nr465 exam 1 Questions And Answers

nr465 exam 1 Questions And Answers
4mP'smofmlaborm-mCORRECTmmANSWER-Passagewaym(birthmcanal)
Passengerm(fetusmandmplacenta)
Powersm(contractions)m
Psychem(Psychologicalmresponse)

AmnioticmFluid
PROBLEMSm-mCORRECTmmANSWER-Oligohydramniosm
<500mmls
Polyhydramniosm(hydramnios)
>2000mmls

AmnioticmFluidm-mCORRECTmmANSWER-Actmasmcushionmtompreventmmechanicalminjury
Helpmcontrolmembryo'smtemperature
Permitmsymmetricmgrowth
Preventmadherencemofmbabymtomamnionmandmallowmfreemmovementmofmbaby
Allowmumbilicalmcordmtombemfreemofmcompression
Providemfluidmformanalysism(fetalmhealthmandmmaturity)
Contentsmincludemfetalmurine
Senlymalkaline
Volumemismconstantlymchangingmasmfluidmmovingmbackmandmforthmacrossmplacenta

Amniotomym-mCORRECTmmANSWER-
ArtificialmRupturemofmMembranesm(AROM)mismdonemtominducemlabor.mThemamnioticmsacmi
smrupturedmwithmamplasticmhook.m
Doneminmearlymlaborm↑mriskmofmc-sectionm2/2mabnmlmFHRm

Nursingmcaremincludes:mnotingmthemcolormofmthemamnioticmfluidmandmfetalmheartmrate
Afterm24hrmneedsmtombemonmantibiotics.mAmnioticmshouldmbemclear.mNeonatologistmormNe
onatalmNPmshouldmbempresentmwithmmycomionmismpresent
Tempm>100.4mneedmto.mQ4hmaftermmembranemrupturemtommonitormtemp

Antepartumm-mCORRECTmmANSWER-beforemlabor

BiophysicalmProfilem-mCORRECTmmANSWER-Non-
invasivemassessmentmofmFHRmaccelerations,mfetalmbreathing,mfetalmmovements,mfetalmto
ne,mamnioticmfluidmvolume

OUTmOFm10

, Breechmbirthm-mCORRECTmmANSWER-Shouldermpresentationm(transversemlie)
FrankmBreechm(legsmbymhead)
FullmBreechm(Buttmonly)
SinglemBreechm(1mlegmonly)

CardinalmMovementsmofmLaborm-mCORRECTmmANSWER-Engagement
Descent
Flexion
InternalmRotation
Extensionm--moncemheadmismoutmofmvagina
Restitutionm/mexternalmrotation
Expulsion

Chorioamnionitism-mCORRECTmmANSWER-GroupmBmstrep.
Bacterialminfectionmofmthemamnioticmcavity;mcanmresultmfrommprematuremrupturemofmthemm
embranes,mvaginitis,mamniocentesis,mormintrauterinemprocedures

clonusm-mCORRECTmmANSWER-
rapidlymalternatingminvoluntarymcontractionmandmrelaxationmofmskeletalmmuscles

complicationsmduringmpostpartum
Endometritism-mCORRECTmmANSWER-
Infectionmofmthemdecidualmliningmofmthemmyometrium,mandmparametrialmtissue
S/Sm-
mbloodymvaginalmdischarge,mfoulmsmellingmdischarge,muterinemtenderness,mtemperaturems

pikes
Treatedmwithmbroadmspectrummantibiotics

complicationsmduringmpostpartum
Mastitism-mCORRECTmmANSWER-unilateralminflammationmofmthembreastm
s/sm-mfever,mchills,mheadache,mflu-
likems/s,mwarmmandmreddenedmpainfulmareamonmonembreastm(oftenmwedgemshaped)
Tx:moralmantibioticsmandmkeepmbreastfeeding

complicationsmduringmpostpartum
Thrombophlebitism-mCORRECTmmANSWER-
Venousmthrombosismismambloodmclotmatmanmareamofmimpededmbloodmflowminmamsuperficialm
ormdeepmvein
Maymneedmanticoagulants

ContractionmStressmTestm-mCORRECTmmANSWER-
evaluatemthemrespiratorymfunctionmofmthemplacentamandmidentifymfetusmatmriskmformintraute
rinemasphyxiambymobservingmthemresponsemofmthemFHRmtomthemstressmofmuterinemcontract
ions