Download NUR 242 Exam Review Questions: Obstetrics and Gynecology and more Quizzes Nursing in PDF only on Docsity!
NUR 242 EXAM REVIEW QUESTIONS WITH 100%
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"Estrogen dependent cancer, undiagnosed abnormal vaginal bleeding, active thromboembolic disorders such as stroke or thrombophlebitis, tricyclic antidepressants, smoking, oral anticoagulants, rifampin, and
St. John's wort. - CORRECT ANSWER=> Contraindications of Estrogen Therapy"
"Useful in the treatment of functional uterine bleeding caused by hormonal imbalance, fibroids, or uterine cancer; in the treatment of primary and secondary amenorrhea; in the adjunctive and palliative treatment of some cancers and endometriosis; and, alone, or in combination with estrogens in the prevention of conception. *They may also be helpful in preventing a threatened miscarriage and
alleviating the symptoms of pms* - CORRECT ANSWER=> Indications for progesterone use"
"Four types of drugs are used to stimulate uterine contractions: ergot derivatives, prostaglandins, the progesterone antagonist mifepristone (RU-486), and the hormone oxytocin. These drugs all act on the uterus, a highly muscular organ that has a complex network of smooth muscle fibers and a large blood
supply. - CORRECT ANSWER=> Oxytocics"
"No menses for 3 months, Irregular menses for 6 months Tx: Clyclic progesterone, Tx of hyperprolactinemia, eating disorder, obesity, hypothalamic failure,
hypothyroidism - CORRECT ANSWER=> Secondary Amenorrhea"
"firm and not boggy - CORRECT ANSWER=> Uterus assessment for Uterine Atony post childbirth"
"Study calculations in drug book - CORRECT ANSWER=> Dosage Calculations"
Health and Wellness - CORRECT ANSWER=> improve nutrition intake. regular physical activity. inform
pt of benefits of exercising; decrease DM 2, decreases sensation of depression"
"Safety - CORRECT ANSWER=> use assistance devices, clutter free roon, well light, gait belt, dangle legs,
keep walker close to body, assess for pain, shortness of breath, medicate, move cane and weaker leg at the same time."
"assessment of skin - CORRECT ANSWER=> assess skin; color, warmth, moisture. ( blue/grey palms
soles lips and tongue for cynotic s/s in darker patients) reposition Q2HRS. pt in chairs lift for 10 sec every hour. use pressure resistance equipment. high tops are good for prevention of drop foot."
"dryness - CORRECT ANSWER=> age related ( dry thin) water exposure and weather changes. chemical
contact ( soaps, hot water, harsh chems. perfumes)"
"Pruritus - CORRECT ANSWER=> dry skin, contact dermatitis, scabies, lice, chiggers, systemic disease
( liver, kidney, nerves) ezcema/psoriasis"
"Wound Management - CORRECT ANSWER=> stage 1- frequent positioning protective cream.
stage 2- alleviate pressure, apply cream barrier dressings. stage 3- dressing changes and application (wet to dry helps remove necrotic tissue, less trauma to healing tissue stage 4- same as stage 3, consider surgery"
"Psoriasis - CORRECT ANSWER=> patient teaching over regimen. notify if fever occurs biologic agent in
sue. ATB trigger plaque lesions. refer to support groups.not contagious. apply topical steroid on to skin, wear light loose cotton clothing, monitor daily, warmer climate and sum exposure helps. obesity agitates"
"skin cancer - CORRECT ANSWER=> apply 30 spf 30 min before going outside. wear protective clothing,
sunglasses and hat. avoid peak hour 1000-1600. maintain body map spots and lesions. notify med of any new lesions. monthly skin self-exam."
"cellulitis - CORRECT ANSWER=> in adults most commonly in LE. RISK FACTORS- damaged skin, poor
circ, DM, Chronic Lymph of leg. Obesity. TX and therapy- IV and oral ATB. elevated effected extremities. prophylactic ATB maybe prescribed. prevent pressure on effective area."
"Nail Disorder - CORRECT ANSWER=> fungal infection loves warm dark moist environment. elders,
immuno comp., and women with artificial nails are more at risk. findings 1+yellow friable nails. elevates distorted. maybe painful. NM- patient teaching, comply with regimen. avoid being bare food. comfy shoes. avoid damage around nail."
"Herpes Zoster - CORRECT ANSWER=> medical management- topical acyclovir, corticoid steroid,
analgesics antipruritics teaching- avoid immunecomp. and people who have not had chicken pox. cool/ warm compress. loose clothing, dont scratch"
"Immobility - CORRECT ANSWER=> - ecourage dorsiflexion to reduce cardiovascular complication. -
HOB not elevated 30 degrees for long periods of times to avoid friction, shearing. keep patients close. pt with incontinence, confusion, or unable to talk are more at risk to fall."
“The outer 3rd ampulla of the Fallopian Tube - CORRECT ANSWER=> Fertilization Site"
"The upper uterus (Fundus) - CORRECT ANSWER=> Implantation Site"
"46 chromosomes, 23 pairs - CORRECT ANSWER=> Number of chromosomes in the embryo (zygotic
stage)"
"Fetal gestational age is overestimated or in cases of fetal death, hydatidiform mole, increased maternal weight, maternal type 1 diabetes, fetal trisomy 21 (Down's syndrome) or fetal trisomy 18 (Edward's
syndrome) - CORRECT ANSWER=> Low MSAFP level indications"
"Open neural tube defects, ventral wall defects, some renal abnormalities, multiple gestation, certain
skin disorders, fetal demise, and placental abnormality. - CORRECT ANSWER=> High MSAFP level
indications"
"Condoms, diaphragm, cervical cap, and contraceptive sponge - CORRECT ANSWER=> Barrier
Contraceptives"
"Vasomotor symptoms are of the greatest concern (hot flashes and night sweats) - CORRECT
ANSWER=> Perimenopausal symptoms"
"The distance (in centimeters) measured with a tape measure from the top of the pubic bone to the top
of the uterus (fundus) with the client lying on her back with her knees slightly flexed - CORRECT
ANSWER=> Fundal Height"
"Above the pubis symphysis - CORRECT ANSWER=> Fundal Height at 12-14 weeks"
"At the umbilicus (20 cm) - CORRECT ANSWER=> Fundal Height at 20 weeks"
"Height will equal the weeks of gestation - CORRECT ANSWER=> Fundal Height between 20 and 36
weeks"
"Fundal height drops d/t lightening and may no longer correspond with gestational week - CORRECT
ANSWER=> Fundal Height 36+ weeks"
"If the measurement is greater than 4 cm in relation to gestational age in weeks than further evaluation
will be necessary if multifetal gestation and hydramnios has not been ruled out. - CORRECT ANSWER=>
Fundal Height abnormality" "-Explain the procedure and possible complications that may arise. -Encourage the patient to empty the bladder prior to the procedure. -Inform the patient that a 20 min fetal monitoring strip will be obtained to evaluate fetal well-being and obtain a baseline to compare with post procedure.
-Obtain and record vitals. - CORRECT ANSWER=> Preparation of Patient for Amniocentesis"
"BPP uses a real time ultrasound and NST to allow assessment of various parameters of fetal well-being. This includes ultrasound of fetal movements, tone and breathing, and ultrasound assessment of amniotic fluid volume with or without assessment of fetal heart rate. The test is performed to identify infants at risk for poor pregnancy outcomes so that assessments of well-being can be performed or
emergency induction or C-section. Tests are performed in effort to reduce stillbirths and to detect
hypoxia. - CORRECT ANSWER=> Biophysical Profile (BPP)"
"-30 mins for testing; <10 mins usually needed -Scored with 5 components each equaling 2 points *Following criteria must be met to get score of 2 if not score is 0 -Body movements= 3+ discrete limb or trunk movements -Fetal tone= 1+ instances of full extension and flexion of limb or trunk -Fetal breathing= 1+ fetal breathing movements for 30 seconds -Amniotic Fluid Volume= 1+ pockets of fluid equaling 2 cm
--NST- Normal = 2 pts Abnormal= 0 pts - CORRECT ANSWER=> BPP Testing and Scoring"
"Growing uterus compresses the bladder - CORRECT ANSWER=> Cause of urinary frequency during 1st
trimester"
"Fetal head settles into the pelvis - CORRECT ANSWER=> Cause of urinary frequency during 3rd
trimester" "Sibling's reaction to pregnancy is age dependent. Toddlers my regress while older children may isolate from family and look for outward gratification. This is often the beginning of sibling rivalry. -Prepare child for anticipated birth (education must be designed according to the age and life experiences of the child) -Constantly reinforce love and caring
-Parents must continue to focus on sibling after birth of new infant. - CORRECT ANSWER=> Family
Centered Care- Sibling Reaction" "-Teratogens= alcohol and drugs -Infections= rubella or cytomegalovirus -Radiation
-Nutritional deficiencies - CORRECT ANSWER=> 1st Trimester Dangers to Embryonic Development"
"-Increased emphasis on hygiene -Good nutrition -Exercise
-Prenatal care for all women - CORRECT ANSWER=> Contributions to the decline of the maternal
mortality ratio" "The inability to conceive a child after 1 year of regular sexual intercourse unprotected by contraception.
- CORRECT ANSWER=> Infertility" "Gold standard in assessing patency (being open and unobstructed) of the fallopian tubes. -Ultrasound and MRI -3 to 10 mL of opaque contrast medium is slowly injected through a catheter into the endocervical canal so that the uterus and tubes may be visualized during fluoroscopy and radiography.
Preterm- 20-37 weeks (alive or stillborn; twins/triplets count as one) Abortions- pregnancy losses before 20 weeks
Living children - CORRECT ANSWER=> GTPAL"
"2 Arteries and 1 Vein - CORRECT ANSWER=> Umbilical cord"
"By age 14, no previous periods
Tx: Correction of underlying disorders and estrogen replacement therapy - CORRECT ANSWER=>
Primary Amenorrhea"
"Drugs given to inhibit labor and maintain the pregnancy - CORRECT ANSWER=> Tocolytics"
"Inhibits myometrial activity by blocking calcium influx. - CORRECT ANSWER=> Nifedipine Mechanism
of Action"
"Indomethacin and Nifedipine - CORRECT ANSWER=> Currently recommended tocolytics"
