Final exam

Question 1

when is NAS seen?

Answer 1

newborn is withdrawing

Question 2

what does the new Ballard test measure?

Answer 2

estimates gestational age

Question 3

how long does post partum blues last?

Answer 3

2 - 10 days (transient)

Question 4

what is an amniocentesis?

Answer 4

procedure for the removal of amniotic fluid

Question 5

how should fundal height be measured?

Answer 5

from symphysis pubis to uterine fundus

Question 6

what is the best way to promote thermal regulation?

Answer 6

skin to skin contact

Question 7

what medication may be given for the mother who is experiencing contractions close together without breaks between?

Answer 7

terbutaline

Question 8

what is the name for the external palpation of fetus that is used to determine how the fetus is lying in utero?

Answer 8

Leopold’s maneuver

Question 8

what is involution?

Answer 8

return of uterus to prepregnant state

Question 8

what assessment will likely be used first if a mother comes in stating she has not felt the fetus move?

Answer 8

non stress test

Question 9

how rapidly should involution occur?

Answer 9

1 fingerbreadth per day

Question 10

what intervention should be used for minimal fetal HR variability caused by the fetus sleeping?

Answer 10

reposition the mother

Question 11

what stage of labor does fetus come out?

Answer 11

2nd

Question 12

what stage of labor does placenta come out?

Answer 12

3rd

Question 13

how would the nurse document the presence of blue/black spots? (common in dark skin babys)

Answer 13

mongolian spots

Question 14

what is the white cheesy substance that covers a newborn?

Answer 14

vernix

Question 15

what reflexes help with feeding?

Answer 15

• rooting
• sucking
• latching

Question 16

what may cause a pathological jaundice?

Answer 16

ABO incompatibility

Question 17

what is the 1st line tx for pathological jaundice?

Answer 17

phototherapy

Question 18

which hormone does a pregnancy test monitor for?

Answer 18

hCG

Question 19

what nursing actions should be taken for an umbilical cord prolapse?

Answer 19

• apply pressure to presenting fetal part to relieve pressure on cord

Question 20

when is methergine contraindicated?

Answer 20

HTN

Question 21

what defines true labor?

Answer 21

cervical changes (dilation)

Question 22

what often causes back labor?

Answer 22

fetus in OP (sunny side up)

Question 23

what is the most common side effect of epidural?

Answer 23

hypotension

Question 24

where is the most common site of birth trauma?

Answer 24

perineum

Question 25

what are 3 causes for low birth weight?

Answer 25

- smoking - HTN - type 1 DM

Question 26

what type of sign is pregnancy test?

Answer 26

probable sign

Question 27

what type of sign are these: - breast tenderness - n/v - period is late ?

Answer 27

presumptive

Question 28

what is an expected genitourinary change during pregnancy?

Answer 28

urinary frequency

Question 29

how long should a contraction last?

Answer 29

90 secs max

Question 30

should epidural be given during transition stage of labor? why?

Answer 30

no dilation is too far at this point (8-10cm)

Question 31

when can epidural be given?

Answer 31

active stage (4-7 cm)

Question 32

how would the nurse note fetus with no heart tones, but has not yet been delivered?

Answer 32

missed abortion

Question 33

what is the antidote to magnesium sulfate?

Answer 33

calcium gluconate

Question 34

what are signs of mag toxicity?

Answer 34

loss of reflexes respiratory depression

Question 35

what are some nursing assessments to be performed with hyperemesis gravidarum?

Answer 35

- monitor electrolytes - skin turgor and MM - blood glucose

Question 36

what type of delivery is indicated for placenta previa?

Answer 36

c -section

Question 37

what is the common symptom associated with placenta previa?

Answer 37

painless red bleeding

Question 38

what symptom differentiates eclampsia from pre-eclampsia?

Answer 38

seizures

Question 39

what fetal size variation is expected for the newborn of a mother with gestational diabetes?

Answer 39

large baby

Question 40

what is an ectopic pregnancy?

Answer 40

implantation outside of the uterus

Question 41

what surgical procedure is used in the management of cervical incompetence?

Answer 41

cerclage

Question 42

what technique is utilized for cervical cerclage?

Answer 42

mcdonalds technique

Question 43

what are some signs that patient should report after a cervical cerclage?

Answer 43

- pelvic pressure - ROM

Question 44

what nursing actions are indicated for a placental abruption with bleeding?

Answer 44

- obtain type and cross - initiate IV access - perform vaginal exam

Question 45

what places an infant at risk for meconium aspiration?

Answer 45

post term

Question 46

what scenario would cause the nurse to be aware of potential respiratory distress caused by the underdevelopment of lungs?

Answer 46

preterm delivery

Question 47

what medication is given to enhance fetal lung maturity?

Answer 47

betamethasone