Inquire through: | Professional | Confidential Support
W&F Exam 4 Verified and Updated Questions
and Answers (100% Correct Answers)
SIDS Definition
Answer: Sudden unexpected death of an infant less than 12 months of age, while
sleeping, and not explained by autopsy, site investigation, and clinical history
SIDS Risk Factors: "Triple Hit Theory"
Answer: 1. Vulnerable infant
o Premature, ill
2. Critical period of development
o 6 months is the period of greatest risk
3. Exposure to an exogenous stressor
o prenatal exposure to drugs, smoking, alcohol
o infection
o prone position, over-bundling, or airway obstruction
SIDS Prevention/Education
Answer: · Babies should sleep on their backs
· Firm crib mattress
· Positioning devices not recommended
· Loose bedding and soft objects removed from crib
· Smoking exposure should be avoided before and after birth
· Babies should be offered a pacifier while falling asleep
· Room sharing without bed sharing
,Inquire through: | Professional | Confidential Support
Intimate Partner Violence-Definition
Answer: Pattern of coercive behaviors and methods used to gain and maintain
power and control by one individual over another in an adult intimate relationship
Intimate Partner Violence-Assessment
Answer: • Physical, Emotional, Sexual abuse
- Pushing, Shoving, Slapping
- Constant criticism, Name calling, Unreasonable demands
- Forced sex
• Isolation
- Controlling who she sees/where she goes
• Using others, especially children, against her
• Economic abuse- prevent her from working or control her finances
• Coercion threats- threats against himself and loved ones to gain her cooperation
• Intimidation- making her fearful, stalking her
IPV: Cycle of Violence
Answer: • Tension-building phase
- Batterer demonstrates power and control
- Woman believes she can prevent escalation
• Acute battering incident
- Triggered by external event OR internal state of the batterer
• Tranquil phase (honeymoon period)
- Extremely contrite and loving as batterer attempts to 'make-up'
,Inquire through: | Professional | Confidential Support
IPV-Nursing Implementation
Answer: • Reestablish feeling of control
• Supportive counseling, reassurance
• Health promotion education:
- If woman returns to abusive situation encourage her to develop an exit/safety plan
for self and children
• Inform woman of services available
- Medical treatment for injuries
- Temporary shelter
- Legal assistance
- Financial assistance
- Job training, employment counseling
- Counseling
- Try not to give physical papers so the perpetrator can't find them and provoke an
incident
If the uterus doesn't contract in the postpartum period
Answer: it bleeds --> can hemorrhage
PP Hemorrhage-Definition (ACOG)
Answer: Cumulative blood loss of >=1000ml or blood loss accompanied by
sign/symptoms of hypovolemia within 24 hours following the birth process (includes
intrapartum loss).
PP Hemorrhage-Definition (Text)
Answer: "10% change in Hematocrit from pre-delivery baseline to Postpartum OR the
patient becomes unstable or requires a blood transfusion"
EBL is underestimated by _____% (ACOG)
, Inquire through: | Professional | Confidential Support
• How much is too much? According to the World Health Organization (WHO):
EBL > ______mL an 'alert line'
EBL > ______mL an 'action line'
Answer: • EBL is underestimated by 30-50% (ACOG)
• How much is too much? According to the World Health Organization (WHO):
EBL > 500mL an 'alert line'
EBL > 1000mL an 'action line'
FACTS ABOUT MATERNAL PHYSIOLOGY
• Blood Volume
• Uterus Weight
• Capacity of uterine cavity
• Blood Flow
Answer: • Blood Volume
– 135lb woman: 6L by 30 weeks
• Uterus Weight
– Prepregnant: 40-70 grams
– 3rd trimester: 1200 grams
• Capacity of uterine cavity
– Prepregnant: 10mL
– 3rd trimester: 500mL
• Blood Flow
W&F Exam 4 Verified and Updated Questions
and Answers (100% Correct Answers)
SIDS Definition
Answer: Sudden unexpected death of an infant less than 12 months of age, while
sleeping, and not explained by autopsy, site investigation, and clinical history
SIDS Risk Factors: "Triple Hit Theory"
Answer: 1. Vulnerable infant
o Premature, ill
2. Critical period of development
o 6 months is the period of greatest risk
3. Exposure to an exogenous stressor
o prenatal exposure to drugs, smoking, alcohol
o infection
o prone position, over-bundling, or airway obstruction
SIDS Prevention/Education
Answer: · Babies should sleep on their backs
· Firm crib mattress
· Positioning devices not recommended
· Loose bedding and soft objects removed from crib
· Smoking exposure should be avoided before and after birth
· Babies should be offered a pacifier while falling asleep
· Room sharing without bed sharing
,Inquire through: | Professional | Confidential Support
Intimate Partner Violence-Definition
Answer: Pattern of coercive behaviors and methods used to gain and maintain
power and control by one individual over another in an adult intimate relationship
Intimate Partner Violence-Assessment
Answer: • Physical, Emotional, Sexual abuse
- Pushing, Shoving, Slapping
- Constant criticism, Name calling, Unreasonable demands
- Forced sex
• Isolation
- Controlling who she sees/where she goes
• Using others, especially children, against her
• Economic abuse- prevent her from working or control her finances
• Coercion threats- threats against himself and loved ones to gain her cooperation
• Intimidation- making her fearful, stalking her
IPV: Cycle of Violence
Answer: • Tension-building phase
- Batterer demonstrates power and control
- Woman believes she can prevent escalation
• Acute battering incident
- Triggered by external event OR internal state of the batterer
• Tranquil phase (honeymoon period)
- Extremely contrite and loving as batterer attempts to 'make-up'
,Inquire through: | Professional | Confidential Support
IPV-Nursing Implementation
Answer: • Reestablish feeling of control
• Supportive counseling, reassurance
• Health promotion education:
- If woman returns to abusive situation encourage her to develop an exit/safety plan
for self and children
• Inform woman of services available
- Medical treatment for injuries
- Temporary shelter
- Legal assistance
- Financial assistance
- Job training, employment counseling
- Counseling
- Try not to give physical papers so the perpetrator can't find them and provoke an
incident
If the uterus doesn't contract in the postpartum period
Answer: it bleeds --> can hemorrhage
PP Hemorrhage-Definition (ACOG)
Answer: Cumulative blood loss of >=1000ml or blood loss accompanied by
sign/symptoms of hypovolemia within 24 hours following the birth process (includes
intrapartum loss).
PP Hemorrhage-Definition (Text)
Answer: "10% change in Hematocrit from pre-delivery baseline to Postpartum OR the
patient becomes unstable or requires a blood transfusion"
EBL is underestimated by _____% (ACOG)
, Inquire through: | Professional | Confidential Support
• How much is too much? According to the World Health Organization (WHO):
EBL > ______mL an 'alert line'
EBL > ______mL an 'action line'
Answer: • EBL is underestimated by 30-50% (ACOG)
• How much is too much? According to the World Health Organization (WHO):
EBL > 500mL an 'alert line'
EBL > 1000mL an 'action line'
FACTS ABOUT MATERNAL PHYSIOLOGY
• Blood Volume
• Uterus Weight
• Capacity of uterine cavity
• Blood Flow
Answer: • Blood Volume
– 135lb woman: 6L by 30 weeks
• Uterus Weight
– Prepregnant: 40-70 grams
– 3rd trimester: 1200 grams
• Capacity of uterine cavity
– Prepregnant: 10mL
– 3rd trimester: 500mL
• Blood Flow
