MCH Exam 2
1. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion.
In order to prevent maternal hypotension the nurse should
- Administer an IV infusion of 500mL of NS
2. At 1 minute after birth the nurse assesses the infant and notes a heart rate of 80
beats/min., some flexion of extremities, a weak cry, slight grimacing, and a pink body
but blue extremities. What is the Apgar score the nurse will calculate?
-5
3. A patient with hypertension who is receiving IV magnesium sulfate therapy has
requested an epidural anesthetic. The perinatal nurse should first review the patient's
CBC results for:
- Evidence of a decreased platelet count
4. After a precipitous birth the nurse encourages the woman to breastfeed her newborn.
The primary purpose of this activity to do what?
- Stimulate the uterus to contract
5. Early this morning, an infant boy was circumcised using the PlastiBell method. The nurse
tells the mother that she and the infant can be discharged after what event occurs?
- The infant voids
6. According to agency policy, the perinatal nurse provides the following intrapartial
nursing care for the patient with preeclampsia
- Administer magnesium sulfate according to agency policy
, 7. A nurse is assessing a newborn born to a mother who is addicted to drugs. Which
assessment finding would the nurse expect to note during the assessment of this
newborn?
- -Constant crying
-Sensory overload
-Difficult to console
-Hyper extend and posture rather than cuddle when being held
8. A 30 year old woman is being prepared for an epidural anesthesia. The perinatal nurse
assists the anesthesiologist with the procedure and then positions the patient in a
supine position. The patient's blood pressure drops to 9052mm Hg and there is a
decrease in the FHR to 110 bmp. The perinatal nurse's best action is to:
- Place a wedge under the patient's right hip.
9. While evaluating an external monitor tracing of woman in active labor, the nurse notes
that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late
in the contraction, with the nadir of the deceleration occurring after the peak of the
contraction. What is the nurse's first priority?
- The nurse should Document the finding in the client's record The FHR indicates early
decelerations, which are not an ominous sign and do not require any intervention
10. A newborn is jaundiced and receiving photo therapy via ultraviolet bank lights. An
appropriate intervention when caring for an infant with hyperbilirubinemia and
receiving photo therapy by this method is which of the following?
- Place eye shields over the newborn's closed eyes.
11. The pediatric nurse sees fracture of the ____________________ most often in infants as
a result of birth trauma.
- clavicle
1. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion.
In order to prevent maternal hypotension the nurse should
- Administer an IV infusion of 500mL of NS
2. At 1 minute after birth the nurse assesses the infant and notes a heart rate of 80
beats/min., some flexion of extremities, a weak cry, slight grimacing, and a pink body
but blue extremities. What is the Apgar score the nurse will calculate?
-5
3. A patient with hypertension who is receiving IV magnesium sulfate therapy has
requested an epidural anesthetic. The perinatal nurse should first review the patient's
CBC results for:
- Evidence of a decreased platelet count
4. After a precipitous birth the nurse encourages the woman to breastfeed her newborn.
The primary purpose of this activity to do what?
- Stimulate the uterus to contract
5. Early this morning, an infant boy was circumcised using the PlastiBell method. The nurse
tells the mother that she and the infant can be discharged after what event occurs?
- The infant voids
6. According to agency policy, the perinatal nurse provides the following intrapartial
nursing care for the patient with preeclampsia
- Administer magnesium sulfate according to agency policy
, 7. A nurse is assessing a newborn born to a mother who is addicted to drugs. Which
assessment finding would the nurse expect to note during the assessment of this
newborn?
- -Constant crying
-Sensory overload
-Difficult to console
-Hyper extend and posture rather than cuddle when being held
8. A 30 year old woman is being prepared for an epidural anesthesia. The perinatal nurse
assists the anesthesiologist with the procedure and then positions the patient in a
supine position. The patient's blood pressure drops to 9052mm Hg and there is a
decrease in the FHR to 110 bmp. The perinatal nurse's best action is to:
- Place a wedge under the patient's right hip.
9. While evaluating an external monitor tracing of woman in active labor, the nurse notes
that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late
in the contraction, with the nadir of the deceleration occurring after the peak of the
contraction. What is the nurse's first priority?
- The nurse should Document the finding in the client's record The FHR indicates early
decelerations, which are not an ominous sign and do not require any intervention
10. A newborn is jaundiced and receiving photo therapy via ultraviolet bank lights. An
appropriate intervention when caring for an infant with hyperbilirubinemia and
receiving photo therapy by this method is which of the following?
- Place eye shields over the newborn's closed eyes.
11. The pediatric nurse sees fracture of the ____________________ most often in infants as
a result of birth trauma.
- clavicle
