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NRS 235 Mom Baby Final Exam questions fully solved & updated 2025
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NRS 235 Mom Baby Final Exam questions fully solved & updated 2025
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NRS 235: Mom/Baby: Final Examquestions fully solved & updated
2025
What is considered sterile in the OR? - answer The front of gowns, above
the elbows, tops of tables.
What are considered high-risk medications for the OR? - answer
Antihypertensive (Beta Blockers), Anticoagulants (Aspirin, Warfarin,
Coumadin), Insulin.
What is involved with informed consent? - answer Consent should be in
writing and contain the explanation of the procedure, risks vs. benefits,
alternative treatment options, the pt's right to withdraw, and any
information that would occur with a protocol change.
What is used to manage an airway during surgery? - answer An LMA
(Laryngeal Mask Airway), ET tubes, or i-gels.
What are adjuncts to anesthesia? - answer Drug additions such as opioids,
benzos, neuromuscular blocking agents, antiemetic, barbiturates to aid in
a smooth entrance to surgery.
What is a PACU nurse focused on? - answer Respiratory, cardiovascular,
LOC, wounds, drains, lines, meds.
They maintain ventilation, pain control, dehiscence of wounds.
How is wound dehiscence treated? - answer Cover with sterile gauze
soaked in sterile water and contact the surgeon/HCP.
, What is the Aldrete score and how is it assessed? - answer Score our of 10
that determines when it is appropriate to transfer patients from PACU to
the floor. If a pt scores less than a 7 after 2 hours they will most likely go
to ICU.
What patient education would be given before and/or after surgery? -
answer Coughing and deep breathing exercises, splinting wounds if
applicable, ambulation, incentive spirometer (and how often; 10x/hr),
staying ahead on pain mgmt, mobility (PT/OT), coping strategies (anxiety).
What are the three most common complications after surgery and what is
one way to prevent all three? - answer DVT, Pneumonia, and
Constipation/Paralytic Ileus.
Ambulation can prevent all 3.
Post-op Complications: Hemorrhage; S/S, MGMT: - answer Fluid and blood
loss in excess.
S/S: Hypotension, tachycardia, thready, weak pulse, changes in LOC.
MGMT: Fluid replacement, VS often, stopping the source of the bleeding.
Blood transfusion (whole blood, packed RBC's, FFP). Make sure you obtain
a T/S, admin the blood within time parameters, monitor pt for reaction to
blood transfusion.
What is a common sign of a reaction to a blood transfusion? - answer Back
ache
Post-op Complications: N/V; MGMT, Meds: - answer MGMT: Monitor fluid
status, give antiemetic, distraction therapy, may need NG tube, clear
liquid diets, small frequent feedings.
Meds: Ondansetron (Zofran), monitor bowel sounds, headaches. Be aware
of rare reaction causing QT prolongation.
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