NR 327 Exam 2 Study Set Actual Exam
Q&A
Priority actions for the newborn - CRRECT ANSWER-ABCs, dry off, suction, assess
breathing
Priority interventions for umbilical cord prolapse - CRRECT ANSWER-Relieve pressure
on the cord to improve umbilical blood flow until delivery.priority is to relieve pressure on
the cord to improve umbilical blood flow until delivery.
Priority interventions for umbilical cord prolapse - CRRECT ANSWER-The priority of
care is to reduce compression and restore normal blood flow through the cord by
elevating the presenting part while giving the mother oxygen to maximize her blood
oxygen concentration.
The classic sign of _____ is the sudden onset of painless uterine bleeding in the last
half of pregnancy - CRRECT ANSWER-placenta previa
Delivery may be scheduled if the fetus is older than 36 weeks of gestation and the lungs
are mature.
Immediate delivery may be necessary regardless of fetal immaturity if bleeding is
excessive, the woman demonstrates signs of hypovolemia, or signs of fetal compromise
are present. - CRRECT ANSWER-placenta previa
When communicating with the patient, avoid _____ - CRRECT ANSWER--Don't say it'll
be okay, or be enabling
-No false reassurance, and promote open communication
_____ are indicators that the newborn is receiving enough during feedings. - CRRECT
ANSWER--Not losing more than 10% body weight
-# of dirty diapers and diaper weight (at least 3 wet diapers and 3 stools a day by the
third day)
Primary ways nurses protect newborns are by _____ - CRRECT ANSWER-(1) ensuring
that infants always go to the correct parents
(2) taking precautions to prevent infant abductions
(3) preventing infections or recognizing early signs
(4) preventing infant falls.
Appropriate interventions for proper umbilical cord care. - CRRECT ANSWER-Clean the
cord with plain water, if necessary, and keep it dry. Fold the diaper below it so it is not
wet by urine.
, _____ is hypertension (systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg)
occurring after 20 weeks of pregnancy in women with previously normal blood pressure
usually accompanied by proteinuria. - CRRECT ANSWER-Preeclampsia
_____ is characterized as the following:
Systolic blood pressure of 160 mm Hg or greater or a diastolic blood pressure of 110
mm Hg or greater on at least 2 occasions at least 4 to 6 hours apart while the patient is
on bed rest - CRRECT ANSWER-Severe Preeclampsia
Mothers with preeclampsia should do the following: - CRRECT ANSWER--reduced
activity (sedentary activity most of the day)
-home blood pressure monitoring (same time & arm)
-f/u visits to the provider every 3 to 4 days.
-ample protein/calorie diet
_____ requires inpatient hospitalization. Current recommendations for management
depend on disease severity and include progression toward delivery, even if the
gestation is less than 34 weeks. - CRRECT ANSWER-Severe preeclampsia
When treating preterm babies, what are the main nursing considerations to adhere to -
CRRECT ANSWER--Minimizing stimulus (dimming lights, decreasing visitors,
decreasing noise)
-Cluster care
Nursing considerations for treatment of a patient with _____ is :
-Have patient urinate/void bladder
-Fundal massage - CRRECT ANSWER-Deviated fundus
_____ is defined as depression that takes place after childbirth and persists longer than
2 weeks, typically presents within the first 3 months postpartum, and has the potential to
last up to a year. - CRRECT ANSWER-Postpartum depression
_____ is a mild, transient condition which resolves within 2 weeks - CRRECT
ANSWER-Postpartum blues
Increased clotting factors predispose the postpartum woman to thrombus formation.
_____ helps prevent thrombophlebitis. - CRRECT ANSWER-Early, frequent ambulation
When treating a patient with active bleeding at 40wks or greater, _____ should be the
immediate interventions. - CRRECT ANSWER--Never do a vag exam on actively
bleeding patient.
-Prepare for delivery asap
The most common sign of _____ are fetal and maternal tachycardia, paired with weak
maternal peripheral pulses. - CRRECT ANSWER-Hypovolemia
Q&A
Priority actions for the newborn - CRRECT ANSWER-ABCs, dry off, suction, assess
breathing
Priority interventions for umbilical cord prolapse - CRRECT ANSWER-Relieve pressure
on the cord to improve umbilical blood flow until delivery.priority is to relieve pressure on
the cord to improve umbilical blood flow until delivery.
Priority interventions for umbilical cord prolapse - CRRECT ANSWER-The priority of
care is to reduce compression and restore normal blood flow through the cord by
elevating the presenting part while giving the mother oxygen to maximize her blood
oxygen concentration.
The classic sign of _____ is the sudden onset of painless uterine bleeding in the last
half of pregnancy - CRRECT ANSWER-placenta previa
Delivery may be scheduled if the fetus is older than 36 weeks of gestation and the lungs
are mature.
Immediate delivery may be necessary regardless of fetal immaturity if bleeding is
excessive, the woman demonstrates signs of hypovolemia, or signs of fetal compromise
are present. - CRRECT ANSWER-placenta previa
When communicating with the patient, avoid _____ - CRRECT ANSWER--Don't say it'll
be okay, or be enabling
-No false reassurance, and promote open communication
_____ are indicators that the newborn is receiving enough during feedings. - CRRECT
ANSWER--Not losing more than 10% body weight
-# of dirty diapers and diaper weight (at least 3 wet diapers and 3 stools a day by the
third day)
Primary ways nurses protect newborns are by _____ - CRRECT ANSWER-(1) ensuring
that infants always go to the correct parents
(2) taking precautions to prevent infant abductions
(3) preventing infections or recognizing early signs
(4) preventing infant falls.
Appropriate interventions for proper umbilical cord care. - CRRECT ANSWER-Clean the
cord with plain water, if necessary, and keep it dry. Fold the diaper below it so it is not
wet by urine.
, _____ is hypertension (systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg)
occurring after 20 weeks of pregnancy in women with previously normal blood pressure
usually accompanied by proteinuria. - CRRECT ANSWER-Preeclampsia
_____ is characterized as the following:
Systolic blood pressure of 160 mm Hg or greater or a diastolic blood pressure of 110
mm Hg or greater on at least 2 occasions at least 4 to 6 hours apart while the patient is
on bed rest - CRRECT ANSWER-Severe Preeclampsia
Mothers with preeclampsia should do the following: - CRRECT ANSWER--reduced
activity (sedentary activity most of the day)
-home blood pressure monitoring (same time & arm)
-f/u visits to the provider every 3 to 4 days.
-ample protein/calorie diet
_____ requires inpatient hospitalization. Current recommendations for management
depend on disease severity and include progression toward delivery, even if the
gestation is less than 34 weeks. - CRRECT ANSWER-Severe preeclampsia
When treating preterm babies, what are the main nursing considerations to adhere to -
CRRECT ANSWER--Minimizing stimulus (dimming lights, decreasing visitors,
decreasing noise)
-Cluster care
Nursing considerations for treatment of a patient with _____ is :
-Have patient urinate/void bladder
-Fundal massage - CRRECT ANSWER-Deviated fundus
_____ is defined as depression that takes place after childbirth and persists longer than
2 weeks, typically presents within the first 3 months postpartum, and has the potential to
last up to a year. - CRRECT ANSWER-Postpartum depression
_____ is a mild, transient condition which resolves within 2 weeks - CRRECT
ANSWER-Postpartum blues
Increased clotting factors predispose the postpartum woman to thrombus formation.
_____ helps prevent thrombophlebitis. - CRRECT ANSWER-Early, frequent ambulation
When treating a patient with active bleeding at 40wks or greater, _____ should be the
immediate interventions. - CRRECT ANSWER--Never do a vag exam on actively
bleeding patient.
-Prepare for delivery asap
The most common sign of _____ are fetal and maternal tachycardia, paired with weak
maternal peripheral pulses. - CRRECT ANSWER-Hypovolemia
