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NURS 306 WEEK 2 ACTUAL EXAM ACTUAL COMPLETE 122 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!! $14.99
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NURS 306 WEEK 2 ACTUAL EXAM ACTUAL COMPLETE
122 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Nursing actions for placenta previa ✔✔ANSWER✔✔-assess for
bleeding, leakage, contractions
-assess fundal height
-refrain from performing vaginal exams
-administer IV fluids, blood products, and meds
-have resuscitative equipment avail for emergent preterm delivery
Pt education for placenta previa ✔✔ANSWER✔✔-bedrest
-nothing inserted vaginally
Abruptio placenta ✔✔ANSWER✔✔-premature separation of the
placenta from the wall of the uterus before the birth of the baby
****leading cause of maternal death***
- disseminated intravascular coagulopathy (DIC) is often associated with
severe abruption
Nursing for pt with abruptio placenta ✔✔ANSWER✔✔-palpate the
uterus for tenderness and tone
-assess fetal heart rate pattern
-administer IV fluids, blood products, meds as prescribed
(Corticosteroids to promote fetal lung maturity)
-administer oxygen at 8 - 10 L/min via face mask
-monitor fluid intake and output
Pt education with abruptio placenta ✔✔ANSWER✔✔-provide
emotional support for the client and family
Vasa previa ✔✔ANSWER✔✔Fetal umbilical vessels implant into the
fetal membranes rather than the placenta
What are the variations of vasa previa? ✔✔ANSWER✔✔-velamentous
insertion of the cord
-succenturiate insertion of the cord
-battledor insertion of the cord
, Velamentous insertion ✔✔ANSWER✔✔Cord vessels begin in the branch
at the membranes and then course to the placenta
Succenturiate insertion of the cord ✔✔ANSWER✔✔Placenta has
divided into two or more lobes and not one mass
Battledore insertion of the cord ✔✔ANSWER✔✔-marginal insertion
-increased risk of fetal hemorrhage
Vasa previa assessment ✔✔ANSWER✔✔Ultrasound for fetal well-being
and vessel assessment
Vasa previa nursing considerations ✔✔ANSWER✔✔-closely monitor the
pt during labor and delivery for excessive bleeding
Premature cervical dilation (cervical insufficency)
RISK FACTORS ✔✔ANSWER✔✔-hx of prev. Cervical lacerations during
childbirth
-excessive cervical dilation for curettage or biopsy
-clients mothers ingestion of diethylstilbestrol (DES) during pregnancy
with the patient
-congenitally short cervix or uterine anomalies
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