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Exam (elaborations)

NUR 221 – Exam 2 – Nursing Concepts II – Comprehensive Study Guide with Practice Questions

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NUR 221 – Exam 2 – Nursing Concepts II – Comprehensive Study Guide with Practice Questions

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NUR 221 Exam 2
Study online at https://quizlet.com/_9dhs5d

What is the normal range for AST? 10 - 30 u/L
What is the normal range for ALT? 10 - 40 u/L
What is the normal range for Creatinine? 0.6 - 1.2 mg/dL
What is the normal range of hematocrit
37 - 47%
for women?
What is the normal range for hemoglo-
12 - 18 g/dL
bin?
What is the normal range for platelets? 150,000 - 400,000 cells/mcL
What is the normal FHR (fetal heart rate)
110 to 160 beats/min
range?
As a baseline FHR greater than 160
How is fetal tachycardia defined?
beats/min for 10 minutes or longer.
As a baseline FHR less than 110
How is fetal bradycardia defined?
beats/min for 10 minutes or longer.
1.) Which fetal part is in the uterine fun-
dus?
2.) Where is the fetal back located?
3.) What is the presenting fetal part?
What three important questions does
Leopold Maneuvers help to answer?




1.) Baseline rate 110 to 160 beats/min
2.) Baseline FHR variability: Moderate
3.) Late or variable decelerations: Absent
How is category I defined in the fetal
4.) Early decelerations: Either present or
heart rate classification system?
absent
5.) Accelerations: Either present or ab-
sent:

How is category II defined in the fetal
heart rate classification system?


, NUR 221 Exam 2
Study online at https://quizlet.com/_9dhs5d
1.) Bradycardia not accompanied by ab-
sent baseline variability, tachycardia
2.) Minimal baseline variability, absent
baseline variability not accompanied by
recurrent decelerations, marked base-
line variability
3.) No accelerations produced in re-
sponse to fetal stimulation
4.) Recurrent variable decelerations ac-
companied by minimal or moderate
baseline variability, prolonged decelera-
tions (greater than or equal to 7 min-
utes but less than 10 minutes, recur-
rent late decelerations with moderate
baseline variability, variable decelera-
tions with other characteristics such as
slow return to baseline, "overshoots" or
"shoulders"
1.) Absent baseline variability and any
of the following: Recurrent late deceler-
How is category III defined in the fetal
ations, recurrent variable decelerations,
heart rate classification system?
bradycardia
2.) Sinusoidal pattern
As irregular waves or fluctuations in the
baseline FHR of two cycles per minute or
greater. It is a characteristic of the base-
line FHR and does not include acceler-
ations or decelerations of the FHR. Vari-
ability is quantified in beats per minute
How can Variability of the FHR be de- and is measured from the peak to the
scribed? trough of a single cycle.




What kind of Variability is considered
Moderate
normal?
How are Accelerations of the FHR de-

fined?

, NUR 221 Exam 2
Study online at https://quizlet.com/_9dhs5d
As a visually apparent abrupt onset to
peak increase in FHR above the baseline
rate. The peak is at least 15 beats/min
above the baseline, and the acceleration
lasts 15 seconds or more, with the return
to baseline less than 2 minutes from the
beginning of the acceleration.



1.) Spontaneous fetal movement
2.) Vaginal examination
3.) Electrode application
4.) Fetal scalp application
5.) Fetal reaction to external sounds
What are the causes of Accelerations?
6.) Breech presention
7.) Occiput posterior position
8.) Uterine contractions
9.) Fundal pressure
10.) Abdominal palpation
What are the nursing interventions for
None required.
Accelerations?
A visually apparent, gradual decrease in
and return to baseline FHR associated
with uterine contractions.
What are Early Decelerations of the
FHR?




Head compression resulting from the fol-
lowing:
1.) Uterine contractions
What are the causes of Early Decelera-
2.) Vaginal examination
tions?
3.) Fundal pressure
4.) Placement of internal mode of moni-
toring
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