NSG 210 EXAM QUESTIONS AND
ANSWERS ALL CORRECT
What kind of diet should we recommend to a patient with fractures and bone issues? -
Answer-o High Ca+
o High protein
o Iron
o Phosphorous
o Vitamin D
What are the mobility labs? - Answer-o Alkaline phosphatase (ALP) 30 - 120 - elevated
indicates breaking down of bones and can possibly indicate bone cancer.
o Ca+ - (8.5 - 10.5)
o Phosphorous - (2.5 - 4.5)
o Creatinine (increased kidney issue indicates muscle breakdown) - (0.6 - 1.3)
o BUN (increased kidney issue indicates muscle breakdown) - (7 - 18)
What is the nursing care for a patient with an amputation? - Answer-o Get the patient as
independent as quickly as possible
o Tap on or apply pressure to stump to toughen skin
o Push into pillow/cushion and eventually into a hard surface
o Evidence Based Practice shows that the more we work with the stump, the more we
reduce phantom pain
o Perform dressing checks as we would any other wound
o Perform NV checks
o Monitor for s/s of hemorrhage
o Don't elevate the limb for more than 24-48 hours due to risk of contracture
What increases a patient's risk for developing osteoporosis? - Answer-§ Steroids
(glucocorticoids) taken over long term
§ Anti-Seizure medication
§ Chemotherapy
§ Proton pump inhibitors
§ SSRIs
§ Depo-Provera (shuts down estrogen)
§ Ovary removal (lack of estrogen)
§ Frail elderly fragile women
§ Caucasian/Asian descent
§ ETOH
§ Anorexia
,§ Cushing's due to overproduction of steroids
What is a normal fetal heart rate? - Answer-110-160
What drug is used to stimulate uterine contractions? - Answer-Oxytocin
What are the desired parameters for uterine contractions? - Answer-Lasting 60 seconds
or less
Not more often than 2 minutes
What does Terbutaline do & what are its contraindications? - Answer-Delays delivery
time, but does not stop it.
Contraindicated for gestation 34 weeks or greater & cervical dilation >6 cm.
What does nifedipine do & what is a side effect to watch for? - Answer-Helps suppress
contractions
Watch for orthostatic hypotension
When does progesterone levels start to drop? - Answer-Around 37 weeks. Was
previously high because progesterone relaxes smooth muscle of the uterus
What happens to Estrogen around delivery time? - Answer-Remains high. Combination
of lower progesterone and high estrogen makes uterus more responsive to other
hormones (oxytocin)
What are Braxton Hick's contractions? - Answer-They are false labor contractions which
are occurring due to the decreased levels of progesterone.
Explain dilation and effacement. - Answer-Dilation is the opening of the cervix to 10 cm
& effacement is the thinning of the cervical walls expressed in percentage.
Where is relaxin and what does it do? - Answer-Produced in the placenta
Loosens pelvic ligaments, opens pelvic outlet, causes cervical dilation
What are the stages of labor & what happens in each? - Answer-Stage 1 - Cervical
dilation
*cervix dilates to about 10 cm
Stage 2 - Expulsion of fetus
*starts when fetal head enters the birth canal and ends when fetus is delivered
Stage 3- Afterbirth
*starts immediately after fetal delivery and ends with delivery of the placenta
Stage 3 - Recovery
Explain an early deceleration - Answer-Considered normal
Fetal heart rates drops and mirrors maternal contraction
caused by compression of fetal head on pelvis/soft tissue.
, Explain Late Decelerations - Answer-Is not normal and requires intervention
Fetal heart rate drops after maternal contraction
Caused by uteroplacental insufficiency (baby not getting enough oxygen?
Explain Variable Deceleration - Answer-Not normal and requires intervention
There is not relationship between fetal heart rate drops and maternal contraction
Caused by umbilical cord compression
During Leoupold's Maneuver, you find the fetal lie to be straight up and down. What is
this called? - Answer-Longitudinal lie
During Leoupold's Maneuver, you find the fetal lie to be at an angle. What is this called?
- Answer-Oblique
During Leoupold's Maneuver, you find the fetal lie to be horizontal. What is this called? -
Answer-Transverse
During Leoupold's Maneuver, you find one side of the fetus hard & the other side soft.
What does this indicate? - Answer-hard - back
soft - front
How can you assess to see if the fetal head has dropped into the pelvis? - Answer-Face
the mother's feet
Place your fingertips just above the pubic bone
Can you get your fingers between the fetal head and the maternal pubic bone?
Yes - fetal head has not dropped into pelvis
No - fetal head has dropped into pelvis
Where would you expect to find the fundal height of a woman 12 weeks pregnant? -
Answer-Just above pubic bone
Where would you expect to find the fundal height of a woman 16 weeks pregnant? -
Answer-1/2 way between pubic bone and umbilicus
Where would you expect to find the fundal height of a woman 20 weeks pregnant? -
Answer-At umbilicus
Where would you expect to find the fundal height of a woman 24 weeks pregnant? -
Answer-Finger or two above umbilicus
Where would you expect to find the fundal height of a woman 36 weeks pregnant? -
Answer-At the xiphoid process
Where would you expect to find the fundal height of a woman post 36 weeks pregnant?
- Answer-Below the xiphoid process (lightening occurs)
ANSWERS ALL CORRECT
What kind of diet should we recommend to a patient with fractures and bone issues? -
Answer-o High Ca+
o High protein
o Iron
o Phosphorous
o Vitamin D
What are the mobility labs? - Answer-o Alkaline phosphatase (ALP) 30 - 120 - elevated
indicates breaking down of bones and can possibly indicate bone cancer.
o Ca+ - (8.5 - 10.5)
o Phosphorous - (2.5 - 4.5)
o Creatinine (increased kidney issue indicates muscle breakdown) - (0.6 - 1.3)
o BUN (increased kidney issue indicates muscle breakdown) - (7 - 18)
What is the nursing care for a patient with an amputation? - Answer-o Get the patient as
independent as quickly as possible
o Tap on or apply pressure to stump to toughen skin
o Push into pillow/cushion and eventually into a hard surface
o Evidence Based Practice shows that the more we work with the stump, the more we
reduce phantom pain
o Perform dressing checks as we would any other wound
o Perform NV checks
o Monitor for s/s of hemorrhage
o Don't elevate the limb for more than 24-48 hours due to risk of contracture
What increases a patient's risk for developing osteoporosis? - Answer-§ Steroids
(glucocorticoids) taken over long term
§ Anti-Seizure medication
§ Chemotherapy
§ Proton pump inhibitors
§ SSRIs
§ Depo-Provera (shuts down estrogen)
§ Ovary removal (lack of estrogen)
§ Frail elderly fragile women
§ Caucasian/Asian descent
§ ETOH
§ Anorexia
,§ Cushing's due to overproduction of steroids
What is a normal fetal heart rate? - Answer-110-160
What drug is used to stimulate uterine contractions? - Answer-Oxytocin
What are the desired parameters for uterine contractions? - Answer-Lasting 60 seconds
or less
Not more often than 2 minutes
What does Terbutaline do & what are its contraindications? - Answer-Delays delivery
time, but does not stop it.
Contraindicated for gestation 34 weeks or greater & cervical dilation >6 cm.
What does nifedipine do & what is a side effect to watch for? - Answer-Helps suppress
contractions
Watch for orthostatic hypotension
When does progesterone levels start to drop? - Answer-Around 37 weeks. Was
previously high because progesterone relaxes smooth muscle of the uterus
What happens to Estrogen around delivery time? - Answer-Remains high. Combination
of lower progesterone and high estrogen makes uterus more responsive to other
hormones (oxytocin)
What are Braxton Hick's contractions? - Answer-They are false labor contractions which
are occurring due to the decreased levels of progesterone.
Explain dilation and effacement. - Answer-Dilation is the opening of the cervix to 10 cm
& effacement is the thinning of the cervical walls expressed in percentage.
Where is relaxin and what does it do? - Answer-Produced in the placenta
Loosens pelvic ligaments, opens pelvic outlet, causes cervical dilation
What are the stages of labor & what happens in each? - Answer-Stage 1 - Cervical
dilation
*cervix dilates to about 10 cm
Stage 2 - Expulsion of fetus
*starts when fetal head enters the birth canal and ends when fetus is delivered
Stage 3- Afterbirth
*starts immediately after fetal delivery and ends with delivery of the placenta
Stage 3 - Recovery
Explain an early deceleration - Answer-Considered normal
Fetal heart rates drops and mirrors maternal contraction
caused by compression of fetal head on pelvis/soft tissue.
, Explain Late Decelerations - Answer-Is not normal and requires intervention
Fetal heart rate drops after maternal contraction
Caused by uteroplacental insufficiency (baby not getting enough oxygen?
Explain Variable Deceleration - Answer-Not normal and requires intervention
There is not relationship between fetal heart rate drops and maternal contraction
Caused by umbilical cord compression
During Leoupold's Maneuver, you find the fetal lie to be straight up and down. What is
this called? - Answer-Longitudinal lie
During Leoupold's Maneuver, you find the fetal lie to be at an angle. What is this called?
- Answer-Oblique
During Leoupold's Maneuver, you find the fetal lie to be horizontal. What is this called? -
Answer-Transverse
During Leoupold's Maneuver, you find one side of the fetus hard & the other side soft.
What does this indicate? - Answer-hard - back
soft - front
How can you assess to see if the fetal head has dropped into the pelvis? - Answer-Face
the mother's feet
Place your fingertips just above the pubic bone
Can you get your fingers between the fetal head and the maternal pubic bone?
Yes - fetal head has not dropped into pelvis
No - fetal head has dropped into pelvis
Where would you expect to find the fundal height of a woman 12 weeks pregnant? -
Answer-Just above pubic bone
Where would you expect to find the fundal height of a woman 16 weeks pregnant? -
Answer-1/2 way between pubic bone and umbilicus
Where would you expect to find the fundal height of a woman 20 weeks pregnant? -
Answer-At umbilicus
Where would you expect to find the fundal height of a woman 24 weeks pregnant? -
Answer-Finger or two above umbilicus
Where would you expect to find the fundal height of a woman 36 weeks pregnant? -
Answer-At the xiphoid process
Where would you expect to find the fundal height of a woman post 36 weeks pregnant?
- Answer-Below the xiphoid process (lightening occurs)
