NUR 1025C Exam 2 Questions With Complete Solutions
Cerclage Correct Answers goes in and stitch the cervix up.
Could tear if she went into labor bc of contractions. Bed rest/
monitor closely. Take out around 34 week mark--> don't want
risk that she will go into labor.
Chronic Hypertension Correct Answers If she has HTN before
the baby comes along.
Monitor blood pressure, amniocentesis, NST(non stress txt:
monitor on mom and it picks up the HR of the baby)
Contraction strip Correct Answers If the HR of the baby is fast,
that is not good. You want to see squiggles that include big
jumps. Goes up 15 bpm and lasts for 15 seconds before going
back to baseline. Reactive/positive NST, you need 2
accelerations in a 20-minute period.
Cytotec Correct Answers To induce labor. Comes in pill form,
intra-vaginally. Helps to soften the cervix and get it ready to go.
Post partum, give it rectally, give a lot more than if you were
going to induce labor with it.
Different types of decelerations on a strip Correct Answers
Variable deceleration--cord compression
Early deceleration--starts an ends with the contractions. Caused
by head compression
Late deceleration--uteroplacental insufficiency. The
accelerations are following after the contraction. Stop pitocin,
, give O2, give fluids, change position. If mom is not recovering,
do a C-Section.
CST. (contraction stress test)
Ectopic Pregnancy Correct Answers When the ovum is
implanted outside the uterine. Attaches to the fallopian tube. Has
to come out and will not survive. Can be an emergency because
it can grow and burst through the tubes and hemorrhage the
mom. Will show up with the normal signs or pregnancy.
During a scan, it will show that there is nothing in the uterus.
Scar tissue in the tubes now will give a chance of this happening
in the future.
GDM Correct Answers gestational diabetes mellitus
Glucose Tolerance Test. 1 hour and then 3 hour.
Nutrition. Insulin. Oral meds (Metformin, Glucophage)
Macrosomia (Big baby because of all the sugar going to it and
not the insulin)
Increased bleeding during delivery, should dystocia (dislocated
shoulder)-->clavicle injury/dislocation, vagina tearing,
bruising/brain injury from using forceps or vacuum--> higher
risk for jaundice.
C-Section.
Control the diabetes and a lot of these would be eliminated.
Cerclage Correct Answers goes in and stitch the cervix up.
Could tear if she went into labor bc of contractions. Bed rest/
monitor closely. Take out around 34 week mark--> don't want
risk that she will go into labor.
Chronic Hypertension Correct Answers If she has HTN before
the baby comes along.
Monitor blood pressure, amniocentesis, NST(non stress txt:
monitor on mom and it picks up the HR of the baby)
Contraction strip Correct Answers If the HR of the baby is fast,
that is not good. You want to see squiggles that include big
jumps. Goes up 15 bpm and lasts for 15 seconds before going
back to baseline. Reactive/positive NST, you need 2
accelerations in a 20-minute period.
Cytotec Correct Answers To induce labor. Comes in pill form,
intra-vaginally. Helps to soften the cervix and get it ready to go.
Post partum, give it rectally, give a lot more than if you were
going to induce labor with it.
Different types of decelerations on a strip Correct Answers
Variable deceleration--cord compression
Early deceleration--starts an ends with the contractions. Caused
by head compression
Late deceleration--uteroplacental insufficiency. The
accelerations are following after the contraction. Stop pitocin,
, give O2, give fluids, change position. If mom is not recovering,
do a C-Section.
CST. (contraction stress test)
Ectopic Pregnancy Correct Answers When the ovum is
implanted outside the uterine. Attaches to the fallopian tube. Has
to come out and will not survive. Can be an emergency because
it can grow and burst through the tubes and hemorrhage the
mom. Will show up with the normal signs or pregnancy.
During a scan, it will show that there is nothing in the uterus.
Scar tissue in the tubes now will give a chance of this happening
in the future.
GDM Correct Answers gestational diabetes mellitus
Glucose Tolerance Test. 1 hour and then 3 hour.
Nutrition. Insulin. Oral meds (Metformin, Glucophage)
Macrosomia (Big baby because of all the sugar going to it and
not the insulin)
Increased bleeding during delivery, should dystocia (dislocated
shoulder)-->clavicle injury/dislocation, vagina tearing,
bruising/brain injury from using forceps or vacuum--> higher
risk for jaundice.
C-Section.
Control the diabetes and a lot of these would be eliminated.
