1 |Page
CONCORDIA NUR 418 PEDS/OB EXAM 1
NEWEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (100%
GUARANTEED PASS!!!)
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) ......answer .. Specific objectives of MCH Care focuses on
the reduction of maternal, perinatal, infant and childhood mortality and
morbidity and the promotion of reproductive health and the physical and
psychosocial development of the child and adolescent within the family.
Community Based Delegation ......answer ... Community based nurse:
serves communities with greater risks and barriers to achieving positive
maternal and child health outcomes obstetric/neonatal nurse: work with
pregnant women to ensure healthy pregnancies before, during, and after
childbirth, works directly with newborn infants
What can be delegated? ......answer ... •Delegate to role below nurse. Cannot
delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
,2 |Page
Family Centered Care concepts (FCC Care Video ) ......answer .... Focus
shifted from the biomedical aspect of a child's condition to view the child in
the context of their family Use of interdisciplinary team specific per fam
Employees dignity, respect, collaboration, participation, information sharing
•Family is involved in the care planning. Increases adherance, improves
outcomes Maintain routines, foods, languages
Assigning Parity ......answer . ..-number of times a woman has given birth to a
fetus with a gestational age of 20 weeks or more (alive or stillborn) G= total
number of times pregnant T= number of term infants born (Between 3842wks)
P= number of preterm infants born (Between 20-37 wks) A= number of
abortions before 20 weeks L= number of children currently living
Parity ......answer .. .-multipara: 2 or more births at more or 20 weeks nulipara:
no births at more than 20 weeks gestation -primapara: 1 birth at more than 20
weeks gestation
Fundal height ......answer . ..-fundal height in cm should equal weeks of
gestation + or - 2 -12 weeks= above symphysis pubis -16 weeks= halfway
between symphasis pubis and umbilicus -20 weeks= on the umbilicus
,3 |Page
*Top of uterus, cervix is base
False Labor ......answer .. .-Braxton hicks: uterus contractibility increases in
response to increased estrogen levels -can begin in second trimester but
some women dont feel them until 3rd -contractions are irregular with no
particular pattern -as uterus enlarges they are more noticeable -ensure
adequate fluid intake and recommend maternity girdle for uterus support
False Labor Changes ......answer ...*False labor: if no change in cervix within
2 hours, irregular contractions (hydrate patient) *True labor: If cervix changes
(effacement C dilation)
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) ......answer .... Overall Goals: -
support maternal coping and labor progress - Maximize uterine blood flow -
Maximize umbilical blood flow - Maximize oxygenation - Maintain appropriate
uterine activity
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Nurse Interventions
......answer ... Nursing actions: - Review plan/expectations with woman and
her family - Maintain calm environment - Stay at the bedside as much as
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possible - Monitor only at the level needed for this patient - Frequent position
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jn changes/upright positioning - Judicious use of technology-0 jn jn jn jn jn jn
Safe Ranges and Therapeutic Levels ......answer.....-if a med is dosed below
jn jn jn jn jn jn jn jn jn jn
jn minimum safe range= child isnt getting therapeutic dose -if a med is dosed
jn jn jn jn jn jn jn jn jn jn jn jn
jn above safe range= may be toxic, severe medical consequences
jn jn jn jn jn jn jn jn
Nonpharm: Bradley method ......answer .... It's a medication-free method that
jn jn jn jn jn jn jn
emphasizes relaxation as a form of pain reduction during labor. But it's also a
jn jn jn jn jn jn jn jn jn jn jn jn jn
jn comprehensive plan that focuses on healthy living throughout your pregnancy.
jn jn jn jn jn jn jn jn jn
Pediatric Physiological Differences to medication ......answer . ..-immature
jn jn jn jn jn
blood brain barrier -increased permeability of skin and conjunctiva immature
jn jn jn jn jn jn jn jn jn
jn cardiovascular system -higher metabolic rate -differences in protein binding
jn jn jn jn jn jn jn jn
- altered absorption patterns -delayed gastric emptying, relative lack of
jn jn jn jn jn jn jn jn jn jn
gastric acid -immature renal function -high total water volume -low body fat -
jn jn jn jn jn jn jn jn jn jn jn jn jn
rapidly growing tissues -large body surface area
jn jn jn jn jn jn
Higher water volume Lower body fat Increased skin permeability Immature
jn jn jn jn jn jn jn jn jn
jn blood brain barrier
jn jn
CONCORDIA NUR 418 PEDS/OB EXAM 1
NEWEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (100%
GUARANTEED PASS!!!)
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) ......answer .. Specific objectives of MCH Care focuses on
the reduction of maternal, perinatal, infant and childhood mortality and
morbidity and the promotion of reproductive health and the physical and
psychosocial development of the child and adolescent within the family.
Community Based Delegation ......answer ... Community based nurse:
serves communities with greater risks and barriers to achieving positive
maternal and child health outcomes obstetric/neonatal nurse: work with
pregnant women to ensure healthy pregnancies before, during, and after
childbirth, works directly with newborn infants
What can be delegated? ......answer ... •Delegate to role below nurse. Cannot
delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
,2 |Page
Family Centered Care concepts (FCC Care Video ) ......answer .... Focus
shifted from the biomedical aspect of a child's condition to view the child in
the context of their family Use of interdisciplinary team specific per fam
Employees dignity, respect, collaboration, participation, information sharing
•Family is involved in the care planning. Increases adherance, improves
outcomes Maintain routines, foods, languages
Assigning Parity ......answer . ..-number of times a woman has given birth to a
fetus with a gestational age of 20 weeks or more (alive or stillborn) G= total
number of times pregnant T= number of term infants born (Between 3842wks)
P= number of preterm infants born (Between 20-37 wks) A= number of
abortions before 20 weeks L= number of children currently living
Parity ......answer .. .-multipara: 2 or more births at more or 20 weeks nulipara:
no births at more than 20 weeks gestation -primapara: 1 birth at more than 20
weeks gestation
Fundal height ......answer . ..-fundal height in cm should equal weeks of
gestation + or - 2 -12 weeks= above symphysis pubis -16 weeks= halfway
between symphasis pubis and umbilicus -20 weeks= on the umbilicus
,3 |Page
*Top of uterus, cervix is base
False Labor ......answer .. .-Braxton hicks: uterus contractibility increases in
response to increased estrogen levels -can begin in second trimester but
some women dont feel them until 3rd -contractions are irregular with no
particular pattern -as uterus enlarges they are more noticeable -ensure
adequate fluid intake and recommend maternity girdle for uterus support
False Labor Changes ......answer ...*False labor: if no change in cervix within
2 hours, irregular contractions (hydrate patient) *True labor: If cervix changes
(effacement C dilation)
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) ......answer .... Overall Goals: -
support maternal coping and labor progress - Maximize uterine blood flow -
Maximize umbilical blood flow - Maximize oxygenation - Maintain appropriate
uterine activity
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Nurse Interventions
......answer ... Nursing actions: - Review plan/expectations with woman and
her family - Maintain calm environment - Stay at the bedside as much as
, 4 jn| jnP jna jng jne
possible - Monitor only at the level needed for this patient - Frequent position
jn jn jn jn jn jn jn jn jn jn jn jn jn
jn changes/upright positioning - Judicious use of technology-0 jn jn jn jn jn jn
Safe Ranges and Therapeutic Levels ......answer.....-if a med is dosed below
jn jn jn jn jn jn jn jn jn jn
jn minimum safe range= child isnt getting therapeutic dose -if a med is dosed
jn jn jn jn jn jn jn jn jn jn jn jn
jn above safe range= may be toxic, severe medical consequences
jn jn jn jn jn jn jn jn
Nonpharm: Bradley method ......answer .... It's a medication-free method that
jn jn jn jn jn jn jn
emphasizes relaxation as a form of pain reduction during labor. But it's also a
jn jn jn jn jn jn jn jn jn jn jn jn jn
jn comprehensive plan that focuses on healthy living throughout your pregnancy.
jn jn jn jn jn jn jn jn jn
Pediatric Physiological Differences to medication ......answer . ..-immature
jn jn jn jn jn
blood brain barrier -increased permeability of skin and conjunctiva immature
jn jn jn jn jn jn jn jn jn
jn cardiovascular system -higher metabolic rate -differences in protein binding
jn jn jn jn jn jn jn jn
- altered absorption patterns -delayed gastric emptying, relative lack of
jn jn jn jn jn jn jn jn jn jn
gastric acid -immature renal function -high total water volume -low body fat -
jn jn jn jn jn jn jn jn jn jn jn jn jn
rapidly growing tissues -large body surface area
jn jn jn jn jn jn
Higher water volume Lower body fat Increased skin permeability Immature
jn jn jn jn jn jn jn jn jn
jn blood brain barrier
jn jn
