N4410 Perinatal Nursing Test
Questions and All Correct Answers.
Late preterm - Answer 34 to 36 completed weeks
moderately preterm - Answer 32-34 weeks
very preterm - Answer less than 32 weeks
extremely preterm - Answer born at or before 25 weeks of pregnancy
Low birth weight - Answer birth weight under 2500g irrespective of gestational age
respiratory distress syndrome - Answer related to lack of pulmonary surfactant at birth
broncopulmonary dysplasia - Answer related to the need for ventilator support, may
sometimes lead to chronic lung health issues
apnea of prematurity - Answer characterized by frequent apnea pauses lasting longer than
20 seconds and often associated with cyanosis, pallor, hypotonia, or bradycardia/
necrotizing enterocolitis (NEC) - Answer cells of intestines are damaged when feeding starts,
breast milk reduces risk
retinopathy of prematurity (ROP) - Answer abnormal blood vessel growth in the retina
(related to too much oxygen delivery for premature infants)
Intrauterine growth restriction (IUGR) - Answer - occurs in up to 10% of pregnancies, a
leading cause of infant morbidity and mortality
- can occur anytime
- no growth or a drop off in growth
Early IUGR - Answer < 32 weeks at initial diagnosis
Late IUGR - Answer > 32 weeks at initial diagnosis
, Severe IUGR - Answer estimated fetal weight < 3rd percentile
Perinatal asphyxia - Answer lack of blood flow or gas exchange to or from the fetus in the
period immediately before, during, or after the birth process
Hypoxic Ischemic Encephalopathy - Answer results from perinatal asphyxia
- therapeutic hypothermia is the standard of care for infants > 36 weeks GA
Perinatal compass nursing model - Answer - relationship-based care
- interprofessional collaboration
- evidence-informed practice
- quality and safety
intrauterine resuscitation - Answer - change position (upright, all fours, or if lying down
turning left or right lateral)
- change surveillance method
- differentiate maternal heart rate from FHR
- modify/pause bearing down efforts
- stop IOL procedures (oxytocin/prostaglandin removal)
Tachysystole - Answer more than 5 contractions in 10 minutes averaged over 30 minutes
- consider tocolysis with an atypical or abnormal FHR
umbilical cord presentation - Answer knee chest position to relieve presenting part
umbilical cord prolapse - Answer elevate presenting part off the umbilical cord with hand in
vagina; call for help
oxygen administration during birth - Answer should not be administered without
documentation of hypoxia or hypovolemia; reserved for resuscitation of the pregnant person
Leopold's Maneuvers - Answer Palpation to determine presentation and position of the fetus
and aid in location of fetal heart sounds.
bradycardia: actions - Answer intrauterine resuscitation
differentiate maternal HR and FHR
Questions and All Correct Answers.
Late preterm - Answer 34 to 36 completed weeks
moderately preterm - Answer 32-34 weeks
very preterm - Answer less than 32 weeks
extremely preterm - Answer born at or before 25 weeks of pregnancy
Low birth weight - Answer birth weight under 2500g irrespective of gestational age
respiratory distress syndrome - Answer related to lack of pulmonary surfactant at birth
broncopulmonary dysplasia - Answer related to the need for ventilator support, may
sometimes lead to chronic lung health issues
apnea of prematurity - Answer characterized by frequent apnea pauses lasting longer than
20 seconds and often associated with cyanosis, pallor, hypotonia, or bradycardia/
necrotizing enterocolitis (NEC) - Answer cells of intestines are damaged when feeding starts,
breast milk reduces risk
retinopathy of prematurity (ROP) - Answer abnormal blood vessel growth in the retina
(related to too much oxygen delivery for premature infants)
Intrauterine growth restriction (IUGR) - Answer - occurs in up to 10% of pregnancies, a
leading cause of infant morbidity and mortality
- can occur anytime
- no growth or a drop off in growth
Early IUGR - Answer < 32 weeks at initial diagnosis
Late IUGR - Answer > 32 weeks at initial diagnosis
, Severe IUGR - Answer estimated fetal weight < 3rd percentile
Perinatal asphyxia - Answer lack of blood flow or gas exchange to or from the fetus in the
period immediately before, during, or after the birth process
Hypoxic Ischemic Encephalopathy - Answer results from perinatal asphyxia
- therapeutic hypothermia is the standard of care for infants > 36 weeks GA
Perinatal compass nursing model - Answer - relationship-based care
- interprofessional collaboration
- evidence-informed practice
- quality and safety
intrauterine resuscitation - Answer - change position (upright, all fours, or if lying down
turning left or right lateral)
- change surveillance method
- differentiate maternal heart rate from FHR
- modify/pause bearing down efforts
- stop IOL procedures (oxytocin/prostaglandin removal)
Tachysystole - Answer more than 5 contractions in 10 minutes averaged over 30 minutes
- consider tocolysis with an atypical or abnormal FHR
umbilical cord presentation - Answer knee chest position to relieve presenting part
umbilical cord prolapse - Answer elevate presenting part off the umbilical cord with hand in
vagina; call for help
oxygen administration during birth - Answer should not be administered without
documentation of hypoxia or hypovolemia; reserved for resuscitation of the pregnant person
Leopold's Maneuvers - Answer Palpation to determine presentation and position of the fetus
and aid in location of fetal heart sounds.
bradycardia: actions - Answer intrauterine resuscitation
differentiate maternal HR and FHR
