Maternal

Question 1

What does ductus venosus in fetal circulation do?

Answer 1

Connects umbilicus vein to inferior vena cava.

Question 2

What is the priority for fetal heart rate of 180?

Answer 2

Call the doctor.

Question 3

What do you do if a woman who is 2 months pregnant reports having colorless vaginal drainage?

Answer 3

This is a normal finding.

Question 4

A postpartum patient will receive rubella vaccine. What must the woman avoid?

Answer 4

Avoid getting pregnant for up to 3 months.

Question 5

Other than a positive pregnancy test, how else can you determine if the patient is pregnant?

Answer 5

Checking for Ballottement, Chadwick sign, uterine enlargement.

Question 6

Upon assessment you note Braxton Hicks contractions. What does this mean?

Answer 6

Contractions which are common throughout pregnancy.

Question 7

When can an HIV mother breastfeed her baby?

Answer 7

Must bottle feed.

Question 8

How can you determine if preeclampsia is worsening?

Answer 8

Complains of headache and blurred vision.

Question 9

What is a potential complication of preeclampsia?

Answer 9

Bleeding, petechia.

Question 10

What is a sign of preeclampsia?

Answer 10

Hypertension.

Question 11

What should you expect regarding insulin and a pregnant patient with DM?

Answer 11

Insulin dose may be increased.

Question 12

What is the treatment for a pregnant patient with TB?

Answer 12

Isoniazid and rifampin X 9 months.

Question 13

What type of dietary instructions should you provide for a pregnant patient with a history of heart disease?

Answer 13

Increase fiber and fluids.

Question 14

How can a hepatitis B positive mother prevent transmission to her baby upon bottle feeding?

Answer 14

Wash hands and wear gloves.

Question 15

What will a pregnant patient with suspected abruptio placenta complain of?

Answer 15

Uterine tenderness.

Question 16

What is a potential risk for a patient with placenta previa after delivering baby?

Answer 16

Hemorrhage.

Question 17

What is the best nursing intervention for fetal late decelerations?

Answer 17

Provide oxygen to mother.

Question 18

What is noted on the monitor with umbilical cord compressions?

Answer 18

Variable decelerations.

Question 19

What is the best nursing intervetion for fetal heart rate 100 beats per minute?

Answer 19

Call the doctor.

Question 20

What nursing intervention is completed after attaching mother to external electronic fetal monitor?

Answer 20

Assess fetal heart rate.

Question 21

What do you do following an amniotomy?

Answer 21

Assess fetal heart rate pattern.

Question 22

What places a woman at risk for dystocia?

Answer 22

Older, BMI mid 20’s, history of infertility.

Question 23

What is the priority when caring for a woman with dystocia?

Answer 23

Assessing fetal heart rate.

Question 24

What is the priority nursing action for postpartum mother which delivered 4 hours ago with a temperature of 100.5?

Answer 24

Encourage fluids.

Question 25

When is a mother expected to have a bowel movement after having a baby?

Answer 25

3rd day.

Question 26

What is the priority nursing intervention for someone following an episiotomy

Answer 26

Pain control.

Question 27

What dietary teaching should you include for a mother who plans to breastfeed?

Answer 27

Increase fluids.

Question 28

What is the best nursing action for a soft, boggy uterus?

Answer 28

Massage fundus until firm.

Question 29

What should you do if you notice large clots in lochia?

Answer 29

Notify the doctor.

Question 30

What is the best way to prevent mastitis?

Answer 30

Wash nipples daily with soap and water.

Question 31

What is a sign of superficial venous thrombosis?

Answer 31

Hard, enlarged veins.

Question 32

What is the best nursing intervention for a mother with cystitis?

Answer 32

Encourage fluids.

Question 33

How do you best prevent heat loss via evaporation in a newborn?

Answer 33

Dry with warm blanket.

Question 34

What signs and symptoms will a preterm newborn have if in respiratory distress?

Answer 34

Tachypnea, cyanosis, retractions, grunting.

Question 35

A woman with gonococcal infection has a baby which places them at risk for what?

Answer 35

Opthalmia neonatorum.

Question 36

How is iron medication administered?

Answer 36

On an empty stomach.

Question 37

What does it mean to have a gynecoid pelvis?

Answer 37

Most favorable for labor and birth.

Question 38

What type of foods are high in folic acid?

Answer 38

Leafy green vegetables.

Question 39

What is the purpose of a biophysical profile?

Answer 39

Measures amniotic fluid volume and fetal activity.

Question 40

Iron supplements are best taken with which fluid?

Answer 40

Orange juice.

Question 41

What diagnosis places a pregnant patient at risk for spontaneous abortion?

Answer 41

Syphillis.

Question 42

What is the priority for a patient with ectopic pregnancy?

Answer 42

Monitoring apical pulse.

Question 43

What type of history places a pregnant woman at risk for developing gestational diabetes?

Answer 43

Previous baby weighed 10 lbs.

Question 44

A seven week pregnant patient has been experiencing lots of morning sickness. What is the best advice?

Answer 44

Eat crackers before you get up.

Question 45

How do you calculate pregnancy due date?

Answer 45

Using Naegeles rule-add year, subtract 3 months, and add 7 days to origin of gestational age.

Question 46

If a pregnant mother is Rh negative and baby is Rh positive, what is required?

Answer 46

RhoGam

Question 47

What vitamin can be used to prevent nausea and vomiting in a pregnant mother?

Answer 47

Vitamin B6

Question 48

Does gestational hypertension have protein?

Answer 48

No.

Question 49

What medication is given to the pregnant Eclampsia patient?

Answer 49

Magnesium sulfate.

Question 50

The patient with placenta previa experiences painful bleeding? True or False

Answer 50

False.