Exam 2

Question 1

for what MEWS score would we notify the provider?

Answer 1

4

Question 2

for what MEWS score would the patient need to have a rapid called and go to the ICU?

Answer 2

5 and above

Question 3

components of MEWS

Answer 3

• systolic
• RR
• temperature
• alertness
• HR
• UO

Question 4

signs of preeclampsia

Answer 4

• protein in urine
• pain in RUQ, liver
• blurred vision
• high BP
• edema everywhere

Question 5

what to teach a patient regarding kick counts

Answer 5

• at least 5 kicks/hr
• lie on your side
• count for an hour

Question 6

antidote of magnesium sulfate

Answer 6

calcium gluconate

Question 7

assessments when giving magnesium sulfate

Answer 7

• deep tendon reflexes
• VS
• level of consciousness
• urine output

Question 8

if there is a gush of fluid, what should we do?

Answer 8

assess right away

Question 9

COAT acronym

Answer 9

Color
Odor
Amount
Time

Question 10

VEAL CHOP

Answer 10

• variable decels = cord compression
• early decels = head compression
• acels = okay
• late decels = placental insufficiency

Question 11

variable decels interventions

Answer 11

• turn mom
• monitor closely

Question 12

what kind of decels are most concerning and why?

Answer 12

late decels; fetus is affected and not recovering

Question 13

interventions for late decels

Answer 13

TTOIV: turn off pitocin, turn mom, oxygen 100% NRB, IV fluids wide open

Question 14

what is a good finding on a fetal monitoring strip?

Answer 14

variability and accels

Question 15

complications of preeclampsia

Answer 15

• fetal growth restriction
• preterm birth
• placental abruption
• other organ damage
• cardiovascular disease

Question 16

DIC

Answer 16

will see bleeding and clotting; from mucous membranes, give IV fluids

Question 17

what does U-2 mean?

Answer 17

umbilicus - 2 = 2 days postpartum

Question 18

scant flow meaning

Answer 18

minimal flow

Question 19

rubra

Answer 19

red

Question 20

stage 1 of labor

Answer 20

start of contractions to full dilation

Question 21

stage 2 of labor

Answer 21

full dilation to delivery of baby

Question 22

phases of stage 1 of labor

Answer 22

• phase 1: latent = dilation 0-3 cm
• phase 2: active = dilation 4-7 cm
• phase 3: transition = dilation 8-10 cm

Question 23

stage 3 of labor

Answer 23

delivery of baby to delivery of placenta

Question 24

signs of chorioamnitis

Answer 24

abdominal pain

Question 25

H&H of concern

Answer 25

8 and 28; if below, blood transfusion

Question 26

before an epidural, what labs do we look for?

Answer 26

- RR - WBC (infection) - platelets (bleeding too much)

Question 27

what vital sign might change with an epidural?

Answer 27

it will drop BP, increase fluids

Question 28

assessment of DVT

Answer 28

pain, swelling, redness, enlarged and hardened, unilateral

Question 29

what can a DVT cause?

Answer 29

a PE; sit them up, oxygen, rapid response

Question 30

failure to rescue

Answer 30

don't recognize and don't react

Question 31

PP hemorrhage interventions

Answer 31

- 100% NRB - IV fluids - use LR when bleeding

Question 32

normal FHR

Answer 32

110-160

Question 33

what is considered a fever in the PP period?

Answer 33

>= 100.4

Question 34

when would RhoGAM be given?

Answer 34

given PP to a Rh negative mother who gave birth to a Rh positive baby

Question 35

who can we utilize to help with breast-feeding?

Answer 35

lactation consultation, WIC

Question 36

what nutrients do breastfed babies lack?

Answer 36

iron and vitamin D

Question 37

how soon should a newborn be breastfed?

Answer 37

within the first hour

Question 38

most common cause of PP hemorrhage

Answer 38

not voiding

Question 39

if the patient is hemorrhaging, what should you do?

Answer 39

fundal massage

Question 40

what could a hematoma cause?

Answer 40

shock, want MAP >65

Question 41

universal blood donor

Answer 41

O-

Question 42

normal weight loss for a newborn

Answer 42

- 5-8% - >10% needs intervention

Question 43

NCSBN steps

Answer 43

ADPIE