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Pregnancy decreases MAC __ % at term - ANS- 40 Decreased MAC is mostly likely because of what 2 hormones - ANS- ^ progesterone ^ B-endorphin Pregnancy causes a ___ sensitivity to LA - ANS- Enhanced Pregnancy causes epidural venous ___ - ANS- Engorgement Pregnancy causes __ CSF - ANS- Decreased Pregnancy causes epidural venous engorgement and decreased CSF which ___ Cephalad spread of LA - ANS- Increased 1st stage of labor pain is ___in nature - ANS- Visceral 1st stage of labor pain occu...

cardiac decompensation symptoms - ans- -subjective: fatigue, breathing difficulties, smothering feeling, frequent cough, palpitations, generalized edema -objective: irregular, weak, rapid pulse, generalized edema, crackles in lungs, orthopnea, tachypnea, most frequent cough, lip and nail bed cyanosis What are three things that can prevent straining of the heart with bowel movements? - ans- 1. Colase 2. high fiber diet and fluids 3. avoiding the Valsalva maneuver What position should the w...

Gravida - ANS- a woman who is pregnant Gravidity - ANS- pregnancy Nulligravida - ANS- a woman who has never been pregnant and is not currently pregnant Primigravida - ANS- a woman who is pregnant for the first time Multigravida - ANS- a woman who has had two or more pregnancies Parity - ANS- the number of pregnancies in which the baby has reached 20 weeks of gestation Nullipara - ANS- a woman who has not completed a pregnancy beyond 20 weeks of gestation cCONTINUES....

The nurse emphasizes to the parent of a preschool child with atopic dermatitis that the child should be discouraged from scratching. The child's parent asks why scratching should be avoided. Which response would the nurse provide? 1. Scratching causes lesions to become more contagious 2. Scratching spreads dermatitis to other areas of the body. 3. Scratching results in skin breaks that can lead to infection 4. Scratching produces changes that are precursors to skin cancer. - ANS- 3. Scratc...

Chapter 01: 21st Century Maternity and Women's Health 1. To assess a mother's risk of having a low-birth-weight (LBW) infant, what is the most important factor for the nurse to consider? a. African-American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education - ANS- ANS: A For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential i...

An extremely premature infant nearing discharge has an elevated alkaline phosphatase level. What should the nurse include in discharge education? A. Avoid kangaroo care B. Handle the infant as carefully as possible C. Recommend a soy-based formula - ANS-B. Handle the infant as carefully as possible. Rationale:The infant's history (extreme prematurity) and laboratory findings (elevated alkaline phosphatase) suggest metabolic bone disease. The infant's bones are fragile and can be easil...

Which statement about cord blood gases is correct? A. There is no difference between venous and arterial cord blood gasses B. The cord arterial pH is normally higher than venous pH C. The cord arterial blood is the best indicator of the fetal metabolic condition before delivery - ANS-C! Rationale: When evaluating cord blood gases, the arterial cord blood reveals the metabolic status of the fetus before delivery and strongly correlates with perinatal asphyxia. Reference(s):Barry, J., Dea...

The nurse should be aware that the primary risk factor for the development of necrotizing enterocolitis is which of the following? A. Bacterial Infection B. Prematurity C. Maternal substance abuse - ANS-B. Prematurity. Necrotizing enterocolitis (NEC) is primarily a disease of the premature infant. The perfusion of the gastrointestinal (GI) tract of the premature infant can be affected by hypoxia, hypotension, patent ductus arteriosus, hypothermia, and the presence of umbilical catheter...

A 12-day-old former 27-week-gestation infant is advancing on enteral feeding, receiving nasal continuous airway pressure +6 cm with oxygen 25% to 40% and had two apneic events overnight. Current capillary blood gas (CBG) shows pH 7.28, PaCO2 44, PaO2 55, bicarbonate 14 with a base deficit of -7. Yesterday the CBG was pH 7.31, PaCO2 43, PaO2 60, bicarbonate 19 with a base deficit of -5. On examination, there is a 1 ml bilious residual. The nurse should consider which of the following as t...

Contraindications to kangaroo care include: A. Mechanical ventilation B. Maternal preeclampsia requiring magnesium sulfate therapy C. infection of the skin of the chest of the kangaroo care provider. - ANS-C! Infection of the skin of the chest of the kangaroo care provider. Rationale: Skin infection on the chest of the kangaroo care provider could potentially be transmitted to the infant, so kangaroo care should be avoided until the skin is clear. Unless the mother is too groggy to f...