ADVANCED FETAL MONITORING ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A++
A woman who is G2P2 has had a primary cesarean at 34 weeks gestation
due to preeclampsia with severe features. Due to difficulty with
respiratory transitioning, the newborn has been transferred to the
nursery and the mother is admitted to the labor and delivery PACU. Her
vital signs are as follows: 94 BPM heart rate / 144/98 mmHg blood
pressure / 18 per minute respirations / 98% PaO2 on pulse oximeter /
97.6F temperature. Magnesium sulfate is infusing at 2 grams per hour,
urine output is 60 ml in the past hour, and reflexes are 2+. She received
neuraxial anesthesia for the cesarean. Which of the following is your
primary concern? - ANSWER-Fundal location and bleeding amount
A dermatome is an area of skin supplied by a single spinal nerve.
Assessment of dermatome level helps establish sympathetic and motor
levels of the neuraxial blockade caused by anesthesia. The RN knows
that a woman is recovering from neuraxial anesthesia when -
ANSWER-she can lift both legs off of the bed.
A G1P1 woman delivered by cesarean is now in the recovery room. She
received Duramorph via intrathecal catheter. On review of orders before
transfer to the postpartum unit, the nurse notes one entry that needs
clarification by the physician. Which order is the source of the nurse's
concern? - ANSWER-Monitor respirations every 6 hours for 24 hours.