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NURSIG NCLEX Cumulative
1. Stages of labor:
Answer 1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm)Traditional (8-10cm w/ urge to push)
2nd stage: delivery
3rd: placental delivery
4th: recovery- primary goal to prevent hemorrhage from uterine atony, 1st void within1 hour and then q2-3 hrs, Rhogam
2. -Prils:
Answer ACE inhibitors
3. Ace inhibitors side effects (4):
Answer -dry cough, orthostatic hypotension, hyperkalemia, angioedema
4. -Dipines:
Answer calcium channel blockers
5. Uterine atony:
Answer inability of the uterus to contract effectively
6. Uterine atony nursing interventions:
Answer massage fundus
7. Uterine atony risk factors:
Answer
- retained placental fragments
- prolonged labor
- oxytocin induction/augmentation of labor
- overdistention of the uterine muscle
- precipitous labor
- mag sulfate administration
- anesthesia and analgesia admin
- trauma during labor and birth from operative delivery (forceps, vacuum-assisted,
cesarean)
8. Episiotomy NI:
Answer ice pack, sitz bath, stool softner
9. Gravida, para,:
Answer
Gravida (gravidity): # of Pregnancies
Para (parady): # of live births
WOMAN HAS TWO KIDS, ONE ABORTION, AND IS CURRENTLY PREGNANT:
Gravida = 4; Para = 2
10. Nursing interventions for breast engorgement (3):
Answer cabbage leaves + ice packto prevent further dilation + well fitted bra
11. Homan's sign:
Answer pain in *calf upon dorsiflexion* of foot and may indicated thrombophlebitis
12. Positive homans sign may indicate ?:
Answer DVT
13. Pt not ready to walk is at risk for DVT, what is NOT. a good NI?:
Answer sitting in chairmay lead to pressure behind knee -> dvt
14. Over distention of bladder and urinary retention after birth may -> ?:
Answer hemorrhage and uti
15. Rh immune globulin indication:
Answer mom Rh- and baby Rh+
16. Lochia:
Answer the postpartum vaginal discharge that typically continues for 4-6 weeksafter childbirth
17. Women w/ body uterus and bladder up to the right NI:
Answer empty the bladder
18. NI to prevent abdominal distention after c section:
Answer early and frequent ambulation
19. Late decelerations NI:
Answer left lateral position to increase perfusion
20. VEAL CHOP:
Answer V- Variable C- Cord Compression E- Early Decels H- Head Compression A- Accelerations
B- O - OK
L-Late Decels P - Placental insufficiency
21. 18000 wbc v 280 glucose in post partum pt:
Answer wbc are expected to shoot up butnot glucose normal is 110-170
22. Pain in cancer pt =:
Answer last symptom, most likely metastizized
23. Theophylline level:
Answer 10-20 mcg/Ml
24. Trough level of a drug:
Answer Point in time when a drug is at its lowest level in thebody
25. Vancomycin trough level:
Answer 10 - 20 mcg/mL if trough level is greater than this range, dose should be held and the provider shouldbe notified
26. Digoxin level:
Answer 0.8-2.0 ng/mL
27. Digoxin toxicity s/s:
Answer GI effects - anorexia, nausea, vomiting, abdominal pain CNS effects - fatigue, weakness, diplopia, blurred vision, yellow-green or white halosaround objects
28. Digoxin toxicity treatment:
Answer
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