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NUR 280 Cram Exam Questions And Accurate Answers
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NUR 280 Cram Exam Questions And Accurate AnswersEarly decelerations Answer Start before the peak of the contraction and continue to the
end of the contraction. They result from head compression. No intervention is required
if the variability is within normal limits that there is a "bounce" quickly back to the
baseline fetal heart rate and the fetal heart rate is within normal limits.
Variable decelerations - Answer Are noted as V-shaped on the monitoring strip. Variable
decelerations can occur at any time during monitoring of the fetus. They are caused by
cord compression. The intervention is to change the mother's position; if pitocin is
infusing, stop the infusion; apply oxygen; and increase the rate of IV fluids. Contact the
doctor if the problem persists.
Late decelerations Answer Occur after the peak of the contraction and mirror the
contraction in length and intensity. These are caused by uteroplacental insuffiency. The
intervention is to change the mother's position; if pitocin is infusing, stop the infusion;
apply oxygen;, and increase the rate of IV fluids. Contact the doctor if the problem
persists.
TORCHS syndrome in the neonate - Answer This is a group of diseases. These include
toxoplasmosis, rubella (German measles), cytomegalovirus, herpes, and syphyllis.
Pregnant nurses should not be assigned to care for the client with toxoplasmosis or
cytomegalovirus.
Treatment for maternal hypotension after an epidural anesthesia - Answer 1.
Discontinue pitocin if infusing. 2. Turn the client on the left side. 3. Administer oxygen. 4.
If hypovolemia is present, push IV fluids.
Anticoagulant therapy and monitoring- Coumadin (sodium warfarin) PT - Answer 10-12
sec. (control).
Coumadin Antidote - Answer The antidote for Coumadin is vitamin K.
,Anticoagulant therapy and monitoring- Heparin/Lovenox/Dalteparin PTT - Answer 30-45
sec. (control).
Heparin Antidote - Answer The antidote for Heparin is protamine sulfate.
Anticoagulant therapy and monitoring- Therapeutic level - Answer It is important to
maintain a bleeding time that is slightly prolonged so that clotting will not occur;
therefore, the bleeding time with medication should be 1 1/2-2 times the control
Rule of nines to estimate TBSA for Burns Head - 9% Arms-18% 9% each Back - 18% Legs
- 36% 18% each Genitalia - 1%
Sodium - Answer 135-145 mEq/L
Potassium - Answer 3.5-5.5 mEq/L
Calcium - Answer 8.5-10.9 mg/L
Chloride - Answer 95-105 m Eq/L
Magnesium - Answer 1.5-2.5 mEq/L
Phosphorus - Answer 2.5-4.5 mg/dL
RBC - Answer 4.5-5.0 million
WBC - Answer 5,000-10,000
,Plt. - Answer 200,000-400,000
Hgb - Answer 12-16 gms women; 14-18 gms men
HCO3 - Answer 24-26 mEq/L
CO2 - Answer 35-45 mEq/L
PaO2 - Answer 80%-100%
SaO2 - Answer > 95%
Glucose - Answer 70-110 mg/dL
Specific gravity - Answer 1.010-1.030
BUN - Answer 7-22 mg/dL
Serum creatinine - Answer 0.6-1.35 mg/dL (< 2 in older adults)
LDH - Answer 100-190 U/L
CPK - Answer 21-232 U/L
Uric acid - Answer 3.5-7.5 mg/dL
Triglyceride - Answer <150 mg/dL
, Total cholesterol - Answer 130-200 mg/dL
Bilirubin - Answer < 1.0 mg/dL
Protein - Answer 6.2-8.1 g/dL
Albumin - Answer 3.4-5.0 g/dL
Digoxin - Answer 0.5-2.0 ng/ml
Lithium - Answer 0.8-1.5 mEq/L
Dilantin - Answer 10-20 mcg/dL
Theophylline - Answer 10-20 mcg/dL
FHR - Response 120-160 BPM.
Variability - Response 6-10 BPM.
Contractions - Response normal frequency 2-5 minutes apart; normal duration < 90 sec.;
intensity < 100 mm/hg.
Amniotic fluid - Response 500-1200 ml (nitrozine urine-litmus paper green/amniotic
fluid-litmus paper blue).
Apgar scoring - Answer A = appearance, P = pulses, G = grimace, A = activity, R =
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