CONCORDIA NUR 418 PEDS/OB EXAM 1
Updated Exam 2026 WITH Recent Newest
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(Actual Exam 2026-2027) Correct Detailed &
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Focus of Community Based Maternal Child Health Programs (Maternal child Discussion
board) - ANSWERS-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 - ANSWERS-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
Pediatric Physiological Differences to medication - ANSWERS--immature blood brain
barrier -increased permeability of skin and conjunctiva -immature cardiovascular system
-higher metabolic rate -differences in protein binding -altered absorption patterns -
delayed gastric emptying, relative lack of gastric acid -immature renal function -high
total water volume -low body fat -rapidly growing tissues -large body surface area
Higher water volume Lower body fat Increased skin permeability Immature blood brain
barrier
Postpartum Assessment (OB Chp 12) - ANSWERS-*supine position -pain level -last
urine and BM -LOC -VS -cap refil -edema -breast for redness -check fundus (fundal
height, boggy, firm) -check peri pad and note the amount of blood -episiostomy, c-
, section, tear assess for redness, edema, drainage, approximation -check for edema in
extremeties -assess emtional status -assess comfort level
Postpartum Assessment of Mom (from collab) - ANSWERS-Heavy bleeding, fundus
should be firm midline and right at the umbilicus boggy, check bladder understand
normal post partum assessment 1hr: heavy period, small clots, NO GUSH Fundus
should be firm, midline (belly button) every day further down, 2 fingers+ lower If boggy
or to the side, check bladder
Apgar Score (OB text Chp 8 & 15) - ANSWERS-APGAR: 1 min and 5 min (start at 10)
A- color of baby, its normal to have cyanosis immediately after birth
0=pale or blue
1= pink body blue extremities
2= pink
P- pulse
0=absent
1= less than 100
2= greater than 100 G- grimace, gentle rubbing of soles
0=no response
1= grimacing
2= crying
A- activity (flaccid or moving limbs) 0=flaccid
1= some flexion
2= well flexed extremities
R- respiratory rate 0= absent
1=slow, weak cry
2= good strong cry
Newborn Care (OB text Chp 8 & 15) - ANSWERS-:-note day/time of delievery -APGAR
-respiratory interventions -thermal intervention -eye prophylaxis -vitamin K adm -vital
signs (no bp) -weight, length, head circumference -gestational assessment -physical
Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions
(Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions)
ALREADY GRADED A+||NEWEST VERSION Of
The Exam Guarantee Pass!!
Focus of Community Based Maternal Child Health Programs (Maternal child Discussion
board) - ANSWERS-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 - ANSWERS-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
Pediatric Physiological Differences to medication - ANSWERS--immature blood brain
barrier -increased permeability of skin and conjunctiva -immature cardiovascular system
-higher metabolic rate -differences in protein binding -altered absorption patterns -
delayed gastric emptying, relative lack of gastric acid -immature renal function -high
total water volume -low body fat -rapidly growing tissues -large body surface area
Higher water volume Lower body fat Increased skin permeability Immature blood brain
barrier
Postpartum Assessment (OB Chp 12) - ANSWERS-*supine position -pain level -last
urine and BM -LOC -VS -cap refil -edema -breast for redness -check fundus (fundal
height, boggy, firm) -check peri pad and note the amount of blood -episiostomy, c-
, section, tear assess for redness, edema, drainage, approximation -check for edema in
extremeties -assess emtional status -assess comfort level
Postpartum Assessment of Mom (from collab) - ANSWERS-Heavy bleeding, fundus
should be firm midline and right at the umbilicus boggy, check bladder understand
normal post partum assessment 1hr: heavy period, small clots, NO GUSH Fundus
should be firm, midline (belly button) every day further down, 2 fingers+ lower If boggy
or to the side, check bladder
Apgar Score (OB text Chp 8 & 15) - ANSWERS-APGAR: 1 min and 5 min (start at 10)
A- color of baby, its normal to have cyanosis immediately after birth
0=pale or blue
1= pink body blue extremities
2= pink
P- pulse
0=absent
1= less than 100
2= greater than 100 G- grimace, gentle rubbing of soles
0=no response
1= grimacing
2= crying
A- activity (flaccid or moving limbs) 0=flaccid
1= some flexion
2= well flexed extremities
R- respiratory rate 0= absent
1=slow, weak cry
2= good strong cry
Newborn Care (OB text Chp 8 & 15) - ANSWERS-:-note day/time of delievery -APGAR
-respiratory interventions -thermal intervention -eye prophylaxis -vitamin K adm -vital
signs (no bp) -weight, length, head circumference -gestational assessment -physical
