EXAM QUESTIONS AND
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In evaluating a cord blood gas, if the pH is low, what other blood gas parameter is used to
determine if the acidosis is respiratory or metabolic?
a. PC02
b. HCO3
c. Po2 - CORRECT ANSWER-a
Breech presentation increases risk for
a. cord prolapse
b. fetal clavicle fracture
c. shoulder dystocia - CORRECT ANSWER-a
A newly delivered postpartum patient received received terb and corticosteroids during labor. A
potential drug interaction that the pp nurse should watch for in the woman is
a. hyperglycemia
b. ketoacidosis
c. pulmonary edema - CORRECT ANSWER-a
,A postpartum patient has a spinal headache. The nurse knows that this can occur as a
consequence of epidural due to
a. injured nerve pathways
b. puncture of the dura
c. too rapid adminstration - CORRECT ANSWER-b
Shoulder dystocia places the pp woman at increased risk for
a. endometritis
b. hemorrhage
c. urinary retention - CORRECT ANSWER-b
A newborn is at a higher risk for jaundice when delivered by
a. cesarean section
b.forceps
c. vacuum - CORRECT ANSWER-c
A woman who is 4 hr pp asks the nurse how much weight she might have lost with the deliver.
The nurse would know to tell her the average wgt loss at birth is
a. 10 lbs
b. 12 lbs
c. 14 lbs - CORRECT ANSWER-b
When assessing a woman who is 1 day pp, the nurse would expect her fundus to be palpated
a. at umbilicus
b. 1cm above umbilicus
c. 1cm below umbilicus - CORRECT ANSWER-c
, Within the first 2 days after birth, progesterone levels fall causing what acid base change?
a. Increased PaCO2
b. Decreased PCO2
c. Decreased PaO2 - CORRECT ANSWER-a
Compared to the value seen in the 3rd trimester, the catabolic process of involution causes an
increase in which of the following values pp?
a.BUN
b. creatinine clearance
c. proteinuria - CORRECT ANSWER-a
A pp patient on her 2nd day is concerned that she has been urinating large amounts and
frequently. Her output is 3000ml, the appropriate response by the nurse
a.contact her care provider for an antibiotic order
b. explain that this is a normal physilogic response to delivery
c. obtain a clean catch urine - CORRECT ANSWER-b
Forceps delivery can result in what complication in the newborn?
a.blood clots
b.craniosynotosis
c.nerve injuries - CORRECT ANSWER-c
To avoid a precipitous drop in intra-abdominal pressure during catheterization of a postpartum
patint's bladder, what is the maximum amount of urine that should be removed at one time?
a.700 ml
b. 800ml