Final Exam: NUR242/ NUR 242 (New 2023/ 2024) Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A- Galen
QUESTION
_ _ is a rare and catastrophic event. It is the partial or complete tear in the uterine
muscle.
Answer:
Uterine Rupture
QUESTION
What are 4 risk factors for uterine rupture?
Answer:
- Previous uterine incision
- Tachysystole and pitocin administration
- Trauma
- Prostaglandin administration
QUESTION
What are 5 assessment findings of uterine rupture? 6
Answer: - FHR abnormality
- Irregularly shaped abdomen
- Changes in contraction pattern
- Vaginal bleeding and intense pain
- Loss of fetal station
bright red
Flaccid uteris
Final Exam: NUR242/ NUR 242 (New 2023/
2024) Medical-Surgical Nursing Exam |
Questions and Verified Answers| 100%
Correct| Grade A- Galen
QUESTION
What is the goal if someone has a uterine rupture?
Answer:
Deliver the baby ASAP (within minutes) and save the uterus!
QUESTION
What is some prolapsed umbilical cord management?
Answer:
- A gloved hand in the vagina pushes the fetus upward and off the cord
- Knee chest position uses gravity to shift the fetus out of the pelvis. The woman’s thighs should
be at right angles to the bed and her chest flat on the bed - The woman’s hips are elevated with two pillows; this is often combined with head down
position
QUESTION
what is shoulder dystocia
Answer:
Impaction of the anterior shoulder of fetus against symphysis pubis after fetal head has been
delivered
QUESTION
When it comes to shoulder dystocia, never trust a DOPE mother! What does DOPE stand for?
Answer:
Diabetic
Obese
Previous large infant
Excessive weight gain
*May be unpredictable and unpreventable
QUESTION
What are 3 warning signs at delivery that a baby has shoulder dystocia?
Answer:
- Slow crowning
- Fat cheeks
- Turtle sign: Head is drawn tight against the perineum
QUESTION
What is the medical management for shoulder dystocia to help the baby be born?
Answer:
Delivery of posterior arm first
Maneuver’s used: - McRoberts (tried first)
- Woods Screw
- Gaskin
- Zavanelli (last resort)
QUESTION
What is involved in the McRoberts maneuver?
Answer:
- Legs flexed onto abdomen causes rotation of pelvis, alignment of sacrum, and opening of birth
canal - Suprapubic pressure applied to fetal anterior shoulde
QUESTION
What 3 things should you assess of a baby after they have shoulder dystocia during birth?
Answer:
- Asphyxia
- Brachial plexus injuries
- Fractures (clavicle)
QUESTION
What 2 things should you access of the mother after they have shoulder dystocia during birth?
Answer: - Trauma
- Hemorrhage
QUESTION
What is some nursing care for a fetal death?
Answer: - First impressions are lasting ones
- Provide emotional reassurance
- Explain grief stages/process
- Encourage and allow parents as much time with baby as needed (Offer opportunity to hold,
bathe, and dress) - Provide memory box, footprints, handprints, and photos
- Provide available grief literature
- Follow up with patient (phone call and card)
QUESTION
A score of greater than or equal to __ is considered favorable for induction.
Answer:
6 higher the bishop score the more successful the chances for vaginal delivery
QUESTION
What 5 areas does the Bishop score cover to see if someone is favorable for induction?
Answer: - Dilation
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