NUR 337 FINAL EXAM ACTUAL QUESTIONS AND ANSWERS
Situation of Becca Perez - CORRECT ANSWER✅✅-intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy for late
decelerations and minimal variability. Infant pale, limp, passed to the delivery RN for resuscitation
-postpartum hemorrhage
Meds for Becca perez - CORRECT ANSWER✅✅-oxytocin (pitocin): used for prevention/management of
postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent postpartum hemorrhage
primary action in all of these is to cause uterine contraction*
Normal blood loss for vaginal delivery? C-section? - CORRECT ANSWER✅✅<500 vaginal
<1000 c-section
What med is Becca perez currently receiving for postpartum hemorrhage - CORRECT
ANSWER✅✅pitocin
A primary nursing intervention when caring for a woman experiencing an obstetric hemorrhage
associated with uterine atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder. - CORRECT ANSWER✅✅B. perform fundal massage
Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply):
,a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate - CORRECT ANSWER✅✅A C D
Criteria for postpartum hemorrhage besides cumulative blood loss: - CORRECT ANSWER✅✅15% change
in vitals
HR >110
BP <85/45
O2 <95%
How many times has Becca Perez been pregnant? - CORRECT ANSWER✅✅1
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute
assessment, she tells you that she "feels all wet underneath." You discover that both pads are
completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations. - CORRECT ANSWER✅✅A. Assess the fundus for firmness.
Becca Perez required a vacuum assisted delivery after experiencing the following labor complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress - CORRECT ANSWER✅✅B. Late decelerations with slow return to baseline
, Erin Dodge situation - CORRECT ANSWER✅✅-chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
-pitting edema in lower legs
-nocturia
-fatigue
-low sodium cardiac diet
-10 lb weight gain in one month
-pack a day smoker
-high triglycerides
Which of the following statements is true about Erin Dodge while she was being seen in the Emergency
Department?
A. she was bradycardic
B. she was hypertensive
C. she was tachycardic
D. she was actively bleeding - CORRECT ANSWER✅✅C. she was tachycardic
The simulated patient you will be caring for, Erin Dodge, is being treated for a fluid imbalance caused by
heart failure. Which of the following medications does she have ordered to help with this fluid
imbalance?
A. Lipitor 10 mg po daily
B. Docusate Sodium 100 mg po twice a day prn
C. Aldactone 100 mg po twice a day
D. Lasix 40 mg IV twice a day - CORRECT ANSWER✅✅D. lasix 40 mg IV BID
Situation of Becca Perez - CORRECT ANSWER✅✅-intra uterine pregnancy @37 weeks; G1P1
-Viable female infant delivered via vacuum assist over 2nd degree midline episiotomy for late
decelerations and minimal variability. Infant pale, limp, passed to the delivery RN for resuscitation
-postpartum hemorrhage
Meds for Becca perez - CORRECT ANSWER✅✅-oxytocin (pitocin): used for prevention/management of
postpartum hemorrhage
-misoprostol (cytotec): softens the cervix to induce labor; can prevent postpartum hemorrhage
-methergine: causes uterine contractions to prevent postpartum hemorrhage
-prostaglandin (prostin/hemabate): stimulates uterine contractions to prevent postpartum hemorrhage
primary action in all of these is to cause uterine contraction*
Normal blood loss for vaginal delivery? C-section? - CORRECT ANSWER✅✅<500 vaginal
<1000 c-section
What med is Becca perez currently receiving for postpartum hemorrhage - CORRECT
ANSWER✅✅pitocin
A primary nursing intervention when caring for a woman experiencing an obstetric hemorrhage
associated with uterine atony is to:
A. Establish venous access.
B. Perform fundal massage.
C. Prepare the woman for surgical intervention.
D. Catheterize the bladder. - CORRECT ANSWER✅✅B. perform fundal massage
Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply):
,a. pitocin
b. terbutaline
c. methergine
d. prostaglandin F2
e. magnesium sulfate - CORRECT ANSWER✅✅A C D
Criteria for postpartum hemorrhage besides cumulative blood loss: - CORRECT ANSWER✅✅15% change
in vitals
HR >110
BP <85/45
O2 <95%
How many times has Becca Perez been pregnant? - CORRECT ANSWER✅✅1
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute
assessment, she tells you that she "feels all wet underneath." You discover that both pads are
completely saturated with lochia. What is your first action?
A. Assess the fundus for firmness.
B. Take her blood pressure.
C. Call for help.
D. Check the perineum for lacerations. - CORRECT ANSWER✅✅A. Assess the fundus for firmness.
Becca Perez required a vacuum assisted delivery after experiencing the following labor complication:
A. Placenta previa
B. Late decelerations with slow return to baseline
C. Shoulder dystocia
D. Failure to progress - CORRECT ANSWER✅✅B. Late decelerations with slow return to baseline
, Erin Dodge situation - CORRECT ANSWER✅✅-chief complaint: shortness of breath
-primary diagnosis: HF
-allergies: sulfa
-pulmonary edema
-pitting edema in lower legs
-nocturia
-fatigue
-low sodium cardiac diet
-10 lb weight gain in one month
-pack a day smoker
-high triglycerides
Which of the following statements is true about Erin Dodge while she was being seen in the Emergency
Department?
A. she was bradycardic
B. she was hypertensive
C. she was tachycardic
D. she was actively bleeding - CORRECT ANSWER✅✅C. she was tachycardic
The simulated patient you will be caring for, Erin Dodge, is being treated for a fluid imbalance caused by
heart failure. Which of the following medications does she have ordered to help with this fluid
imbalance?
A. Lipitor 10 mg po daily
B. Docusate Sodium 100 mg po twice a day prn
C. Aldactone 100 mg po twice a day
D. Lasix 40 mg IV twice a day - CORRECT ANSWER✅✅D. lasix 40 mg IV BID
