pg. 1 NUR 335 Exam 2 Newest 2025 Complete 135 Actual Exam Questions with 100% Correct Verified Answers/ Graded A+
What is the placenta? - Correct Answer - An organ that develops in the uterus that provides oxygen and nutrition to the growing fetus and removes waste
Placenta previa is... - Correct Answer - when the placenta abnormally implants in the lower segment of the uterus near the cervical os instead of attaching to the fundus
What are the 3 types of placenta previa? - Correct Answer - complete/total (cervical os is completely covered by placenta), partial (covering some) and marginal/low lying (doesn't cover cervical os)
What is umbilical cord prolapse and what are we worried about? - Correct Answer - Occurs when the umbilical cord is displaced and presents through the cervix resulting in core compression and compromised circulation; worry about fetal hypoxia
What are the risk factors for umbilical cord prolapse? - Correct Answer - rupture of amniotic fluids, small fetus for gestational age, unusually long umbilical cord, multi fetal pregnancy, excess fluid
What are the 3 uses for mag sulfate? - Correct Answer - -to prevent seizures in women who had severe preeclampsia -slow or stop premature labor 1 / 3
pg. 2 -protects babies brain (neuro protectant)
What is the antidote for mag sulfate? - Correct Answer - calcium gluconate
Mag sulfate is a... - Correct Answer - tocolytic that relaxes the smooth muscles of the uterus and inhibits that activity by suppressing contractions
When would mag sulfate not be used? - Correct Answer - when the cervix is dilated past 6 cm, the patient has chorioamnionitis, they are past 36 weeks gestation or in fetal distress
What does the patient need to tell us immediately when they are taking mag sulfate? - Correct Answer - if they experience blurred vision, headache, n/v, or difficulty breathing
What will the patient experience while on mag sulfate? - Correct Answer - warm flushing feeling (feel like they are voiding)
When do you discontinue mag sulfate? - Correct Answer - when the patient exhibits pulmonary edema, chest pain, SOB, respiratory distress, audible wheezing/crackles
When monitoring for mag sulfate toxicity what do you watch for? - Correct Answer - -loss of DTR -urine output less than 30mL/hour -resp. depression (<12/min) -chest pain -pulmonary edema 2 / 3
pg. 3 What will we do about an umbilical cord prolapse? - Correct Answer - -call for assistance -notify provider -lift presenting part off of cord -reposition mom into knee/chest or trendelenburg -apply warm saline soaked towel to visual cord -make sure there is IV access -administer 8-10mL/min of oxygen -continuous fetal monitoring strip
A Non-Stress Test (NST) and fetal monitoring are... - Correct Answer - an evaluation of fetal wellbeing performed during the 3rd trimester and is non invasive
Placental abruption is... - Correct Answer - premature separation of the placenta from the uterine wall
With placental abruption we will see... - Correct Answer - sudden, painful, dark red bleeding, board-like abdomen
What are the types of placental abruptions and when does it happen? - Correct Answer - partial, complete and concealed; usually after 28 weeks of gestation in the 3rd trimester
Placental abruption is... and has.... - Correct Answer - the leading cause of maternal death and associated with DIC; significant mortality and morbidity rates
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