NSPN 7200 Final Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Cultural safety - CORRECT ANSWER : the effective care by someone who has
undertaken a process of reflection on their own cultural identity
○ ensuring that all patients are treated equitably by recognizing power structures and how our
attitudes and beliefs influence our relationships and the care we provide
Trauma-informed care: - CORRECT ANSWER acknowledge the impact of trauma on
health and health care interactions and to establish safe and trustworthy relationships and
environments that reduce the risk of re-traumatization
Trauma informed care 4 principles - CORRECT ANSWER 1. Trauma awareness:
awareness of the commonness of trauma
2. Emphasis on safety and trustworthiness: Trauma survivors often feel unsafe --> create
safety and trustworthiness. Ask before you touch
3. Choice, collaboration, and connection: maintaining a person's dignity by giving choice.
Getting Consent: discussion of risks and benefits, alternatives, and time to ask questions.
4. Strength-based and skill-building: build off of resiliency.
The 5 Ps of Labour (how they effect GD/PTL) - CORRECT ANSWER Passenger
Passage
Powers
Position
Psyche
Preterm labour - CORRECT ANSWER cervical changes and uterine contractions
occurring between 20 and 37 weeks of pregnancy
PLT S+S - CORRECT ANSWER ● frequent menstrual-like cramps
,● suprapubic pain or pressure
● pelvic pressure or heaviness
● change in colour or character or amount of vaginal discharge
urinary frequency
● constant, dull low back pain
● uterine contractions
● mild lower adbo pain cramping w/wo diarrhea
ruptured membranes
Tests to confirm ROM: - CORRECT ANSWER nitrazine, ferning, assess pad
Risk factors for Spontaneous PTL - CORRECT ANSWER Infection
GI organisms present in their amniotic fluid, placenta, and membranes,
periodontal disease,
congenital structural abnormalities of the uterus,
implantation of the placenta ,
unexplained 1st trimester bleeding,
high levels of stress
Risk factors for indicated PTL - CORRECT ANSWER GD
HTN/preclampsia
placental disorders
seizures
obesity
AMA
fetal disorders
oligo/poly
TTTS
,Threshold of viability?
Factors that influence survival and long-term outcomes? - CORRECT ANSWER 22-
25wks.
gestational age, estimated fetal weight, receipt of antenatal corticosteroids, singleton versus
multiple pregnancy, fetal status, and place of birth
Indications for fetal fibronectin testing include: - CORRECT ANSWER ● threatened
PTL between 24 and 34 weeks gestation
● intact amniotic membranes
● cervix less than 3 cm dilated
● established fetal well-being
fetal fibronectine Contraindications include: - CORRECT ANSWER ROM, active
vaginal bleeding, vaginal exam or vaginal intercourse in the past 24 hours
what are you looking for when you Palpate contractions - CORRECT
ANSWER frequency, duration, intensity and resting tone
positive result FFN
Neg result FFN - CORRECT ANSWER POSITIVE: 33% chance pt will deliver in next
2 weeks
IF NEGATIVE: has a strong negative predictive value 99% chance pt will NOT deliver in
next 2 weeks
Medications + uses in PTL: - CORRECT ANSWER o
Tocolytics: medications used to slow down or suppress uterine activity. (Indomethacin or
Nifedipine)
Magnesium Sulphate : neuroprotective agent for imminent preterm birth ( <34)
, Corticosteroids: (Betamethasone) are used to accelerate fetal lung maturity by stimulating
fetal surfactant.
Abx: for gbs + or infection / Prolonged ROM
Differences seen in Preterm Baby
- HR , EFM, cord? - CORRECT ANSWER has higher HR bc The sympathetic nervous
system, matures before the parasympathetic system
decreased HR variability
More cord compression: bc less Wharton's jelly protecting the umbilical cord
Preterm baby Potential health consequences : - CORRECT ANSWER ● asphyxia
● ineffective thermoregulation
● feeding problems
● respiratory distress
infection
● hyperbili
● metabolic disturbances
fluid and electrolyte imbalance neurologic and behavioral problems
● nutritional deficits
● chronic respiratory disease
● cardiovascular disturbances
hematological disturbances
Preterm infant Physiologic functions: PWSOAC
Think Challenge and response: - CORRECT ANSWER Pink, Warm, Sweet, Organized,
Attached, Clean
Answer on back of PTL notes
QUESTIONS AND CORRECT ANSWERS
Cultural safety - CORRECT ANSWER : the effective care by someone who has
undertaken a process of reflection on their own cultural identity
○ ensuring that all patients are treated equitably by recognizing power structures and how our
attitudes and beliefs influence our relationships and the care we provide
Trauma-informed care: - CORRECT ANSWER acknowledge the impact of trauma on
health and health care interactions and to establish safe and trustworthy relationships and
environments that reduce the risk of re-traumatization
Trauma informed care 4 principles - CORRECT ANSWER 1. Trauma awareness:
awareness of the commonness of trauma
2. Emphasis on safety and trustworthiness: Trauma survivors often feel unsafe --> create
safety and trustworthiness. Ask before you touch
3. Choice, collaboration, and connection: maintaining a person's dignity by giving choice.
Getting Consent: discussion of risks and benefits, alternatives, and time to ask questions.
4. Strength-based and skill-building: build off of resiliency.
The 5 Ps of Labour (how they effect GD/PTL) - CORRECT ANSWER Passenger
Passage
Powers
Position
Psyche
Preterm labour - CORRECT ANSWER cervical changes and uterine contractions
occurring between 20 and 37 weeks of pregnancy
PLT S+S - CORRECT ANSWER ● frequent menstrual-like cramps
,● suprapubic pain or pressure
● pelvic pressure or heaviness
● change in colour or character or amount of vaginal discharge
urinary frequency
● constant, dull low back pain
● uterine contractions
● mild lower adbo pain cramping w/wo diarrhea
ruptured membranes
Tests to confirm ROM: - CORRECT ANSWER nitrazine, ferning, assess pad
Risk factors for Spontaneous PTL - CORRECT ANSWER Infection
GI organisms present in their amniotic fluid, placenta, and membranes,
periodontal disease,
congenital structural abnormalities of the uterus,
implantation of the placenta ,
unexplained 1st trimester bleeding,
high levels of stress
Risk factors for indicated PTL - CORRECT ANSWER GD
HTN/preclampsia
placental disorders
seizures
obesity
AMA
fetal disorders
oligo/poly
TTTS
,Threshold of viability?
Factors that influence survival and long-term outcomes? - CORRECT ANSWER 22-
25wks.
gestational age, estimated fetal weight, receipt of antenatal corticosteroids, singleton versus
multiple pregnancy, fetal status, and place of birth
Indications for fetal fibronectin testing include: - CORRECT ANSWER ● threatened
PTL between 24 and 34 weeks gestation
● intact amniotic membranes
● cervix less than 3 cm dilated
● established fetal well-being
fetal fibronectine Contraindications include: - CORRECT ANSWER ROM, active
vaginal bleeding, vaginal exam or vaginal intercourse in the past 24 hours
what are you looking for when you Palpate contractions - CORRECT
ANSWER frequency, duration, intensity and resting tone
positive result FFN
Neg result FFN - CORRECT ANSWER POSITIVE: 33% chance pt will deliver in next
2 weeks
IF NEGATIVE: has a strong negative predictive value 99% chance pt will NOT deliver in
next 2 weeks
Medications + uses in PTL: - CORRECT ANSWER o
Tocolytics: medications used to slow down or suppress uterine activity. (Indomethacin or
Nifedipine)
Magnesium Sulphate : neuroprotective agent for imminent preterm birth ( <34)
, Corticosteroids: (Betamethasone) are used to accelerate fetal lung maturity by stimulating
fetal surfactant.
Abx: for gbs + or infection / Prolonged ROM
Differences seen in Preterm Baby
- HR , EFM, cord? - CORRECT ANSWER has higher HR bc The sympathetic nervous
system, matures before the parasympathetic system
decreased HR variability
More cord compression: bc less Wharton's jelly protecting the umbilical cord
Preterm baby Potential health consequences : - CORRECT ANSWER ● asphyxia
● ineffective thermoregulation
● feeding problems
● respiratory distress
infection
● hyperbili
● metabolic disturbances
fluid and electrolyte imbalance neurologic and behavioral problems
● nutritional deficits
● chronic respiratory disease
● cardiovascular disturbances
hematological disturbances
Preterm infant Physiologic functions: PWSOAC
Think Challenge and response: - CORRECT ANSWER Pink, Warm, Sweet, Organized,
Attached, Clean
Answer on back of PTL notes
