Final Exam: NUR242/ NUR 242 (Latest 2023/ 2024) Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A- Galen

Final Exam: NUR242/ NUR 242 (Latest 2023/ 2024) Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A- Galen

Final Exam: NUR242/ NUR 242 (Latest 2023/
2024) Medical-Surgical Nursing Exam |
Questions and Verified Answers| 100%
Correct| Grade A
Q: 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
Q: What 5 areas does the Bishop score cover to see if someone is favorable for induction?
Answer:

• Dilation
• Effacement
• Station
• Consistency of cervix
• Cervical position
  Q: what are the ranges of preterm labor
  Answer:
  20-37 6/7 weeks
  Q: What type of uterine activity would you see if someone is in preterm labor?
  Answer:

6 contractions in 1 hr

• With or without pain
  changes in cervix, dilation, efficiency

Q: If someone reports to the hospital between 24-34 weeks and we think she is in preterm labor,
what test can be done?
Answer:
Fetal fibronectin

• Found by performing a vaginal swab and is predictive of preterm labor
  if positive labor in 1-2 weeks.
  if negative you won’t have preterm labor in two weeks
  Q: What is fetal fibronectin?
  Answer:
  It is a glycoprotein that attaches fetal sac to uterus
• Not normal between 24 to 34 weeks.
  Q: What are 3 contraindications to performing a vaginal swab for fetal fibronectin?
  Answer:
• Sex in past 24 hours
• Vaginal bleeding
• Vaginal exam in the past 24 hours
  Q: what can contractions be from if pt is not in preterm labor?
  Answer:
  Dehydration UTI or STD
  Q: What is some patient education on what to do if symptoms of premature labor are occurring?
  Answer:

1. Notify your provider and possibly go to the hospital
2. Sit down, prop up your feet, hydrate, and see if the contractions go away or continue
   Q: What are psychosocial adverse effects of bedrest?
   Answer:

• Anxiety, depression, hostility, anger, guilt
• Boredom, loneliness
• Increased stress
  Q: T or F ; Medications are commonly used to soften the cervix, relax the cervical smooth
  muscle, and produce contractions
  Answer:
  True!
• We ripen the cervix to allow it to give way to the babies head
  Q: If someone scores < 5 on their Bishop score, what is used first to induce labor?
  Answer:
  cervical ripening agent
  Q: _ is given for induction or augmentation of labor, not for cervical ripening.
  Answer:
  oxytocin (pitocin)
  Q: What is the dosage for Pitocin (Oxytocin)?
  Answer:

30 mU in 500 mls of LR resulting in an infusion rate of 1 mU/min = 1 ml/hr
Q: How is Pitocin (Oxytocin) given?
Answer:

• Should always be piggybacked into main IV line
• Titrate until in active labor then d/c
  Q: What are 4 nursing actions when administering Pitocin (Oxytocin)?
  Answer:
• Closely monitor contractions
• Continuous fetal monitoring
• Avoid tachysystole
• Assess vital signs per policy
  Q: when should you stop oxytocin
  Answer:
  hyperstimulation, fetal tachycardia, bradycardia
  Q: what are two signs of hyperstimulation
  Answer:
• Uterine contraction > 5 in 10 minutes
• Nonreassuring FHR
  Q: What are 7 nursing interventions for uterine hyperstimulation?
  Answer:
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