NUR 221 - Final (i) Exam Questions with Correct Answers Verified by Experts| Latest Update
shoulder dystocia treatment Suprapubic pressure
mcrobert's maneuver: holding knees on stomach
prolapsed cord interventions Baby needs to be out in 5 minutes, stat c section
continuously relieve cord pressure
trendelenberg position
Place cord in saline if protruding
signs of uterine rupture bradycardia
severe abd pain
loss of fetal station
shock
Treatment: stat c section
amniotic fluid embolism autoimmune reaction to amniotic fluid in bloodstream. Same
symptoms as PE
internal fetal monitoring (contraindications) Used for high risk birth for more exact
measurements
Contraindicated for herpes, HIV, chorioamnionitis, placenta previa
MVU measure all contractions from baseline to peak over 10 minutes. Should not be more
than 250
absent/minimal variability acidosis
what causes early decelerations head compression
,Late decelerations Indicate fetal hypoxia, last 30 seconds after contraction has ended.
Caused by placental insufficency
sinusoidal pattern fixed, wavelike pattern of FHR for 10 minutes
variable deceleration Caused by cord compression.
Rapid drop of fetal heart rate. A drop of 60 or more indicates acidosis
Recurrent decelerations occur with at least 50% of uterine contractions over a 20 minute
period
Intermittent decelerations occur with fewer than 50% of uterine contractions over a 20
minute period
veal chop V- Variable C- Cord Compression
E- Early Decels H- Head Compression
A- Accelerations O - OK
L-Late Decels P - Placenta insufficiency
category I FHR 110-160 BPM
6-25 variability
No late or variable decels
Category II FHR Bradycardia or tachycardia
Variability minimal/marked
Occasional late decels
Occasional variable deceleration
, Category III FHR Absent baseline variability
Recurrent late or variable decel
Sinusoidal pattern
POISON (intrauterine resuscitation) Position change
Oxytocin off
IV fluid
Sterile vaginal exam
Oxygen at 10L/min
Notify physician and request bedside evaluation
early decelerations occur before peak of contraction, result from fetal head compression
when should you initiate infant resuscitation? heart rate under 100, apnea, or gasping.
Begin PPV with bag-mask
30 second check Begin compressions if HR is below 60.
60 second check HR below 60: stop compressions, continue bagging until HR is 100
HR below 60: ventilator/epi
vdrl checks for syphilis
CA-125 protein marker elevated in ovarian cancer
shoulder dystocia treatment Suprapubic pressure
mcrobert's maneuver: holding knees on stomach
prolapsed cord interventions Baby needs to be out in 5 minutes, stat c section
continuously relieve cord pressure
trendelenberg position
Place cord in saline if protruding
signs of uterine rupture bradycardia
severe abd pain
loss of fetal station
shock
Treatment: stat c section
amniotic fluid embolism autoimmune reaction to amniotic fluid in bloodstream. Same
symptoms as PE
internal fetal monitoring (contraindications) Used for high risk birth for more exact
measurements
Contraindicated for herpes, HIV, chorioamnionitis, placenta previa
MVU measure all contractions from baseline to peak over 10 minutes. Should not be more
than 250
absent/minimal variability acidosis
what causes early decelerations head compression
,Late decelerations Indicate fetal hypoxia, last 30 seconds after contraction has ended.
Caused by placental insufficency
sinusoidal pattern fixed, wavelike pattern of FHR for 10 minutes
variable deceleration Caused by cord compression.
Rapid drop of fetal heart rate. A drop of 60 or more indicates acidosis
Recurrent decelerations occur with at least 50% of uterine contractions over a 20 minute
period
Intermittent decelerations occur with fewer than 50% of uterine contractions over a 20
minute period
veal chop V- Variable C- Cord Compression
E- Early Decels H- Head Compression
A- Accelerations O - OK
L-Late Decels P - Placenta insufficiency
category I FHR 110-160 BPM
6-25 variability
No late or variable decels
Category II FHR Bradycardia or tachycardia
Variability minimal/marked
Occasional late decels
Occasional variable deceleration
, Category III FHR Absent baseline variability
Recurrent late or variable decel
Sinusoidal pattern
POISON (intrauterine resuscitation) Position change
Oxytocin off
IV fluid
Sterile vaginal exam
Oxygen at 10L/min
Notify physician and request bedside evaluation
early decelerations occur before peak of contraction, result from fetal head compression
when should you initiate infant resuscitation? heart rate under 100, apnea, or gasping.
Begin PPV with bag-mask
30 second check Begin compressions if HR is below 60.
60 second check HR below 60: stop compressions, continue bagging until HR is 100
HR below 60: ventilator/epi
vdrl checks for syphilis
CA-125 protein marker elevated in ovarian cancer
