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a baby born by vacuum assisted birth. which potential birth injury should you monitor for? -
✔✔subgaleal hemorrhage
A cerclage placed in women with documented shortened cervical length by ultrasound examination is
called - ✔✔ultrasound indicated cerclage
a limited diagnostic evaluation on an infant is indicated in which circumstance? - ✔✔maternal antibiotic
therapy was initiated for maternal chorioamnionitis
A new mother is very concerned and asks you about the 'red marks' on the newborn's eyelids. She
noticed that they get darker when the newborn cries. What is your BEST response? - ✔✔They are
common birthmarks called nevus simplex or stork bites that blanch with pressure and become pinker
with crying.
A new nurse asks you why it is important to check a glucose level for a newborn that is being ruled out
for sepsis. Your BEST response would be? - ✔✔Newborns that are sick tend to have higher metabolic
rates which leads to a depletion of available glucose and oxygen.
A newborn is born after a difficult birth and meets the criteria for therapeutic hypothermia. Cooling the
newborn must begin within - ✔✔6 hours of birth
A patient safety event, unrelated to the natural course of the underlying illness, that reaches a patient
and results in death, permanent harm, or severe temporary harm with intervention required to sustain
life is an example of - ✔✔sentinel event
a patient safety event, unrelated to the underlying illness, that reaches a patient, results in death, perm
or severe temp harm is - ✔✔sentinel event
,A pregnant woman presents with a rash two days before giving birth to a full term neonate. The rash is
determined to be caused by the varicella-zoster virus. Which complications will the newborn most likely
experience? - ✔✔life-threatening disseminated disease
a pregnant women develops varicella-zoster virus rash 2 days before birth. whcih complications are more
likely for baby - ✔✔pneumonia
A pregnant women who has been on anticoagulant therapy & is receiving regional anesthesia is at risk
for - ✔✔epidural hematoma
a primary cause of hearing loss in the newborn is - ✔✔cytomegalovirus
a shared understanding of what is going on & what is likely to happen next is known as - ✔✔situational
awareness
A shared understanding of what is going on & what is likely to happen next is known as - ✔✔situational
awareness
A single oral temperature of 102.20F (390C) or greater, or an oral temperature of 100.4-
102.020F (38-38.90C) that continues when the temperature is check every 30 minutes - ✔✔isolated
maternal fever
a WBC count of 22,000 ina postpartum patient may be indicative of - ✔✔a normal postpartum
physiologic process
a woman who has rapid HIV testing during labor with a positive result should - ✔✔have a follow up test
in the postpartum period to confirm the diagnosis
a women with higher-order multiples is at risk for all of the following except - ✔✔pyelonephritis
, According to the american academy of pediatrics and CDC guidelines, GBS prophylaxis is recommended
in all of the following circumstances except - ✔✔planned c-section with intact membranes & previous
positive GBS screening
After birth, blood loss is typically evaluated by the primary care physician or midwife who delivered the
baby. Normal blood loss for a vaginal birth is less than or equal to - ✔✔500 mL
After birth, cardiac output usually remains elevated for 48 hours and then decreases rapidly during the
first two weeks. Cardiac output returns to pre-pregnant values within - ✔✔3 weeks
after vaginal delivery your patient is complaining of perineal pain. she was given ibuprofen 2 hours ago.
best intervention is to - ✔✔reapply ice park to her perineum
Alexandra is 21-year-old primigravida at 10 weeks of gestation. She has arrived for her first prenatal visit.
She is 5' 3" tall, and her prepregnant weight is 245 lbs and her BMI is 45. In your prenatal discussion
about optimal weight gain during her pregnancy,it is important to stress that Alexandra should - ✔✔gain
11-20 lbs to accommodate the growing placenta & fetus
All of the following are elements of good documentation EXCEPT - ✔✔inclusion of nursing opinion as to
causes of error.
all of the following may predispose a pregnant woman to disseminated intravascular coagulopathy (DIC)
except - ✔✔preterm labor
All pregnant women should receive education regarding careful handling of potentially infected items
such as diapers, dirty clothing, and toys; avoiding putting a child's pacifier in her mouth; avoiding sharing
food and utensils; and washing hands frequently to avoid which infection? - ✔✔Cytomegalovirus
Although most women are able to breastfeed if they choose, there are important instances in which
breastfeeding is contraindicated. Which of the following is NOT a contraindication to breastfeeding? -
✔✔hepatitis c infection