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A comprehensive set of questions and answers related to maternal-newborn nursing, covering key concepts and clinical scenarios. It is designed to help students prepare for the nclex exam by providing a structured review of essential knowledge and skills. Topics such as pregnancy terminology, fetal monitoring, labor and delivery stages, postpartum care, and common complications.
Typology: Exams
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Number times a female has been pregnant regardless of the outcome. - Correct Answer Gravida Number of deliveries after 20 weeks - Correct Answer Para Gravity pregnancy Term pregnancies Preterm pregnancy, before 37 weeks Abortions before 20 wk elective/spontaneous Living children - Correct Answer GTPAL To pubis symphysis - Correct Answer 12 - 13 weeks fundus rises To umbilicus - Correct Answer 20 was fundus rises Is equal to # wks gestation with singleton - Correct Answer 24 - 26 wks fundal height 2.5 kg - Correct Answer Weight gain 1st trimester 0.4 kg per week - Correct Answer Weight gain 2 - 3 trimester Early in preg even with planned pregnancy - Correct Answer Ambivalence occurs With readiness and maternal role - Correct Answer Acceptance occurs Frequent changes in emotional states - Correct Answer Emotional liability Predicts neural tube defects and downs at 16 - 18 wks. High incidence false positive - Correct Answer Alpha-fetal protein AFP
Genetic studies 12 - 18 wks, full bladder, Rh mothers require RhoGam - Correct Answer Chorionic villi sampling CVS 16 wks determine genetic dosorders, 30 wks fetal lung maturity (l/s) ratio, Rhogam if indicated - Correct Answer Amniocentesis Multiple purposes, full bladder - Correct Answer Ultrasound Records fetal movement & FHR, in respinse to movement, 15 for 15 - Correct Answer Non stress test NST Evaluates fetal reaponse to stress of labor - Correct Answer Contraction stress test Dilation &Effacement, complete when 10cm and 100% - Correct Answer First stage L&D Expulsion, ends with delivery of baby, lasts mins to hours. - Correct Answer Second stage L&D Placental: begins with birth of baby and delivery if placenta, 5 - 10 mins maybe 30 - Correct Answer Third stage of L&D Arbitrary: up to 2 hrs after delivery, risk for bleeding - Correct Answer Fourth stage L&D Stretchkng of cervis fingertip - 10 cm - Correct Answer Cervical dilation Thinning and shortening of cervix,% - Correct Answer Effacement Location of presenting part in relation to midpelvis-ishial spine, measured in - is higher in pelvis and + closer to pelvic floor - Correct Answer Station Non invasive , may be difficult to pick up FHR - Correct Answer External fetal monitoring ROM must hv occured, fetal scalp and intrauterine contraction monitor - Correct Answer Internal Fetal monitoring Time from beginning of one to beginning of next - Correct Answer Contraction frequency
Beginning to end of contraction - Correct Answer Duration of contraction Internal monitoring: 30mmHg mild, - 70mmHg strong - Correct Answer Intensity Tension of uterus between contractions - Correct Answer Resting tone/time <120 - Correct Answer Bradycardia FHR 120 - 160 - Correct Answer Normal FHR
160 - Correct Answer Tachycardia FHR VEAL CHOP - Correct Answer Fetal monitoring Cord compression - Correct Answer Variable decelerations Head compression - Correct Answer Early decelerations Okay - Correct Answer Acceleration Placental insufficiency-hypoxia - Correct Answer Late decelerations During 2nd stage and indicate pushing - Correct Answer Early decelerations may occur? Pudendal Peridural ( epidural) Intradural (spinal) - Correct Answer Types of regional blocks 2nd stage no effect on uterine contractions - Correct Answer Pudendal 1 - 2nd stage, may prolong 2 stage, single or cont dose - Correct Answer Peridural(epidural) 2nd stage, rapid onset, remain flat for 6 hrs after delivery - Correct Answer Intradural(spinal)
Descends 1cm QD for 9 - 10 days. Should be midline and firm if not assess for bladder retention - Correct Answer Fundal Involution Endometrial sloughing from Rubra- serosa- alba - Correct Answer Lochia Assessment Nipple soreness,reddness, engorgment, lumps - Correct Answer Breast Assessment Measure output, assess for distension or retention - Correct Answer Bladder Assessment Assess for distension and bowel sounds - Correct Answer Bowel Assessment Assess perineum for intactness, hematoma, edema, bruising, redness and draining - Correct Answer Episiotomy Assessment Assess attachment behavior - Correct Answer Bonding assess Hand washing, wipe front to back, nap when baby sleeps, contraceptive use, change pads prn or when voiding and defecation, breast feeding instructions - Correct Answer Maternal teaching Diapering, bathing, skin cord care, jaundice, corcumcised, burping and bowel , wet diapers
Hemolysis Elevated Liver enzymes Low Platlets - Correct Answer Hellp syndrome Maintain IV 16 - 18 gauge Monitor urine Q1 hr Admin mag sulfate as prescribed and moniter for toxicity BP Q15 min - Correct Answer Preeclampsia Nursing interventions Stay with patient Turn to sode Do not attemp to force object in mouth Admin O Hold mag - Correct Answer Eclampsia Nursing interventions 1hr glucose acreening 24 - 26 wks - Correct Answer Gestational DM Oral agents and insulin Glyburide or insulin diring pregnancy - Correct Answer Gestational DM control Brethine (terbutaline) Yutopar (ritodrine) Mag sulfate - Correct Answer Tocolytics Calcium gluconate - Correct Answer Mag sulfate antidote Monitor vs LOC, IV fluids, rh- admin RhoGam - Correct Answer Nursing interventions for miscarriage Passive painless dilation during 2nd trimester - Correct Answer Incompetent cervix
Bed rest, hydration, tokolytics, cerclage - Correct Answer Management of incompetent cervix Prepare for surgery, and IV replacement including blood - Correct Answer ectopic pregnancy Bleeding concealed Uterine ridgid Pain is persistant FHR abnormal - Correct Answer Placenta abrupt Bleeding bright red 3 rd trimester Uterine tone soft Painless FHR normal jnless mother becomes Hypovolemic - Correct Answer Placenta previa Fetal demose Sepsis infection PIH Placental abruption - Correct Answer DIC risk factors 18 - 22 in - Correct Answer Newborn parameters length 5.5-9.5 lbs - Correct Answer Weight Should be 1/4 of body length 13.2- 14 in - Correct Answer Head circumference Palpable woth fontanelles - Correct Answer Sutures 18 months - Correct Answer Anterior fontanel closure 6 - 8 weeks - Correct Answer posterior fontanel 2 arteries 1 vein - Correct Answer Umbilical cord has
Flexed - Correct Answer Extremities should be Even - Correct Answer Gluteal folds On soles of feet - Correct Answer Creases For hip dysplasia - Correct Answer Ortalanis and barlows sign Palpable radial, brachial and femoral - Correct Answer Pulses 100 - 160 - Correct Answer Newborn HR 30 - 60 - Correct Answer Newborn RR 98.6- 99 - Correct Answer Ancillary temp 73/55 - Correct Answer Newborn Bp 40 - 60 - Correct Answer Normal Blood Sugar