Jeopardy & NCLEX ?'s
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each of the black spaces below before clicking
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List 3 premonitory signs of labor | show 🗑
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What determines if a pt is in true labor? | show 🗑
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show | Ischial spines
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Describe the position if fetus is in LOP position | show 🗑
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What are 5 mechanisms of labor? | show 🗑
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List the 3 phases of labor. What are the cervical dilations for each phase? | show 🗑
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Describe the 2nd stage of labor. (including avg length) | show 🗑
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Phase of labor when ctx are q2-5mins, mod-strong intensity, may need pain med | show 🗑
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Phase of labor when pt needs total concentration to get thru ctx & may bear down during ctx | show 🗑
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show | 4th Stage of Labor
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How is frequency & duration of ctx determined? | show 🗑
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show | Palpation MVU
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show | Thinning of cervix 0 to 100% Progresses with Dilation
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Describe station & normal progression during labor. | show 🗑
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show | Check FHR
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show | 110 to 160 bpm
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show | Early Decel Benign, do nothing
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What medical tx can the nurse anticipate for severe variables early in labor? | show 🗑
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show | Stop pitocin Change position Inc IVF O2 Initiate cont EFM/IFM Call MD
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show | Take maternal temp
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What is purpose of breathing techniques during labor? | show 🗑
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Can IV morphine be given during active labor? Why? | show 🗑
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show | Sellick’s Maneuver Pressure on the Cricoid cartilage
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show | VS baseline Fluid bolus- 500-1000 mL LR
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Your pt has just received an epidural, what are the 2 SE that are possible with the test dose? | show 🗑
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show | Vaginal Exam
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What are S/S PTL? List 4. | show 🗑
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Pt is in labor. MD states fetus is OP. What can RN expect with labor? | show 🗑
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show | Hold the presenting Part off the cord
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show | To stop PTL Tachycardia, shakiness
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What is the indication, dose & SE of Betamethasone? | show 🗑
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show | Breech
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show | The nurse interprets this to mean that the presenting part is: Engaged
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show | Palpating the uterine fundus
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A woman is in labor. The nurse assesses the contractions to be q 2-3 minutes, 50 – 60 seconds, and MVUs 140. The nurse informs the physician which of the following? The client is in adequate labor The client is hyperstimulated The client has hypotoni | show 🗑
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show | From the beginning of the contraction to the beginning of the next contraction
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A woman is at home and thinks her water breaks. She is not having contractions. What should she do next? Walk to help contractions begin Lay down to rest Obtain knee chest position to prevent cord prolapse Go to the hospital | show 🗑
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EFM reveals a baseline FHR of 144 bpm, which slows to 128 bpm as the client’s contraction peaks. The FHR then returns to baseline by the end of the contraction. The nurse interprets this finding as indicating: Compression of fetal head Uteroplacental | show 🗑
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show | Provide for client comfort and continuous support
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show | First stage, latent phase
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show | Intravenous oxytocin
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A client has undergone external cephalic version successfully. Which of the following would the nurse do next? Prepare the client for an ultrasound Plan for an immediate cesarean birth Have the client undergo a nonstress test Perform McRobert’s maneu | show 🗑
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Which finding would lead the nurse to suspect the fetus of a client in labor is in OP position? Complaints of significant back pain with contractions Auscultation of fetal heart sounds in the lower abdomen Fetal back easily palpated with Leopold’s mane | show 🗑
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show | Immature fetal lung profile
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A primigravida who is at 41 weeks’ gestation is being evaluated for possible labor induction. The nurse assesses the client’s cervical readiness using the Bishop scoring method. Which score would indicate that the cervix is favorable for labor induction | show 🗑
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Which position would be least effective for a pregnant woman in labor who is experiencing umbilical cord prolapsed? Knee-chest Trendelenburg Semi-Fowler’s Sims lateral | show 🗑
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show | Contractions occurring q 2 – 3 minutes
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The nurse is describing the types of uterine incisions that may be used with a client who is to have an elective cesarean birth. Which of the following should the nurse include as characteristics of a transverse incision? Reduces the amount of blood los | show 🗑
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The nurse should be alert for the development of malignant hyperthermia in a client who has received: Epidural anesthesia General anesthesia Pudendal anesthesia Local anesthesia | show 🗑
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show | Effects of an inadvertent spinal anesthetic requiring additional intervention
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The two most reliable sources for determining the existence of pain and severity are the client’s vital signs and Self-report of the client using the FLACC scale Subjective client observation using the Wong-Baker FACES pain scale Self report of the cl | show 🗑
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Following an epidural, the client’s systolic blood pressure drops from a baseline of 118 mm Hg to 75 mm Hg. The nurse’s most immediate response should be to: Administer ephedrine IV Inform the anesthesiologist Increase the IV fluid rate Administer ox | show 🗑
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Created by:
L.moore