NSG3500 EXAM 3 ACTUAL EXAM QUESTIONS
WITH VERIFIED ANSWERS TESTED AND
APPROVED!!!
Mom is 42 wks & is being induced with oxytocin d/t postdate. Her medical hx
shows that she takes Levothyroxine for hypothyroidism, she had an ectopic
pregnancy 5 years ago, and her BMI is 23%. Which part of this info would
indicate to the nurse that she is @ risk for a PPH?
1. Hypothyroidism
2. Induction
3. BMI
4. Ectopic pregnancy -- ANSWER--2
PP c-section mom calls to nurses station and says it is painful to breathe and she
feels like her heart is racing. RN enters the room to find mom holding her chest
& coughing. Mom says she's scared & can't catch her breath. What
complication should the RN expect?
1. Flu
2. Endometritis
3. Pulmonary embolism
4. PPH -- ANSWER--3
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The first line of treatment for uterine atony is __________________________ -
- ANSWER--fundal massage
The failure of the uterus to return to its pregpregnancy state is called
____________ -- ANSWER--subinvolution
A mom came into the ER c/o body aches, fatigue, breast pain, fever & chills.
What dx would the RN expect the MD to give this pt?
1. Flu
2. Clogged milk duct
3. Mastitis
4. Endometritis -- ANSWER--3
During a morning assessment, mom who delivered a healthy baby girl 2 days
ago, tells the RN that the devil told her the baby will never be healthy unless she
leaves her in a bathtub of water. What should the RN do @ this time?
1. Finish the assessment & charge moms statement for MD to follow up on
during rounds
2. Ask mom what drugs she is taking in case they need to be adjusted
3. Push the call light for the charge RN and MD to come into room
immediately 4. Nothing -- ANSWER--3
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Nurse is caring for a G3P1 mom while she is in labor. She is 38 wks, med hx of
36% BMI, chronic hypertension, gallbladder removal 2 yrs ago, and uneventful
past pregnancies. She had a reactive NST in triage when she arrived 14 hrs ago.
She delivered approx 15 mins ago and is showing signs of PPH with a QBL of
1600ml. Which of the follow orders from the MD should the RN question and
why?
1. Methergine 0.2mg IV Q2H x3 doses
2. Oxytocin 40 units IV bolus
3.Indwelling urinary cath & monitor I&Os
4. Monitor v/s Q15 mins x2 hrs -- ANSWER--1 - pt's who have HTN cannot
have Methergine
During & after delivery, the RN weighs the pads, linens, and any other bloody
items. This is called _______________ -- ANSWER--Quantifying blood loss
Mom delivered 2 hrs ago & on routine fundal & perineal assessment, RN notes
a firm fundus that is midline @ the umbilicus & moderate bright red bleeding.
Where is the bleeding likely coming from & what is causing it?
1. The uterus
2. Placental insertion site
3. Cervix
4. This is a normal finding -- ANSWER--3 - caused by a laceration.
FIRM FUNDUS & BLEEDING = LACERATION
BOGGY FUNDUS & BLEEDING = PPH