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Summary Nur 2633 ATI exam Review

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This is a comprehensive and detailed ATI exam review for Nur 2633. Essential!! To your success in academics!!

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  • July 20, 2024
  • 14
  • 2021/2022
  • Summary
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anyiamgeorge19
EXAM 1 A TI
Severe p reeclampsia
Frontal headache
Blurr ed vi son
Photophobia
Right upper quadrant pain Clonus
Brisk dtr
Hypertension
Oliguria
Proteinuria
Edema
oBedrest
oQuiet non-stimulating envir onment to pr event seizur es Most rel iable contraceptive method
IUD
Preterm labor meds
Indomethacin- r elax uterine smooth muscles, suppr ess uterine activity
Mag sulfate- tocolytic
Mag Sulfate
Tx of pr eeclamptic seizures
Toxicity : bradypnea, absent dtr - d/c med, give calcium gluconate, repo rt urine output <30ml/hr
Normal r esponse: facial flushing, nausea, bur ning injection site, dro wsy, dizzy
RR IS THE PRIORITY
Post-partum hemorr hage
Methylerg onovine- pr omotes uterine contractions
Oxytocin
Calcium for pr egnant women
Same r equirement as for non-pr eg
Caffeine
Over 340 mg- vasoconstriction = intrauterine gr owth restriction or miscarri age
Folic Acid
Prevents neural tube defects
During 1 trimesterst
Iron during pr egnancy
Need to double your intak e
Increasing rbc volume
1 Preg, terminated by elective abo rtion, twins birthed at 36 weeks, spontaneous abortion 15 weeks
G- 4
T- 0
P- 1
2
L- 2
Methylergonovine
Tx of pph caused by uterine atony or subinvolu tion
Increases uterine tone
Severe g estational Hypertension
Give mag sulfate
Have calcium gluconate on hands
Provide dark quiet envir onment
Assess loc q1 hr .
Assess r esp status q5 min and q 15 min during mag maint infusio n Provider will or der vitals to be monitor ed q 30-60 min depending on response to m ag sulfate
Placenta previa
36 weeks, bright r ed, painless vaginal bl eeding
Cervical e xam contraindicated
Prep for c-section
Get an u/s to determi ne wher e placenta is
Pelvic rest to avoid hemorr hage
Placenta Abrupto
Vaginal bleeding Abdominal pain
Uterine tenderne ss
Contractions
Hemorr hage can remain c oncealed
oHypertension- most common risk factor
Threatened abortion
Spotting of blood
Possible mild cramping prior to 20 weeks
Betamethasone
Glucocorticoid
Fetal lung maturity
Lung sur factant
Terbutaline
Can cause fetal tachycar dia
Best time to check basal body temp
Every am befor e arising
At same ti me before getti ng out of bed
Sequence of matern al changes
Amenorr hea
Godells sign
Quick ening
Lightning
12 weeks- cause of heartbur n # pro gesterone= $ motility of smooth muscle
Relaxation of car diac sphincter of stomach and delayed gastric emptying\
Contraindications for diaphragm use
Pelvic rel axation
Exercise
Moderate ex ercise improves cir culation
Daily jogging up to 30 mins is fine thr oughout preg
Wt. bearing ok
Avoid activities that mess with balance
Weight gain for BMI 26.5
overweight
For BMI 25-29.9
15-25 lbs.
Minimal gain in first trimester
BMI >30
Gain 11-20lbs
BMI 18-24.9
Gain 25-35 lbs.
2nd trimester skin assessment

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