Antepartum
Intrapartum
Postpartum
Newborn
Anything Goes!
100
G 1 P 0 0000
What is first pregnancy.
100
The nurse performs a vaginal exam and determines that the fetal presenting part is 1cm above the ischial spines. This should be charted how...
What is -1 station.
100
The postpartum client is concerned about developing mastitis because she experienced it with her first baby & is beginning to have symptoms in her right breast. The nurse discusses preventive measures with the client. To prevent mastitis, you should....
What is breastfeed frequently.
100
The nurse dries the baby immediately after delivery. What is this preventing?
What is heat loss by evaporation.
100
Beginning of one contraction to the end of another is:
What is duration of a uterine contraction.
200
In a 40 minute period there was one fetal heart rate acceleration of 15 beats per minute over baseline lasting 15 seconds. This defines what?
What is non-reactive stress test.
200
Your patient is gestational diabetic whose fundal height measurement is 42 cm at 38 weeks. At the moment of delivery, your priority is to be prepared to:
What is perform McRoberts maneuver
200
While reviewing the client's prenatal history, which of the following would be most significant in regards to the potential complications? 1-positive rubella titer 2-previous postpartum hemorrhage 3-gravida 3 para 1
What is previous postpartum hemorrhage.
200
Tremors or jitteriness in a full term newborn should be further assessed for which of the following conditions? 1- hyperglycemia 2- hypercalcemia 3- substance withdrawl 4- Erb's palsy
What is substance withdrawl
200
The nurse is working with a patient in active labor. She is requesting an epidural for pain. What is the most important thing for the nurse to do to prepare?
What is infuse 1000 mLs, rapidly to decrease the incidence of hypotension.
300
A pregnant patient on LDR's AP Unit with severe preeclampsia presents during shift change assessment with RR 11/min, BP 130/85 mmHG and hypoactive reflexes. Given this assessment, what do you suspect?
What is magnesium toxicity.
300
The nurse notices that a fetal heart rate begins to decline after the acme of each contraction. The heart rate declines 130 bpm to 110 bpm. What is the best intervention for this type of decelerations?
What is turn patient to left lateral position.
300
You're taking care of a woman whose baby was born vaginally 36 hours ago. When you assess her, you find that her fundus is firm, 2 cm above the umbilicus and slightly deviated to the right. Your FIRST reaction is to do what?
What is assist her to urinate.
300
In preparation for a circumcision, the physician orders acetaminophen drops, 15 mg.kg body weight to be given to a newborn male weighing 7 #'s. The Tylenol box reads: 80mg/2.5mLs. How many mLs will you give the newborn? {round to the nearest 10th decimal place.}
What is 1.5 mLs.
300
In the beginning of the luteal phase of the ovarian cycle, the corpus luteum secretes large amounts of:
What is progesterone.
400
"Take a cleansing breath, HOLD it and count to 10. Bear down." What are we doing with Mom?
What is pushing in the 2nd stage of labor.
400
The physician has decided that his patient needs an internal fetal heart rate monitoring. Which of the following scenarios provides the best explanation for the physician's decision? 1-The baby breech 2-External fetal monitoring cannot be used until the cervix is dilated to 2 cms. 3-The patient is obese and internal monitoring provides a more accurate tracing than external monitoring. 4-The patient is experiencing precipitous labor & must have internal monitoring.
What is option 3.
400
What is one of the biggest concerns for Mom after delivery?
What is hemorrhage.
400
A baby's ears are in line with his eyes. This is:
What is normal.
400
Gradual decelerations seen in the fetal heart rate that begin after the onset of the contraction, lead you to suspect:
What is uteroplacental insufficiency. What is late decelerations.
500
A (non-pregnant) women's temperature has risen and she is experiencing increased vaginal discharge. What is likely happening?
What is ovulation. What is increased Estrogen bc of LH from the Pituitary Gland.
500
A nurse notes variable decelerations on the monitor. What intervention should the nurse consider?
What is position changes. What is amnioinfusion.
500
In the period immediately after delivery, a full bladder is significant because it increases the risk of:
What is PP hemorrhage.
500
Infants of women who are preeclamptic may be SGA secondary to: 1- pulmonary edema and maternal hypoglycemia. 2- placental vasoconstriction and fetal hypoxia. 3- proteinuria and impaired liver function. 4- thrombocytopenia & maternal hypoxia.
What is option 2.
500
Fetus is LOA. The nurse anticipates what?
What is back pain. What is back labor.
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