Nursing Science Final Flashcards
Anterior closure of the fontanelles closure happens
18 months
Posterior closure happens
6-8 weeks
True signs of labor are:
Contractions may become more intense with walking graduate last longer and get closer together occur regularly usually felt in lower back radiating to the lower abdomen
Cervix by vagina exam show softening and Effacement and dilation
What are the stages of labor
1.Labor cervical dilation and effacement phases are A.latent B.active C.transition 2.birth of baby 3.delivery of placenta 4.recovery
Woman is at 14 weeks of just gestation the nurse would expect to palpate the fundus at which
Slightly above the synthesis pubis
The musculoskeletal system adapt to changes that occur during pregnancy for pregnant women can expect to experience which change
She will have an increase in lordosis
Which of the following gestational changes during pregnancy would alert the nurse that the woman requires further assessments A. Ptyalism B.pyrosis C.pica D. Decreased peristalsis
C. Pica
What is the term given to a woman who is completed one part is he with the fetus reaching stage of fetal viability
A. Primpara
What is the range of weeks for the first trimester
1-13
What is the weeks for the second trimester
14-26
What is the range of weeks for the third trimester
27-40
Why are fontanelles important to the birth process
Allow baby to Pass through vagina canal
Allow for brain growth during first year
To reassure and educate pregnant patients but the functioning of their kidneys in illuminating waste products the nurse should be aware of
Increased water sensitivity and later compression of the bladder by enlarging uterus result in the urged to urinate even if the bladder is almost empty
I woman who is 32 weeks pregnant is in form for the nurse had a danger sign of pregnancy could be
Alteration in the pattern of fetal movement
which position would be least effective when gravity is needed to assist fetal dissent
Lithotomy
Name the five ps
Passenger passageway powers position of mother psychiatric response
What is the term for the site overlapping of cranial bones are shaping of the fetal head during labor
Molding
What should the nurse take to women about her position during labor
Frequent changes in the position will help relieve her fatigue and increased her comfort
With regard to turn the other adjustments of the fetus during the birth process known as the mechanism of labor nurses should be aware
The effects of the force determining to send a modified by the shape of the woman’s pelvis and size of the fetal head
Well evaluating an external monitor tracing of a woman’s in active labor the nurse notes that the fetal heart rate for fives sequential contractions begins to decelerate late in the contraction with the peak of the deceleration occurring after the peak of the contraction what is the nurses priority intervention
Change the woman’s position
What should the nurse who providing care for the laboring women understand what the late fetal heart rate deceleration
Uteroplacental insufficiency
While evaluating an external monitor treating a woman in active labor labor is being induce a nurse notes at the fetal heart rate begins to do celery at the onset of several contractions and returns to baseline before each contraction and what should the nurse do
Idocument the findings in the patient’s record
As a nurse you realize that which of the following accompanies a fetal heart rate that demonstrates late decelerations
Maternal drug use
When assessing a woman in the first stage of labor the nurse recognizes that which of the following is most conclusive sign of the uterine contractions are effective Dilation of the cervix descent of the fetus Rupture of the amniotic membrane Increasing bloody show
Dilation of the cervix
What is the party nursing action in caring for the newborn immediate afterbirth
Keep the newborns airway clear
Nurses can help the patient by keeping them informed about the distinction stages of labor what description of the phase of first labour
OActive moderate regular contractions 4-7 cm dilation duration of 3 to 6 hours
The following would alert the nurse at the second stage of labor has begun
The nurse is unable to feel the cervix during vagina examination
Women give birth to an infant boy 12 hours ago where with the nurse expect to locate the women’s Funduscopic
Centimeter above the umbilicus
Gave birth to a 3100 g infant girl one hour ago the birth was Regina and the estimated blood loss was approximate 1500 mL which of the fine but the nurse be concerned about
Temperature 37.9°C heart rate 120 respirations 20 blood-pressure 90/50
What’s the nearest be aware of with regard to the postpartum uterus
After two weeks postpartum it should not be palpable abdominally
When examining a woman who gave birth five hours ago the nurse finds woman has completely saturated the pad within 15 minutes what is the nurses initial response
Massage women’s fundus
Excessive blood loss after childbirth can have several causes what is the most common cause
Area of the uterine muscles to contract firmly
Which of the following is a clinical manifestation of hypokalemia
Soft Flabby muscles
Which of the following reasons with the nurse recognize that a patient so I’m sodium level may not accurately reflect changes in the body sodium
Increase retention of water in the blood
What is most reliable index of volume status when caring for a patient with the flu and a balance
Fdaily weight patterns
Honoring the fluid and electrolyte status of an older adult what does the nurse you recognize that impairment of the thirst mechanism may lead to
Hyperosmolality
I’m patient who is taking Hydro potassium wasting your attic for treatment of hypertension what symptoms should the nurse teach the patient to report
Fatigue and muscle weakness
A postoperative patient who has prolonged nasogastric suction is at risk for us specific acid-base imbalance which of the following symptoms noted by the nurse indicates that the patient is developing acid-base imbalance
Hypoventilation
Patient receiving 3% normal saline solution for correction of hyponatremia what is important to know should monitoring and administration of the solution
Lung sounds
What term describes something that is capable of dissolving substance with a liquid or gas
Solvent
The definition of gravida
A women who is pregnant
Gravidity
Pregnancy
Multigravida
Who has had two or more pregnancies
Multi para
OWoman who had a complete two or more pregnancies to stage a fetal viability
Nullgravida
Who’s never been pregnant
Parity
Tnumber of pregnant season with the fetus or fetuses I reach Viability and not number of fetuses
Postdate
Pregnancy that goes beyond 41 weeks
Preterm
Pregnancy that reaches 20 weeks of gestation
Primigravita
For the first time
Primipara
Opregnancy is completed
What is the baseline fetal heart rate
110-160 with no periodic changes
Tachycardia for babies is
Ihigher than 160 bpm for the duration of 10 minutes
What is bradycardia after babies
Lower than hundred and 10 bpm for a duration of 10 minutes
What is the latent phase
Up to 3 cm dilation
Is the active phase of labor
4-7 cm dilation
What is a transition phase of labor
8 to 10 cm dilation