ATI Comprehensive NCLEX Review Flashcards

Questions and Answers

When does endometrial infection usually occur?

During normal deliveries

After cesarean births

With a prolonged rupture of membranes (correct)

During vacuum-assisted births

Intestinal gas is a common side effect of which type of birth?

Cesarean birth (correct)

Vaginal birth

Water birth

Home birth

Cervical lacerations are common complications from which type of birth?

Vaginal birth

Vacuum-assisted birth (correct)

Cesarean birth

Normal birth

What should a nurse do first when a client is experiencing a wound evisceration?

Stay with the client and call for help. Signup and view all the answers

What is a known side effect of valproic acid?

Hepatic toxicity Signup and view all the answers

Turn off the CPM machine during meals to promote comfort and ______.

dietary intake Signup and view all the answers

Heparin is an anticoagulant that increases the risk of bleeding.

True Signup and view all the answers

What is the correct method for walking upstairs with crutches?

Hold the rail with one hand and crutches with the other, step up with the unaffected leg. Signup and view all the answers

Match the following diseases with their precaution categories:

Sepsis = Droplet precautions Measles = Airborne precautions MRSA = Contact precautions Influenza = Droplet precautions Signup and view all the answers

What characterizes a Stage I pressure ulcer?

Intact skin with persistent nonblanchable redness. Signup and view all the answers

Describe a Stage II pressure ulcer.

Partial-thickness skin loss involving the epidermis and dermis. Signup and view all the answers

What defines a Stage III pressure ulcer?

Full-thickness tissue loss with damage to subcutaneous tissue. Signup and view all the answers

What is a characteristic of a Stage IV pressure ulcer?

Full-thickness tissue loss with destruction of muscle, bone, or supporting structures. Signup and view all the answers

How is the Glasgow Coma Score calculated?

By assessing eye opening, verbal response, and motor response. Signup and view all the answers

When verifying NG tube placement, what pH range indicates appropriate placement?

A pH between 0 and 4. Signup and view all the answers

What is the normal range for sodium levels in the blood?

136-145 Signup and view all the answers

What is the normal range for potassium levels?

3.5-5 Signup and view all the answers

What is the normal range for total calcium levels?

9.0-10.5 Signup and view all the answers

What is the normal range for magnesium levels?

1.3-2.1 Signup and view all the answers

What is the normal range for phosphorus levels?

3.0-4.5 Signup and view all the answers

What is the normal range for BUN levels?

10-20 Signup and view all the answers

What is the normal range for creatinine levels in males?

0.6-1.2 Signup and view all the answers

What is the normal range for creatinine levels in females?

0.5-1.1 Signup and view all the answers

What is the normal fasting blood glucose level range?

70-105 Signup and view all the answers

What is the normal range for HgbA1c?

Not provided in the content. Signup and view all the answers

Study Notes

Maternal Health Complications

Endometrial infections commonly occur after prolonged rupture of membranes.
Intestinal gas is a frequent side effect for clients post-cesarean delivery.
Cervical lacerations may occur during vacuum-assisted births; however, they are rare.

Emergency Response Procedures

For wound evisceration: stay with the client, call for help, apply saline-soaked gauze, position the client supine with hips and knees bent, and monitor vital signs.

Medications and Side Effects

Valproic acid has the potential to cause hepatic toxicity.
Heparin is an anticoagulant that inhibits prothrombin to thrombin conversion, increasing bleeding risk; signs include ecchymosis, tarry stools, and pink/red urine.

Mobility Aids and Patient Comfort

Continuous passive motion (CPM) machines should be turned off during meals to facilitate comfort; affected extremities should maintain neutral alignment.
Correct usage of crutches when walking upstairs involves leading with the unaffected leg and keeping crutches aligned with the affected leg.

Infection Control Precautions

Droplet precautions ("SPIDERMAn") encompass diseases like Sepsis, Scarlet Fever, and Influenza; requires a private room and masks for visitors.
Airborne precautions ("My Chicken Hez TB") apply to Measles and TB; necessitate negative pressure rooms and N95 masks for TB cases.
Contact precautions ("MRS WEE") involve MRSA and wound infections; protective measures include wearing gowns and gloves, with room-sharing allowed for similar infections.

Pressure Ulcer Staging

Stage I: Intact skin with nonblanchable redness over bony prominence; may feel different temperature, appearing blue or purple on darker skin.
Stage II: Partial-thickness loss of skin, appearing as abrasion or blister; may be infected, with edema present.
Stage III: Full-thickness tissue loss without exposed muscle or bone; common drainage and infection.
Stage IV: Extensive tissue loss with potential muscle or bone damage, featuring tunneling or eschar/slough.

Glasgow Coma Scale

Assesses consciousness through eye opening, verbal response, and motor response; total score ranges from 3 to 15, indicating level of responsiveness.

Gastrointestinal Placement Verification

Confirm NG tube placement by aspirating gastric contents with a pH between 0 and 4.

Electrolyte Levels

Sodium: Normal range 136-145 mEq/L
Potassium: Normal range 3.5-5 mEq/L
Total Calcium: Normal range 9.0-10.5 mg/dL
Magnesium: Normal range 1.3-2.1 mEq/L
Phosphorus: Normal range 3.0-4.5 mg/dL
Blood Urea Nitrogen (BUN): Normal range 10-20 mg/dL
Creatinine (males): Normal range 0.6-1.2 mg/dL
Creatinine (females): Normal range 0.5-1.1 mg/dL
Glucose: Normal range 70-105 mg/dL
HbA1c: Not specified.

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Description

This set of flashcards covers essential concepts and common complications related to obstetric care, focusing on conditions such as endometrial infections and cervical lacerations. Each card highlights key information necessary for success in the NCLEX exam, making it a vital resource for nursing students. Prepare effectively for your comprehensive nursing review with these targeted questions.