delivery
>500ml
• C-section >1000ml
Biggest concern in a large newborn baby? - ANSWER Hypoglycemia
How do we instruct infants parents to take care of the circumcision after its done? - ANSWER Clean
penis w/ water and put petroleum jelly on the glans after diaper cleaning.
If bby was delivered preterm and parents came to visit in NICU and they stood back and appeared to be
afraid of coming up to see the baby, what would you do? - ANSWER Introduce them, educate on
equipment, let them know they can come closer
What are late preterm babies at increased risk for? - ANSWER Respiratory distress, hypothermia,
hyperbilirubinemia, hypoglycemia, sepsis (increase risk for infection)
If you had a newborn JUST born, and you are assessing bby, the baby was dusky and turn cyanotic when
crying.
What is your next move? - ANSWER Call doctor
Home health nurse enters house and mom, grandma and dad present. What should you do first? -
ANSWER Observe, checking for bonding, watch interactions.
New born baby, baby is a little cold, little decrease in temp more than we're comfortable with. What do
we do? - ANSWER Swaddle, cap on head, kangaroo care (skin to skin and blanket on top)
,NUR1025C Exam 3 with 263 complete
solutions.
If suctioning baby, what do you suction first, mouth or nose? - ANSWER Mouth
Why do we do newborn screenings? - ANSWER Early detection
Child is hospitalized, you're having trouble getting them to eat and drink, what's a nursing intervention
to encourage food and fluid intake? - ANSWER Give them what they like
What do you think is the major cause of death for children younger than 1 year of age? - ANSWER
Congenital abnomalities
Leading cause of death after 1 year of age through adolescents? - ANSWER Accidents
Informed consent: Anything that requires informed consent in an adult requires informed consent as a
child. Examples? - ANSWER Lumbar puncture, CAT scan w/ contrast.
IV & oxygen are not an invasive procedures.
Had to give child med that tasted nasty, what would you do that would help? - ANSWER Sweet additive
Ex. Icecream
Emergency, newbaby has become apneic? What are you gonna do? - ANSWER Gently stimulate trunk or
rub bottom of feet (are you okay, are you okay)
What is the leading cause of maternal death worldwide? - ANSWER Post partum hemorrhage
Causes of post partum hemorrhage - ANSWER • Uterine atony (uterus fails to contract)
• Retained placenta
• Lacerations of the genital tract
• Hematomas
• Inversion of the uterus
,NUR1025C Exam 3 with 263 complete
solutions.
It is key to notice signs of post partum hemorrhage _____. - ANSWER early
Care management of postpartum hemorrhage - ANSWER • Firm massage (more frequent in beginning)
• Oxytocin
• Misoprostol
• Methergine
• Hemabate
• Oxygen PRN
• Foley PRN (if women can't feel fullness of bladder)
• Bimanual compression
• Bakri tamponade balloon
• Ligation of select arteries/vessels that may be causing the problem
• Hysterectomy (worst case scenerio)
• EDUCATE PT BEFORE DISCHARGE OF LATE PPH
Bimanual uterine compression - ANSWER Massage for PPH.
One hand vagina, other hand outside pressing on uterus.
Bakri tamponade balloon - ANSWER tx for PPH
Balloon inserted into uterus and inflated.
Nursing interventions for hemorrhagic(hypovolemic) shock - ANSWER • 2 large bore IVs (1 for blood, 1
for fluids)
• Begins infusions per providers orders
• Ensure patent airway
• Monitoring of status
, NUR1025C Exam 3 with 263 complete
solutions.
Idiopathic Thrombocytopenic Purpura (ITP) - ANSWER Coagulopathy autoimmune disorder
Antiplatelet antibodies ↓ platelet lifespan
Can cause severe hemorrhage after C-section or cervical/vaginal lacerations (even from small cut)
tx: steroids or IV immune globulins
Von Willebrand Disease - ANSWER Most common inherited bleeding disorder
Deficiency or defect in blood clotting protein (called von Willebrand factor)
tx: Plasma transfusion, antihemophilic factor concentrate
Venous Thromboembolic Disease definition - ANSWER Results from blood clot caused by inflammation
or partial obstruction of vessel.
Venous Thromboembolic Disease clinical manifestations - ANSWER • superficial venous thrombosis
• Homan's sign
• Verified by ultrasound
SUPERFICIAL Venous Thromboembolic Disease medical management - ANSWER • Analgesics
• Compression Stockings
• Rest w/ elevated extremities
• Heat applications
DVT Venous Thromboembolic Disease medical management - ANSWER • IV Heparin 3-5 days, then
Coumadin x3 months
• Bed rest w/ elevated extremity
