NUR 439 Final Exam Questions With Correct
Answers
preterm - CORRECT ANSWER✔✔-birth occurring before 37w
| | | | | |
early term - CORRECT ANSWER✔✔-37-38w
| | | |
full term - CORRECT ANSWER✔✔-39-40w
| | | |
late term - CORRECT ANSWER✔✔-41- 41w+6d
| | | | |
post term - CORRECT ANSWER✔✔-42w
| | | |
signs of preterm labor (PTL) - CORRECT ANSWER✔✔--regular
| | | | | | | |
contractions along with cervical changes (dilation of at least 2cm)
| | | | | | | | | |
occurring from 20-37w | |
-cause is unknown | |
PTL care management - CORRECT ANSWER✔✔--tocolytic medications
| | | | | | |
(terbutaline, procardia, indocin) suppress uterine activity in order to
| | | | | | | | |
provide sufficient time to administer glucocorticoids
| | | | |
,-glucocorticoids (bethmethosone) given to promote fetal lung maturity | | | | | | | |
and reduce risk for respiratory distress syndrome in neonate
| | | | | | | | |
-Mg+SO4 recommended to protect against cerebral palsy
| | | | | | |
-activity restriction (bed rest and kick count)
| | | | | |
-pelvic rest (restrict sexual activity)
| | | |
PROM - CORRECT ANSWER✔✔--premature rupture of membranes
| | | | | |
-37w gestation to 39w
| | |
PPROM - CORRECT ANSWER✔✔-preterm premature rupture of
| | | | | | |
membranes... occurs before 37w gestation | | | |
PROM and PPROM care management - CORRECT ANSWER✔✔--course
| | | | | | | |
of action is determined individually for each woman
| | | | | | | |
-PPROM <32w is managed expectantly; 34-36w active pursuit of labor!
| | | | | | | | |
-assess for signs of infection! (fever, foul smelling discharge, maternal
| | | | | | | | | |
and/or fetal tachycardia)... labor is induced for chorioamnionitis
| | | | | | | |
-glucocorticoid injection for fetal lung maturity | | | | |
signs of infection with PROM - CORRECT ANSWER✔✔-fever, foul
| | | | | | | | |
smelling vaginal discharge, maternal and feta tachycardia, uterine
| | | | | | | |
tenderness
,chorioamnionitis - CORRECT ANSWER✔✔--bacterial infection of the
| | | | | | |
amniotic cavity |
-often occurs after labor begins (organisms that are part of the normal
| | | | | | | | | | | |
vaginal flora ascend into the amniotic cavity)
| | | | | |
-associated with maternal and neonatal risks
| | | | | |
-more likely to be associated with dysfunctional labor l/t C-section
| | | | | | | | |
s/sx chorioamnionitis - CORRECT ANSWER✔✔-maternal fever, maternal
| | | | | | |
and fetal tachycardia, uterine tenderness, foul odor of amniotic fluid
| | | | | | | | |
chorioamnionitis risk factors - CORRECT ANSWER✔✔-long labor with
| | | | | | | |
prolonged PROM, multiple vaginal exams, and use of internal
| | | | | | | | |
monitoring
chorioamnionitis tx - CORRECT ANSWER✔✔--labor is induced! (possible
| | | | | | | |
c/s)
-ampicillin or gentamycin used during labor
| | | | | |
-more abx should be added after
| | | | |
how are high risk newborns classified - CORRECT ANSWER✔✔--birth
| | | | | | | | |
weight |
-gestational age |
-predominant pathophysiologic problems | |
, transepidermal water loss in preterm infants (<28w) + interventions - | | | | | | | | | |
CORRECT ANSWER✔✔--water loss is greater due to skin immaturity-->
| | | | | | | | |
can contribute to temperature instability
| | | |
-transfer in pre-warmed incubator | | |
-ELBW babies can be placed in polyethylene bag to decrease heat and
| | | | | | | | | | | |
water loss | |
-skin to skin (kangaroo) once infant is stable
| | | | | | |
respiratory distress syndrome cause - CORRECT ANSWER✔✔--caused by
| | | | | | |
lack of pulmonary surfactant
| | | | |
-progressive atelectasis--> ventilation/perfusion imbalance
| | |
respiratory distress syndrome s/sx - CORRECT ANSWER✔✔--increased
| | | | | | |
RR (no change in rhythm)
| | | |
-nasal flaring, grunting, retractions
| | |
-cyanosis |
-apnea (20s or greater cessation of respiration)
| | | | | |
resp distress syndrome tx - CORRECT ANSWER✔✔--surfactant delivered
| | | | | | | |
via endotracheal tube
| |
-O2 support, close monitoring of SaO2
| | | | |
-ventilator support as needed | | |
Answers
preterm - CORRECT ANSWER✔✔-birth occurring before 37w
| | | | | |
early term - CORRECT ANSWER✔✔-37-38w
| | | |
full term - CORRECT ANSWER✔✔-39-40w
| | | |
late term - CORRECT ANSWER✔✔-41- 41w+6d
| | | | |
post term - CORRECT ANSWER✔✔-42w
| | | |
signs of preterm labor (PTL) - CORRECT ANSWER✔✔--regular
| | | | | | | |
contractions along with cervical changes (dilation of at least 2cm)
| | | | | | | | | |
occurring from 20-37w | |
-cause is unknown | |
PTL care management - CORRECT ANSWER✔✔--tocolytic medications
| | | | | | |
(terbutaline, procardia, indocin) suppress uterine activity in order to
| | | | | | | | |
provide sufficient time to administer glucocorticoids
| | | | |
,-glucocorticoids (bethmethosone) given to promote fetal lung maturity | | | | | | | |
and reduce risk for respiratory distress syndrome in neonate
| | | | | | | | |
-Mg+SO4 recommended to protect against cerebral palsy
| | | | | | |
-activity restriction (bed rest and kick count)
| | | | | |
-pelvic rest (restrict sexual activity)
| | | |
PROM - CORRECT ANSWER✔✔--premature rupture of membranes
| | | | | |
-37w gestation to 39w
| | |
PPROM - CORRECT ANSWER✔✔-preterm premature rupture of
| | | | | | |
membranes... occurs before 37w gestation | | | |
PROM and PPROM care management - CORRECT ANSWER✔✔--course
| | | | | | | |
of action is determined individually for each woman
| | | | | | | |
-PPROM <32w is managed expectantly; 34-36w active pursuit of labor!
| | | | | | | | |
-assess for signs of infection! (fever, foul smelling discharge, maternal
| | | | | | | | | |
and/or fetal tachycardia)... labor is induced for chorioamnionitis
| | | | | | | |
-glucocorticoid injection for fetal lung maturity | | | | |
signs of infection with PROM - CORRECT ANSWER✔✔-fever, foul
| | | | | | | | |
smelling vaginal discharge, maternal and feta tachycardia, uterine
| | | | | | | |
tenderness
,chorioamnionitis - CORRECT ANSWER✔✔--bacterial infection of the
| | | | | | |
amniotic cavity |
-often occurs after labor begins (organisms that are part of the normal
| | | | | | | | | | | |
vaginal flora ascend into the amniotic cavity)
| | | | | |
-associated with maternal and neonatal risks
| | | | | |
-more likely to be associated with dysfunctional labor l/t C-section
| | | | | | | | |
s/sx chorioamnionitis - CORRECT ANSWER✔✔-maternal fever, maternal
| | | | | | |
and fetal tachycardia, uterine tenderness, foul odor of amniotic fluid
| | | | | | | | |
chorioamnionitis risk factors - CORRECT ANSWER✔✔-long labor with
| | | | | | | |
prolonged PROM, multiple vaginal exams, and use of internal
| | | | | | | | |
monitoring
chorioamnionitis tx - CORRECT ANSWER✔✔--labor is induced! (possible
| | | | | | | |
c/s)
-ampicillin or gentamycin used during labor
| | | | | |
-more abx should be added after
| | | | |
how are high risk newborns classified - CORRECT ANSWER✔✔--birth
| | | | | | | | |
weight |
-gestational age |
-predominant pathophysiologic problems | |
, transepidermal water loss in preterm infants (<28w) + interventions - | | | | | | | | | |
CORRECT ANSWER✔✔--water loss is greater due to skin immaturity-->
| | | | | | | | |
can contribute to temperature instability
| | | |
-transfer in pre-warmed incubator | | |
-ELBW babies can be placed in polyethylene bag to decrease heat and
| | | | | | | | | | | |
water loss | |
-skin to skin (kangaroo) once infant is stable
| | | | | | |
respiratory distress syndrome cause - CORRECT ANSWER✔✔--caused by
| | | | | | |
lack of pulmonary surfactant
| | | | |
-progressive atelectasis--> ventilation/perfusion imbalance
| | |
respiratory distress syndrome s/sx - CORRECT ANSWER✔✔--increased
| | | | | | |
RR (no change in rhythm)
| | | |
-nasal flaring, grunting, retractions
| | |
-cyanosis |
-apnea (20s or greater cessation of respiration)
| | | | | |
resp distress syndrome tx - CORRECT ANSWER✔✔--surfactant delivered
| | | | | | | |
via endotracheal tube
| |
-O2 support, close monitoring of SaO2
| | | | |
-ventilator support as needed | | |
