Calculate a due date if the patient's LMP was 4/1/2017 according to Naegele's rule - ANSWERAdd one
year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: - ANSWEREdema, proteinuria,
and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant women are in what state? -
ANSWERCompensated respiratory alkalosis
What medication is given to mothers to increase surfactant and decrease the chance of RDS in the
premature infant? - ANSWERAntenatal steroids (betamethasone or dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? - ANSWERMagnesium
sulfate
Uterine ___________ results from a decrease in myometrial cells right after delivery. -
ANSWERInvolution
Most placentas should deliver within how many minutes after delivery of the infant? - ANSWER30
minutes
What is the normal dosage of methargen given IM? - ANSWER0.2 mg
A simple noninvasive technique that can be taught to pregnant women to assess fetal well-being is
known as: - ANSWERFetal kick counts
,A BPP or biophysical profile of less than ___________ is considered abnormal and suggests further
monitoring, testing, or intervention. - ANSWER6 points
The most common reason for sore nipples when breast-feeding is what issue? - ANSWERIncorrect latch
How often should the prudent nurse assess vital signs and uterine checks in the first hour after delivery?
- ANSWEREvery 15 minutes for the first hour postpartum
Insulin requirements increase or decrease after delivery? - ANSWERDecrease
Normal fetal heart rate range for a term infant is: - ANSWER110 to 160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - ANSWERLow lactic level
The first type of Lokia noted right after delivery is known as: - ANSWERRubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any time during her
pregnancy? - ANSWERTrue, all trimesters are appropriate to give the flu vaccine
Early decelerations are usually associated with: - ANSWERFetal head compression
The antidote for magnesium sulfate is: - ANSWERCalcium gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - ANSWERPort Wine Stain birthmarks
,What is the name of the manual assessment done by nurses to determine fetal lie and or presentation?
- ANSWERLeopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: - ANSWERCord
compression
Late decelerations within a fetal heart tracing are associated with what issue: - ANSWERUtero placenta
insufficiency
Absent variability is known as a tracing that is visually __________. - ANSWERUndetectable and appears
as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine can increase both
maternal and fetal heart rates. - ANSWERTrue
The four essential components to describe uterine activity: - ANSWERFrequency, duration, intensity, and
resting tone
The umbilical cord normally has three vessels: - ANSWERTwo arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the arteries return from the
fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - ANSWER40-60%
The sensation to begin, bearing down or actively begin pushing in an effort to deliver the event is known
as: - ANSWERFergusons reflex
Breast-feeding should be initiated within what time frame? - ANSWERThe first hour of birth
True or false: when an infant makes clicking or smacking noises during feeding this is a reassuring sign of
a proper latch. - ANSWERFalse
, When teaching to the new mother regarding introduction of bottles and formula, it should be delayed at
how many weeks after delivery to maximize milk supply and overall breast-feeding success? - ANSWER3-
4 weeks
Signs of adequate milk supply and transfer include: - ANSWERAudible, swallow, and drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and contractions, what position is the
infant most commonly in? - ANSWEROcciput Posterior
During what phase of labor would be reflected, if the patient has increased in contraction, strength and
intensity, and has bouts of nausea and vomiting? - ANSWERMost likely active phase
Immediate perineal care to relieve discomfort after delivery can include what measures? - ANSWERIce
pack, analgesia, pericare, sitz bath, and soft seating
A newly delivered patient arrives to the Postpartum unit. What initial steps need to be done to assess
her physical status? - ANSWERVital signs, level of consciousness, fundal and lochia status, pain level,
perineal or incisional area
What percentage of eclamptic seizures happen in the postpartum period? - ANSWER25%
What is the correct order of lochia? - ANSWERRubra, Serosa, Alba
Sudden bleeding during pregnancy associated with pain is known as? - ANSWERAbruption
Translate the following notation on a patient's prenatal record: G4P2 - ANSWERShe has been pregnant
four times and has given birth to two live foreign children
year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: - ANSWEREdema, proteinuria,
and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant women are in what state? -
ANSWERCompensated respiratory alkalosis
What medication is given to mothers to increase surfactant and decrease the chance of RDS in the
premature infant? - ANSWERAntenatal steroids (betamethasone or dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? - ANSWERMagnesium
sulfate
Uterine ___________ results from a decrease in myometrial cells right after delivery. -
ANSWERInvolution
Most placentas should deliver within how many minutes after delivery of the infant? - ANSWER30
minutes
What is the normal dosage of methargen given IM? - ANSWER0.2 mg
A simple noninvasive technique that can be taught to pregnant women to assess fetal well-being is
known as: - ANSWERFetal kick counts
,A BPP or biophysical profile of less than ___________ is considered abnormal and suggests further
monitoring, testing, or intervention. - ANSWER6 points
The most common reason for sore nipples when breast-feeding is what issue? - ANSWERIncorrect latch
How often should the prudent nurse assess vital signs and uterine checks in the first hour after delivery?
- ANSWEREvery 15 minutes for the first hour postpartum
Insulin requirements increase or decrease after delivery? - ANSWERDecrease
Normal fetal heart rate range for a term infant is: - ANSWER110 to 160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - ANSWERLow lactic level
The first type of Lokia noted right after delivery is known as: - ANSWERRubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any time during her
pregnancy? - ANSWERTrue, all trimesters are appropriate to give the flu vaccine
Early decelerations are usually associated with: - ANSWERFetal head compression
The antidote for magnesium sulfate is: - ANSWERCalcium gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - ANSWERPort Wine Stain birthmarks
,What is the name of the manual assessment done by nurses to determine fetal lie and or presentation?
- ANSWERLeopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: - ANSWERCord
compression
Late decelerations within a fetal heart tracing are associated with what issue: - ANSWERUtero placenta
insufficiency
Absent variability is known as a tracing that is visually __________. - ANSWERUndetectable and appears
as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine can increase both
maternal and fetal heart rates. - ANSWERTrue
The four essential components to describe uterine activity: - ANSWERFrequency, duration, intensity, and
resting tone
The umbilical cord normally has three vessels: - ANSWERTwo arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the arteries return from the
fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - ANSWER40-60%
The sensation to begin, bearing down or actively begin pushing in an effort to deliver the event is known
as: - ANSWERFergusons reflex
Breast-feeding should be initiated within what time frame? - ANSWERThe first hour of birth
True or false: when an infant makes clicking or smacking noises during feeding this is a reassuring sign of
a proper latch. - ANSWERFalse
, When teaching to the new mother regarding introduction of bottles and formula, it should be delayed at
how many weeks after delivery to maximize milk supply and overall breast-feeding success? - ANSWER3-
4 weeks
Signs of adequate milk supply and transfer include: - ANSWERAudible, swallow, and drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and contractions, what position is the
infant most commonly in? - ANSWEROcciput Posterior
During what phase of labor would be reflected, if the patient has increased in contraction, strength and
intensity, and has bouts of nausea and vomiting? - ANSWERMost likely active phase
Immediate perineal care to relieve discomfort after delivery can include what measures? - ANSWERIce
pack, analgesia, pericare, sitz bath, and soft seating
A newly delivered patient arrives to the Postpartum unit. What initial steps need to be done to assess
her physical status? - ANSWERVital signs, level of consciousness, fundal and lochia status, pain level,
perineal or incisional area
What percentage of eclamptic seizures happen in the postpartum period? - ANSWER25%
What is the correct order of lochia? - ANSWERRubra, Serosa, Alba
Sudden bleeding during pregnancy associated with pain is known as? - ANSWERAbruption
Translate the following notation on a patient's prenatal record: G4P2 - ANSWERShe has been pregnant
four times and has given birth to two live foreign children