Download NR 327 FINAL PAPER 2026 AUTHENTIC SOLVED COLLECTION and more Exams Obstetrics in PDF only on Docsity!
NR 327 FINAL PAPER 2026 AUTHENTIC
SOLVED COLLECTION
◉Early deceleration (fetal heart pattern). Answer: caused by head compression this mirrors each contraction and then returning to baseline not a concern ◉Late deceleration (fetal heart pattern). Answer: caused by uteroplacental insufficiency, indicates fetal distress requiring immediate intervention. ◉Variable deceleration (fetal heart pattern). Answer: caused by umbilical cord compression The cord may be compressed due to maternal position, low amniotic fluid to cushion the cord, or it may be wrapped around the neck of the fetus ◉Which statements describe the actions of analgesics given in labor?. Answer: Analgesics cross the placenta barrier Analgesics may depress newborn respiratory efforts
◉The nurse is caring for a client after vaginal delivery with a second-degree laceration. Which comfort measures can the nurse take immediately following the repair to reduce pain and edema?. Answer: Apply ice-pack ◉Which nursing actions encourage relaxation during the early stages of labor?. Answer: Dimming the lights Guided imagery Turning on the television Slow-paced breathing ◉Labor dystocia. Answer: labor that is not progressing or failure to progress put both mother and child at risk ◉The nurse caring for a client in labor notices that the fetal heart rate has suddenly decreased. What can the nurse do initially to help the fetal heart rate to recover?. Answer: Assist the woman to a lateral position to promote circulation. ◉Why is magnesium sulfate used for preterm labor?. Answer: It is used to relax the muscle of your uterus to prevent or reduce contractions
◉preterm premature rupture of membranes (PPROM). Answer: Occurring before 37 weeks gestation, there is a rupture of the amniotic membranes before true labor has started ◉cardinal movements of labor. Answer: the maneuvers, adjustments, and turns the fetal head normally makes as it descends in the pelvis ◉Amniotic fluid should be.... Answer: clear, watery, and 1000 mL in amount. Anything other than that requires follow up by the nurse ◉Amniotic fluid that is thick, has a foul odor, or is yellowish may indicate a. Answer: uterine infection ◉Episiotomy. Answer: Anesthetic is injected into the tissue of the perineum between the vagina and the anus, then a surgical incision is made in that area to widen the perineal opening.__ ◉_____ ______ is the medication most commonly used for a C section. Answer: Spinal anesthesia ◉How long does it typically take for a woman who has delivered a baby to return to a pre-pregnant physical state?. Answer: 6 weeks
◉Which findings may indicate a deep vein thrombosis (DVT) in a lower extremity in a postpartum woman?. Answer: Localized warmth Weak pedal pulse in the affected extremity Tenderness ◉The nurse should include which interventions to promote involution of the uterus into postpartum care of the mother?. Answer: Uterine massage Administration of oxytocin Breastfeeding ◉Temperature may be _____ for 24 hours after delivery due to dehydration. Answer: elevated ◉Pulse may be ____ for 6-8 days after delivery due to increased cardiac output and stroke volume. Answer: low ◉Respirations are _____ after delivery. Answer: normal ◉Blood pressure may be ______ after delivery due to anatomical changes. Answer: low
"Since you are breastfeeding, you will continue to feel cramping in your uterus." "Your uterus should go down the width of your finger every day" "By 14 days postpartum, you should no longer be able to feel your uterus through your abdomen. If it is not in this position or is not firm, let your healthcare provider know." ◉Which normal characteristics of lochia should the nurse include in postpartum teaching?. Answer: Lochia with some small clots Lochia that will gradually become lighter in amount and color ◉An episiotomy should begin to heal in ______ weeks. Answer: about 2 - 3 ◉What should the nurse tell the client to expect after a cesarean birth?. Answer: "If you notice redness, drainage, or separation of the incision, let your healthcare provider know right away." "If you have a temperature over 100.4°F, let your healthcare provider know right away." ◉Which statements made by a client at her first postpartum visit are consistent with postpartum depression?. Answer: "I cry all the time no matter what I do." "I am having trouble sleeping."
"I don't care about anything anymore." ◉It is recommended that for the first ____ months of life, infants are exclusively breastfed, but ideally should be breastfed for at least the first ___ months of life. Answer: 6 12 ◉When caring for a newborn, which action indicates the newborn is ready to breastfeed?. Answer: Places hands in mouth ◉The nurse is assessing the newborn's initial meconium stool. What characteristics should the nurse expect the stool to have?. Answer: Thick, Dark green, and Odorless ◉When milk production begins and the body is still balancing supply and demand, an uncomfortable fullness should only last _____ hours.. Answer: 24 ◉The nurse should teach the mother comfort measures if engorgement occurs, including:. Answer: apply warm compresses to the breasts before feeding to stimulate let-down and soften the breasts for latching apply ice packs after nursing to slow refilling and provide comfort choose a well-fitting bra to support the breasts and wear it daily
◉When teaching a high school health class, which information about latex condoms is most important for the nurse to include?. Answer: Leave room at the condom tip for a reservoir for semen. ◉side effects of combination oral contraceptives. Answer: weight gain nausea and vomiting breakthrough bleeding breast tenderness headache irritability ◉side effects of an IUD. Answer: increased menstrual bleeding ectopic pregnancy pelvic infection perforation of the uterus infertility ◉Tubal sterilization. Answer: Fallopian tubes being sterilized by crushing, litigating, clipping, or plugging ◉Vasectomy. Answer: Bilateral litigation and resection of ductus deferens
◉Client education on using a diaphragm. Answer: Empty bladder before inserting the diaphragm. Wash the diaphragm with warm water and mild soap after use. Insert the diaphragm up to six hours before intercourse to enhance spontaneity. Always void after intercourse when using a diaphragm. ◉Uterine atony. Answer: the uterine muscle loses its tone and strength ◉uterine involution. Answer: After placenta delivery, the uterus begins the postpartum process of returning to a pre-pregnancy state, going from the full-term size of a watermelon back down to its former pear size ◉Early postpartum hemorrhage. Answer: It usually occurs within the first hour after delivery. The total estimated blood loss is ≥1000 mL. It is most often caused by uterine atony ◉Late postpartum hemorrhage. Answer: Occurs after 24 hours or up to 6-12 weeks after delivery.
◉Puerperal Infection. Answer: a temperature of 100.4 ºF or greater after the first 24 hours postpartum and occurring on 2+ days of the first 10 days postpartum. ◉The nurse is providing care to a client who has a puerperal infection. Which actions by the nurse are appropriate?. Answer: Administer prescribed antipyretics. Provide analgesics. Promote good hand washing. Teach adequate nutrition ◉The nurse is caring for a newborn one minute after delivery. Which is the best indication that the newborn is adjusting well to extrauterine life?. Answer: Strong, vigorous cry ◉Which nursing action is most critical when caring for the newborn immediately following birth?. Answer: suction the mouth and nares ◉Acrocyanosis. Answer: when a newborn has blue fingertips and toes ◉The birthweight of a term infant ranges between...... Answer: 5 lbs 8 oz- 8lbs 13 oz
◉The normal range for the apical heart rate for a newborn is _________ beats per minute. Answer: 120- 160 ◉the normal rage for respiratory rate for a newborn is ______ breaths per minute. Answer: 30- 60 ◉the normal range for axillary temperature in a newborn is_________°F. Answer: 97.7°-99. ◉The newborn's umbilical cord at delivery normally contains which components?. Answer: One vein and two arteries Wharton's jelly ◉The nurse observes pink stains in the diaper of a 1-day-old, male newborn. What conclusion does the nurse make based on this finding?. Answer: He has uric acid crystals in his urine. ◉Why is vitamin K administered to newborns?. Answer: To prevent vitamin K deficiency bleeding The newborn intestinal tract is sterile and does not contain bacteria that produces vitamin K
◉signs of transient tachypnea. Answer: Tachypnea; respiratory rate over 60 Mild cyanosis Nasal flaring Retractions Grunting ◉treatment of transient tachypnea. Answer: Oxygen or Gavage feedings ◉Respiratory Distress Syndrome. Answer: lung immaturity and lack of surfactant. ◉Signs of respiratory distress syndrome. Answer: cyanosis tachypnea apnea nasal flaring chest wall retractions audible grunts ◉treatment for respiratory distress syndrome. Answer: positive end expiratory pressure (PEEP) ventilation
◉Meconium Aspiration Syndrome. Answer: when a newborn inhales particulate meconium mixed with amniotic fluid into the lungs while still in utero or upon taking the first breath after birth ◉Kernicterus. Answer: the chronic and permanent result of bilirubin toxicity that has neurological effects ◉signs of kernicterus. Answer: Yellowing of the skin that has extended to the extremities Lethargy A high pitched cry Seizures ◉Neonatal abstinence syndrome. Answer: drug withdrawal that occurs in newborn infants whose mothers were frequent drug users during pregnancy ◉Which items are appropriate interventions for a newborn with neonatal abstinence syndrome?. Answer: Rub back after feedings Provide pacifiers and/or other tools for sucking Set up a dim, quiet room and touch slowly
