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nursing215

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Question
Answer
What is fetal attitude   show
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What is the chararacteristic uterine posture?   show
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show It is the relationship of the fetal axis to the maternal site  
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What is longitudinal lie?   show
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show The long axis of the fetal body is parallel to the long axis of the maternal body  
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show Station and engagement  
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What is engagement?   show
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What is station?   show
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show This is the relationship of the landmark on the presenting part to a specific part of the maternal pelvis  
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What is floating?   show
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show They are cervical dilatation and effacement?  
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What is effacement?   show
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show It is the opening of the cervix. Full dilation is expressed in cm --10cms is fully dilated  
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The presenting part can appear in three categories . What are these categories   show
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show From the begining of to the end of each contraction  
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show Between contractions. Because during a contraction maternal cirulating blood volume increases  
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show Ripening refers to the softening of the cervix - a process that involves the cervix progressing from a firm and closed opening to a softened, effaced (thinned) and often dilated opening.  
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show Prostaglandin E2, Cytotec, Laminaria tents  
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show Evaluates the cervix in relationship to successful induction. This scoring system attempts to predict success of induction by assessing five factors: position of the cervix in relation to the vagina, cervical consistency, dilation, effacement, station  
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show Gynecoid  
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show There is slow descent and possible arrest of labor. May need operative birth  
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show To help clients to know what to expect in labor  
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What is cephalopelvic disproportion?   show
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What is dystocia?   show
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What is malposiiton?   show
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What does Leopold Maneuvers involve?   show
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show Hot all over , flushing , thirsty, sweaty, depression of relfexes, hyotension, flaccidity  
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show 7mg/liter -10 mg/liter  
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Are fibrin split products present in HELLP?   show
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what is molding?   show
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show Hypertension,edema,and proteinuria  
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show The active Phase  
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show It is the relationsip of the presenting part to an imaginary line drawn between the ischial spines of the maternal pelvis  
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show Cervical dilation and effacement  
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show The normal biophysical range is 8 to 10 if the amniotic fluid volume is adequate  
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what is the primary reason for evaluating afp levels in pregnancy?   show
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show Need to drink 1 to 2 quarts of water so as to have a full bladder  
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Why would an amniocentesis be done on a third trimester pregnant client?   show
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show Monitor uterine activity - Risk with amniocentesis is the onset of spontaneous contractions  
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show The CST involves recording the response of the fetal heart rate to stress induced by uterine contractions  
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show Yes. Anxiety affects a women's perception of pain . Tension during labor causes tightening of abdominal muscles,impeding contractions and increasing pain by stimulating nerve fibers.  
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show The birth plan helps the woman and her partner look at available options and to plan the birth experience to meet their needs  
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show By trying to relax. Relaxation will help the contractions to be more effective and the labor less painful  
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What is neuromuscular dissociation?   show
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show It acts by blocking neuromuscular transmission and depresses the CNS to control seizure activity  
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What assessment should be avoided if you are caring for a woman with HELLP?   show
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What happens to the insulin requirements for an insulin dependenet diabetic who has just given birth?   show
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Which test gives the best idea of the control of diabetes during pregnancy?   show
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What is macrosomia?   show
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show The cardinal movements of labor  
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show They are engagement,descent,flexion,internal rotation,extension,restitution,external rotation and expulsion  
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A client with an android pelvis is at increase risk for?   show
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show Indicates a worsening of PIH and impending convulsions  
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What is the frequency of contractions?   show
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What is the duration of contractions?   show
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show When the presenting part enters the pelvic inlet  
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show true  
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Why is continous fetal monitoring used when oxytocin is administered   show
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How should a woman with pih be monitored ?   show
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show When the membranes are ruptured. Cervical dilation of 4 cm would permit the insertion of fetal scalp electrodes and the intrauterine catheter  
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What is a late deceleration?   show
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What causes variable deceleration?   show
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This is a slowing of the FHR early in the contraction. It mirrors contractions and indicates head compression.   show
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show 120 to 160 beats per minute  
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What causes a transient decrease in FHR before ,during,and after a contraction   show
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show The side of the maternal pelvis  
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show Contractions occur at regular intervals and are not intensified by walking  
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show An intrauterine pressure catheter  
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What is the nurse's responsibility in fetal monitoring?   show
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show By maintaining normal blood glucose control before and during the pregnancy  
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What can a pregnant woman eat when expewreincing hypoglycemia?   show
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The neonate of a diabetic mother is at risk for _________after birth   show
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show Semi-Fowler's  
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show Blood and body fluids  
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What is an important intervention in the latent phase of labor?   show
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show Decreased DTRs  
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What is clonus?   show
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show Turn to left side --it will help oxygenate the baby and keep the mother's airway patent  
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show It indicates the lungs have the correct glycoproteins to produce surfactants  
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show Human placental lactogen and somatotropin  
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show 120 days  
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show Amniotomy  
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show This is an incision through the perineal body to facilitate delivery by enlarging the vaginal orifice  
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During this pahse contractions are strong 2 to 3 minutes apart and the cervix is 8 to 10cms   show
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show Pudenal block  
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show Epidural  
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What chapters are for the test   show
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If the ischial spine are o station then the crowning is   show
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show Insulin needs vary according to stage of gestation.. Insulin needs decrease during the first trimester ,when nausea ,vomiting ,and anorexia are a factor. They increase during the second and rthird trimesters, when pregnancy hormones create insulin resista  
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show She will need continuous monitoring of cardiac rhythm  
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Should a woman with a history of drug abuse be screened again for hepattis B?   show
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What happens if a woman has excessive paind uring labor?   show
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Why should a narctoic be given to a laboring woman at the begining of a contraction ?   show
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How can yo improve placental blood flow immediately after a Painmedication injection during labor?   show
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What are the 4 "p"s during labor   show
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show Culture ,anxiety and fear, previous experience with pain, prepartion for child birth and support systems  
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show An elevated pulse rate  
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show True  
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show Every 30 minutes 15 minutes if the fetus was high risk  
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What is apgar score??   show
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show What is late decleration  
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show The motyher touches the infant and talks softly to the infant  
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show L Anterial wall of L Ventricle  
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show Blood to Lateral Left Ventricle  
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When does the heart feed itself?   show
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show R Ventricle and inferior L Ventricle  
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Where are Coronary Arteries?   show
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Phase 4 (transmembrane potential -90)   show
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Phase 0   show
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show ST segment Ca+ ventricular contraction  
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Phase 3 (rapid repolarization)   show
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