Nursing Program Assessment Criteria

Questions and Answers

What is the correct route of administration for beractant?

Intravenous

Intramuscular

Subcutaneous

Intratracheal (correct)

How should beractant be prepared prior to administration?

Store at room temperature.

Shake the vial vigorously.

Warm to 100°F before use.

Swirl the vial gently. (correct)

What is the maximum number of doses of beractant that can be administered within 48 hours?

8 doses

6 doses

2 doses

4 doses (correct)

What is a special consideration when administering beractant?

Administer it immediately after birth. Signup and view all the answers

What should be monitored in infants receiving beractant?

Arterial or transcutaneous oxygen levels Signup and view all the answers

At what temperature should beractant be stored?

Refrigerator temperature (36° to 46°F) Signup and view all the answers

What is a possible adverse reaction of administering ergotamine?

Transient chest pain Signup and view all the answers

What condition is contraindicated when using ergotamine?

Maternal sepsis Signup and view all the answers

What is a key reason for careful monitoring of blood pressure during ergotamine administration?

To avoid transient hypertension Signup and view all the answers

How frequently can oral doses of ergotamine be administered?

Every 2-4 hours Signup and view all the answers

What effects does ergotamine primarily have on the body?

Smooth muscle contraction Signup and view all the answers

What is the recommended route of administration for ergotamine in acute emergencies?

Intravenously Signup and view all the answers

What symptom may occur as an adverse effect of ergotamine?

Dizziness Signup and view all the answers

What should not be used concurrently with ergotamine?

Other ergot alkaloids Signup and view all the answers

During which stage of labor does ergotamine primarily affect smooth muscle contractions?

Third stage Signup and view all the answers

Which symptom is NOT a recorded adverse reaction of ergotamine?

Increased appetite Signup and view all the answers

What does a rating of 4 indicate regarding the identification of nursing problems?

Problems are identified correctly based on NANDA. Signup and view all the answers

What is the significance of following the PES format for nursing diagnosis?

It standardizes the nursing diagnosis process. Signup and view all the answers

What would a rating of 1 indicate in the evaluation of nursing problems?

No nursing problems are identified at all. Signup and view all the answers

Which aspect is least likely addressed if only medical terminology is used in the nursing diagnosis?

Understanding the patient's perspective. Signup and view all the answers

In a nursing diagnosis, what role do significant cues play?

They are necessary to support the identified problems. Signup and view all the answers

What is an indicator of correctly identifying nursing problems based on the content provided?

The nursing problems align with NANDA criteria. Signup and view all the answers

Why is it important to differentiate between nursing and medical terminology?

To ensure clarity and accuracy in nursing diagnoses. Signup and view all the answers

What might be the consequence of stating cause and effect incorrectly in a nursing diagnosis?

Misalignment of care strategies with patient needs. Signup and view all the answers

What characterizes a nursing problem that is identified with a rating of 2?

Some cues are insignificant or improperly represented. Signup and view all the answers

What is the primary purpose of dinoprostone in labor induction?

To create cervical effacement and softening Signup and view all the answers

How is the dinoprostone cervical gel typically administered?

Intracervically Signup and view all the answers

What is the controlled-release approach of dinoprostone in the vaginal insert?

0.3 mg/h Signup and view all the answers

What side effect may patients experience with dinoprostone use?

Reactive nonstress test Signup and view all the answers

In what form is dinoprostone available for cervical ripening?

Cervical gel and vaginal insert Signup and view all the answers

What is the active component of dinoprostone used in cervical ripening?

Prostaglandin E2 Signup and view all the answers

What is the recommended dosage of dinoprostone cervical gel for intracervical use?

0.5 mg in 2.5 mL of gel Signup and view all the answers

What should be monitored after administering dinoprostone?

Uterine activity and fetal heart rate Signup and view all the answers

Which of the following best describes the potential mechanism of action of PGE2 in cervical ripening?

Stimulates collagenase secretion leading to collagen degradation Signup and view all the answers

What is the pregnancy category of dinoprostone?

Category C Signup and view all the answers

What is the primary use of IV oxytocin during labor?

Enhancing uterine contractions in patients already in labor Signup and view all the answers

Why are ergot alkaloids not recommended during labor?

They can lead to prolonged tetanic contractions Signup and view all the answers

Which route of administration is most common for methylergonovine maleate?

IM Signup and view all the answers

What is the goal of surfactant replacement therapy in preterm infants?

Reduce surface tension in alveoli Signup and view all the answers

In which situation is IV administration of methylergonovine maleate appropriate?

In emergency situations only Signup and view all the answers

How does oxytocin affect a patient experiencing uterine inertia?

It is more effective than in patients already in labor Signup and view all the answers

What condition can synthetic surfactant therapy help to prevent in preterm infants?

Respiratory distress syndrome (RDS) Signup and view all the answers

The effect of ergonovine on the uterus post-delivery includes which of the following?

Control of postpartum hemorrhage Signup and view all the answers

What is the primary component of surfactant that aids in its function?

Lipoproteins Signup and view all the answers

What defines uterine inertia?

Inadequate or hypotonic contractions of the uterus Signup and view all the answers

Study Notes

Nursing Diagnosis Criteria

Nursing problems must be identified using NANDA terminology.
Correct identification follows the PES (Problem, Etiology, Symptoms) format.
Support for nursing diagnosis requires appropriate cues.
Poor performance reflects incorrect terminology usage, insufficient significant details, or failure to identify problems.

Prostaglandins

Dinoprostone (PGE2) used for labor induction via intracervical or intravaginal methods.
Promotes cervical effacement and softening by enhancing submucosal water content and collagen degradation.
Administered via:
- Cervical gel: 0.5 mg dinoprostone (Prepidil gel) intra-cervically; repeat in 6-12 hours if necessary.
- Vaginal insert: Contains 10 mg controlled-release dinoprostone (Cervidil), delivering at 0.3 mg/h.

Drugs Enhancing Uterine Muscle Contractility

Dinoprostone
- Route: Intracervical gel (0.5 mg) or IV infused slowly.
- Uses: Repairing cervix, inducing contractions, controlling third-stage labor.
- Side effects: Reactive nonstress tests, transient hypertension, palpitations, nausea.
- Pregnancy category: C.
Oxytocin
- Administered IV for labor augmentation or induction.
- Aids in the contraction of uterine smooth muscle when contractions are inadequate.
- Lower starting doses recommended for patients with uterine inertia.
Ergot Alkaloids
- Acts by direct stimulation of smooth-muscle-cell receptors.
- Not used during labor due to risk of sustained, potentially harmful contractions.
- Commonly prescribed methylergonovine maleate (Methergine) for postpartum hemorrhage control, given via IM route.

Surfactant Therapy in Preterm Birth

Used for managing respiratory distress syndrome (RDS) in preterm infants.
Surfactant therapy enhances pulmonary function by reducing surface tension in alveoli.
Beractant (Survanta)
- Route: 4 mL/kg divided doses intratracheally, with each dose delivered in different positions.
- Administration: Should be swirled gently, not shaken; store appropriately at 36° to 46°F.
- Timing: Ideally given within 15 minutes of birth, with a maximum of 4 doses; repeat every 6 hours if necessary.

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Description

This quiz encompasses the assessment criteria used for the Nursing Program at the University of San Agustin. It provides insight into the evaluation process for students in the College of Health and Allied Medical Professions. Understanding these criteria can help students prepare for their assessments effectively.