NCSBN exam study guide
1. The fourth stage of labor is placental separation and expulsion.
True or false
False
The third stage of labor is placental separation and expulsion and lasts about 5 to 30 minutes. The fourth
stage of labor is maternal adaptation, occurring 1 to 2 hours after birth.
2. When the fetus is active, its heart rate should increase by about 15 beats per minute.
True or false
True
When the fetus is active, its heart rate will accelerate by about 15 beats per minute above the baseline.
Average fetal heart rate is about 130 ppm when near term.
3. Most pregnancy tests measure the level of estrogen in the woman's blood.
True or false
False
,Pregnancy tests measure the hormone human chorionic gonadotropin (hcG) in the urine or in the blood.
Levels can be first detected about 12 to 14 days after conception and peak in the first 8 to 11 weeks of
pregnancy.
4. One if the first signs of pregnancy is Chadwick's sign, which is the softening of the cervix.
True or false
False
There are several findings of pregnancy during the first trimester, increased vascularity in the vagina is
called the Chadwick's sign; the increased vascularization and softness of the uterine isthmus is Hegar's
sign; and the softening of the cervix is Goodall's sign.
5. The nurse will give Rh immune globulin (RhoGAM) to a Rh negative women after a miscarriage
(spontaneous abortion).
True or false
True
RhoGam is administered to Rh negative women after any possible exposure to fetal blood such as after
each ectopic pregnancy, miscarriage, abortion or amniocentesis, RhoGAM will be given to help prevent
problems associated with incompatible blood types in future pregnancies.
6. Chloasma is the first milk the new mother produces.
,True or false
False
Chloasma is a skin discoloration of pregnancy. The first breast milk is called colostrum. Colostrum is low
in fat, high in carbohydrates, protein and antibodies and is easy for the newborn to digest.
7. The fetus receives more oxygenated blood when the laboring mother lies on her side.
True or false
True
Positioning the laboring mother on her (left) side usually results in a higher fetal oxygen saturation.
Other measures to increase fetal oxygenation (and placental perfusion) include administering oxygen to
the laboring woman.
8. A gravida 3, para 3 woman should be rushed to the delivery room once engagement has
occurred.
True or false
False
Engagement means that the baby's head no longer floats freely, but has dropped down into the pelvis.
In the multipara, engagement normally occurs about 2 weeks before birth.
, 9. An APGAR score of 2 for appearance means the newborn's fingers and toes are blush in color.
True or false
False
The normal color all over the newborn is pink; a pink baby earns a score of 2. A baby who is pink with
pale blue toes/feet and fingers/hands will receive a score 1 on the APGAR test.
10. A baby tapped briskly on the bridge of the nose will close both eyes.
True or false
True
Tapping on the glabella (flat bone between the eyebrows) causes a neurologically healthy baby to close
both eyes. This is referred to as the glabellar reflex.
11. About 5 days after delivery, loch is pink-brown in color.
True or false
True
Normal bleeding and discharge should be more watery and pink-brown colored (lochia serosa) about 3
to 5 days after delivery. It may take up to 2 to 4 weeks for discharge to taper off completely.
1. The fourth stage of labor is placental separation and expulsion.
True or false
False
The third stage of labor is placental separation and expulsion and lasts about 5 to 30 minutes. The fourth
stage of labor is maternal adaptation, occurring 1 to 2 hours after birth.
2. When the fetus is active, its heart rate should increase by about 15 beats per minute.
True or false
True
When the fetus is active, its heart rate will accelerate by about 15 beats per minute above the baseline.
Average fetal heart rate is about 130 ppm when near term.
3. Most pregnancy tests measure the level of estrogen in the woman's blood.
True or false
False
,Pregnancy tests measure the hormone human chorionic gonadotropin (hcG) in the urine or in the blood.
Levels can be first detected about 12 to 14 days after conception and peak in the first 8 to 11 weeks of
pregnancy.
4. One if the first signs of pregnancy is Chadwick's sign, which is the softening of the cervix.
True or false
False
There are several findings of pregnancy during the first trimester, increased vascularity in the vagina is
called the Chadwick's sign; the increased vascularization and softness of the uterine isthmus is Hegar's
sign; and the softening of the cervix is Goodall's sign.
5. The nurse will give Rh immune globulin (RhoGAM) to a Rh negative women after a miscarriage
(spontaneous abortion).
True or false
True
RhoGam is administered to Rh negative women after any possible exposure to fetal blood such as after
each ectopic pregnancy, miscarriage, abortion or amniocentesis, RhoGAM will be given to help prevent
problems associated with incompatible blood types in future pregnancies.
6. Chloasma is the first milk the new mother produces.
,True or false
False
Chloasma is a skin discoloration of pregnancy. The first breast milk is called colostrum. Colostrum is low
in fat, high in carbohydrates, protein and antibodies and is easy for the newborn to digest.
7. The fetus receives more oxygenated blood when the laboring mother lies on her side.
True or false
True
Positioning the laboring mother on her (left) side usually results in a higher fetal oxygen saturation.
Other measures to increase fetal oxygenation (and placental perfusion) include administering oxygen to
the laboring woman.
8. A gravida 3, para 3 woman should be rushed to the delivery room once engagement has
occurred.
True or false
False
Engagement means that the baby's head no longer floats freely, but has dropped down into the pelvis.
In the multipara, engagement normally occurs about 2 weeks before birth.
, 9. An APGAR score of 2 for appearance means the newborn's fingers and toes are blush in color.
True or false
False
The normal color all over the newborn is pink; a pink baby earns a score of 2. A baby who is pink with
pale blue toes/feet and fingers/hands will receive a score 1 on the APGAR test.
10. A baby tapped briskly on the bridge of the nose will close both eyes.
True or false
True
Tapping on the glabella (flat bone between the eyebrows) causes a neurologically healthy baby to close
both eyes. This is referred to as the glabellar reflex.
11. About 5 days after delivery, loch is pink-brown in color.
True or false
True
Normal bleeding and discharge should be more watery and pink-brown colored (lochia serosa) about 3
to 5 days after delivery. It may take up to 2 to 4 weeks for discharge to taper off completely.
