NCLEX REVIEW Exam 19 Questions with Verified Answers- 2023,100% CORRECT

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NCLEX REVIEW Exam 19 Questions with Verified Answers- 2023 Pitocin: Indication? Adverse Effects/Monitoring? - CORRECT ANSWER Given to strengthen contractions and labor. Can cause uterine hypersti... mulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart. If they are any more than that; slow pitocin How to Mix insulins (step 1-5) - CORRECT ANSWER 1. Draw up the total amount of (AIR) 2. Air into N 3. Air into R 4. Draw up R 5. Draw up N IM injection - Needle size + length? Sub-Q Size + length? - CORRECT ANSWER IM: 21g 1 inch needle *Memory clue: I looks like 1* Sub-Q: 25g 0.5 inch *Memory clue: S looks like 5* Cephalohematoma vs Caput Succedaneum - CORRECT ANSWER Cephalohematoma: bleeding in brain of newborn. Does not cross suture line and is asymmetrical Caput Succedaneum: Crosses suture line and is symmetrical. *Memory clue: think CS = crosses suture, CS = Caput symmetrical* Terbutaline: Indications? Nursing considerations? Contraindication? - CORRECT ANSWER Used to slow down birth and contractions Contraindicated: in mothers with heart disease due to its common side effect of tachycardia Fundal Height - Postpartum: Height right after birth? Everyday after that? - CORRECT ANSWER Fundal height right after birth is at the umbilicus - Every day after birth it will go down by 1, height correlates with the day postpartum Put the following tracheostomy care steps in order: - Remove old dressing - clean around stoma w/ sterile water or saline then replace gauze - Don sterile gloves, remove old disposable inner cannula and replace with new one - Collect supplies and position patient - Don PPE - CORRECT ANSWER 1. Collect supplies and position patient 2. Don PPE 3. Remove old dressing 4. DON sterile gloves and remove old disposable inner cannula then replace with new one 5. Clean around stoma with sterile water or saline then replace gauz Second stage of labor (delivery): Place steps in order for delivering BB. - Make sure baby has an ID before leaving delivery area - Suction babies mouth then nose - Deliver shoulder then body - Check for nuchal cord - Deliver babies head then tell mom to stop pushing - CORRECT ANSWER 1. Deliver babies head and tell mom to stop pushing 2. Suctions babies mouth then nose 3. Check for nuchal (cord around neck) around neck 4. Deliver shoulders then body 5. Make sure BB has ID before leaving delivery area After the delivery of the placental: What are the nursing interventions and assessments? - CORRECT ANSWER Ensure placenta is intact and check for vessels in the cord should be AVA Fourth stage of labor: what is it? what are we assessing? What are nursing Interventions? - CORRECT ANSWER Fourth stage is recovery. NOTE: assess 4 things during the 4th stage of labor four times an hour (every 15 minutes) 1. Assess V/S q15 to monitor for shock plus S/S cool, pale, clammy skin, tachycardia, hypotension 2. Monitor fundus: If boggy massage it, if displaced catheterize 3. Monitor Lochia: Pt is bleeding too much if she is saturating a pad every 15 minutes. report ASAP. 4. Monitor for Thrombophlebitis: measure bilat calf circumference!! Medical Battery - What is it? - CORRECT ANSWER The intentional touching of a patient without consent ex: doing a procedure that the patient denied, lying about the medication you're giving Hirschsprung's Dz S/S? Critical findings that must be reported ASAP? - CORRECT ANSWER S/S: failure to pass meconium, abdominal distention, bilious vomit Critical finding that should be reported: fever and diarrhea Normal weight gain for pregnancy? - CORRECT ANSWER 28 + or - 3lb How to calculate what weight gain should be in pregnancy? What to do if Shes overweight or underweight? - CORRECT ANSWER # of week pregnant - 9 *can range -/+ 1-2 lbs = normal* If +/- 3 = assess the patient If +/- 4 = trouble perform biophysical profile on the baby When is the fundus palpable? - CORRECT ANSWER - Not until 12 weeks NOT palpable in first trimester! When is the fundus at umbilicus? - CORRECT ANSWER 20-22 weeks gestation When can you first detect FHR and quickening? - CORRECT ANSWER FHR: 8wks Quickening: 16 weeks When would you most likely detect FHR and quickening? - CORRECT ANSWER FHR: 10 weeks Quickening: 18 weeks When should you be able to detect FHR and quickening? - CORRECT ANSWER FHR: 12 wks Quickening: 20wks [Show More]

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