ATI OB-PEDS NURSING EXAM
STUDYGUIDE,PRACTICE EXAM QUESTIONS ON
KEY TOPICS ( PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND CHILD DEVELOPMENT)
absence of the sense of smell - ✔✔ANSWER✔✔>>anosmia
bronchial breath sounds - ✔✔ANSWER✔✔>>loud, high-pitched, hollow sounds
normally heard over the trachea and the large bronchi
bronchovesicular breath sounds - ✔✔ANSWER✔✔>>medium-pitched and
quieter sounds normally heard over the mainstem bronchi
again list some breastfeeding benefits - ✔✔ANSWER✔✔>>reduces risk of
diabetes
enhances cognitive development
transfers antibodies
prevents some childhood cancers
what are some benefits to mom - ✔✔ANSWER✔✔>>helps release oxytocin to
help uterine contraction
weight loss
bonding
helps bone density
prevents breast cancer
why would you need a C section - ✔✔ANSWER✔✔>>- lack of progess in labor
- fetal distress
- placenta abruption
- breech presentation(butt comes out first)
what are the 3 different types of breech - ✔✔ANSWER✔✔>>frank breech- knees
extended and hips flexed
complete breech- knees and hips flexed
footling breech-one or both feet presenting before butt
why does breech need C section - ✔✔ANSWER✔✔>>butt cant dilate cervix as
good as the head
,risks of having a C section - ✔✔ANSWER✔✔>>1. hemorrhage
2. aspiration
3. wound complications
4. injury to pelvic structures
5. anesthesia complications
6. fetal injury
what part comes out first when C section - ✔✔ANSWER✔✔>>baby butt
what does nurse suction first - ✔✔ANSWER✔✔>>mouth and then nose
babies who are born via C section are more likely to have more cyanosis at birth
- ✔✔ANSWER✔✔>>bc they dont get the respiratory stimulation that passing
through the birth canal provides
what are some danger signs during pregnancy - ✔✔ANSWER✔✔>>1. vag
bleeding
2. gush of fluid
3. uterine contraction before 37 weeks
4. severe back pain
5. epigastric pain
6. HA
7. visual disturbances
8. changes in fetal movement
9. swelling of hands and face
before epidural pt will need - ✔✔ANSWER✔✔>>IV fluids- bc can drop blood
pressure which can decrease placental perfusion
where does teh epidural go - ✔✔ANSWER✔✔>>before the 4th and 5th lumbar
in vag delivers a block from ___ to ___ is used to relieve pain -
✔✔ANSWER✔✔>>T10 to S5
for C section you block from ___ to ____ - ✔✔ANSWER✔✔>>T8-S1
try to position mom not dierectly lying flat- let her tilt to the side -
✔✔ANSWER✔✔>>to prvent the baby from compressing the vena cava and
descending aorta which can cause hypotension and decreased placental
perfusion (change position each hour)
if mom BP drops - ✔✔ANSWER✔✔>>increase IV rate
administer Oxygen (nonrebreather 10-12 L/min)
elevate legs
,give ephidrine
so before leopold maneuvers - ✔✔ANSWER✔✔>>use bathroom
put pillow under head
put rolled towel under one hip to prevent supine hypotension
DC is usually ___ hr after vag and ___ hrs after C section - ✔✔ANSWER✔✔>>48
96
what is a normal range for axillary temp of newborn - ✔✔ANSWER✔✔>>97.7-99
36.5-37.5
postpartum, how often should you measure vitals - ✔✔ANSWER✔✔>>every 15
minutes for first 2 hrs or until stable
when rubbing fundus after birth - ✔✔ANSWER✔✔>>stabliize the uterus by
placing left hand right about symphysis pubis and measure how far fundus is
either bellow (negative #) or above (positive) the belly button- measure finger
widths
when does the first stage of labor begin and end -
✔✔ANSWER✔✔>>contractions- cervical dilation and efacement
what are the 3 stages of stage 1 - ✔✔ANSWER✔✔>>latent phase- dilated 0-3 cm
and some efacement with little descent
active phase- 4-7 cm and significant descent
transition phase- 10 cm- complete efacement- contractions at peak intensity
how often and long are contractions is latent phase - ✔✔ANSWER✔✔>>every 5
to 30 minutes and they last 30-45 seconds
how often and long are contraction in active phase - ✔✔ANSWER✔✔>>every 3-5
minutes and they last 40-70 seconds
how often and long are contraction in transition phase - ✔✔ANSWER✔✔>>every
2-3 minutes and they last 45-90 seconds
when does stage 2 of labor begin and end - ✔✔ANSWER✔✔>>once completely
dilated and ends with birth
when does stage 3 begin and end - ✔✔ANSWER✔✔>>birth and ends with
expulsion of the placenta
, if the baby doesnt drink all the breast milk from the bottle can i keep the milk for
a later feeding - ✔✔ANSWER✔✔>>nope- dump it
American Academy of Pediatrics (AAP) recommends a daily intake of vitamin D
of 400 IU/day for all infants and children beginning in the first few days of life. -
✔✔ANSWER✔✔>>baby needs vit D supplment if breast feeding
can i smoke and breastfeed - ✔✔ANSWER✔✔>>yes- even thought nicotine will
be in the milk we still recommend it
what can help the babies pain during the heal stick - ✔✔ANSWER✔✔>>swaddle
them and hold them upright
In general, women with a single fetus and an average BMI should gain __-__lb
during pregnancy. - ✔✔ANSWER✔✔>>25-35 lb
What is the best way for me to obtain a capillary blood specimen from a
newborn? - ✔✔ANSWER✔✔>>heel (need this for blood glucose and screening
for phenylketonuria) Wrap a warm, moist cloth around the heel for 5 to 10
minutes- puncture the outer aspect of the heel
____ is a breast infection that can develop a few weeks after a woman begins
breastfeeding her newborn. - ✔✔ANSWER✔✔>>Mastitis- develops from a crack
in the nipple= To prevent this complication, instruct patients to position their
newborn properly and make sure he grasps the areola and not just the
nipple.They should also expose their nipples to air at least once a day and use a
preparation such as vitamin E ointment to soften the nipples
vesicular breath sounds - ✔✔ANSWER✔✔>>soft, fine, breezy, low-pitched
sounds heard over peripheral lung tissue
a classic sign of long-term oxygen deprivation - ✔✔ANSWER✔✔>>clubbing
a dry, crackling or grating sound produced by air in subcutaneous tissue, by air
moving through fluid in the alveoli of the lungs, or by bone rubbing against bone
- ✔✔ANSWER✔✔>>crepitus
does friction rub go away with coughing - ✔✔ANSWER✔✔>>nope- it stays
posture or position of the body; body build and constitution -
✔✔ANSWER✔✔>>habitus
kyphosis - ✔✔ANSWER✔✔>>curving of thoracic spine
STUDYGUIDE,PRACTICE EXAM QUESTIONS ON
KEY TOPICS ( PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND CHILD DEVELOPMENT)
absence of the sense of smell - ✔✔ANSWER✔✔>>anosmia
bronchial breath sounds - ✔✔ANSWER✔✔>>loud, high-pitched, hollow sounds
normally heard over the trachea and the large bronchi
bronchovesicular breath sounds - ✔✔ANSWER✔✔>>medium-pitched and
quieter sounds normally heard over the mainstem bronchi
again list some breastfeeding benefits - ✔✔ANSWER✔✔>>reduces risk of
diabetes
enhances cognitive development
transfers antibodies
prevents some childhood cancers
what are some benefits to mom - ✔✔ANSWER✔✔>>helps release oxytocin to
help uterine contraction
weight loss
bonding
helps bone density
prevents breast cancer
why would you need a C section - ✔✔ANSWER✔✔>>- lack of progess in labor
- fetal distress
- placenta abruption
- breech presentation(butt comes out first)
what are the 3 different types of breech - ✔✔ANSWER✔✔>>frank breech- knees
extended and hips flexed
complete breech- knees and hips flexed
footling breech-one or both feet presenting before butt
why does breech need C section - ✔✔ANSWER✔✔>>butt cant dilate cervix as
good as the head
,risks of having a C section - ✔✔ANSWER✔✔>>1. hemorrhage
2. aspiration
3. wound complications
4. injury to pelvic structures
5. anesthesia complications
6. fetal injury
what part comes out first when C section - ✔✔ANSWER✔✔>>baby butt
what does nurse suction first - ✔✔ANSWER✔✔>>mouth and then nose
babies who are born via C section are more likely to have more cyanosis at birth
- ✔✔ANSWER✔✔>>bc they dont get the respiratory stimulation that passing
through the birth canal provides
what are some danger signs during pregnancy - ✔✔ANSWER✔✔>>1. vag
bleeding
2. gush of fluid
3. uterine contraction before 37 weeks
4. severe back pain
5. epigastric pain
6. HA
7. visual disturbances
8. changes in fetal movement
9. swelling of hands and face
before epidural pt will need - ✔✔ANSWER✔✔>>IV fluids- bc can drop blood
pressure which can decrease placental perfusion
where does teh epidural go - ✔✔ANSWER✔✔>>before the 4th and 5th lumbar
in vag delivers a block from ___ to ___ is used to relieve pain -
✔✔ANSWER✔✔>>T10 to S5
for C section you block from ___ to ____ - ✔✔ANSWER✔✔>>T8-S1
try to position mom not dierectly lying flat- let her tilt to the side -
✔✔ANSWER✔✔>>to prvent the baby from compressing the vena cava and
descending aorta which can cause hypotension and decreased placental
perfusion (change position each hour)
if mom BP drops - ✔✔ANSWER✔✔>>increase IV rate
administer Oxygen (nonrebreather 10-12 L/min)
elevate legs
,give ephidrine
so before leopold maneuvers - ✔✔ANSWER✔✔>>use bathroom
put pillow under head
put rolled towel under one hip to prevent supine hypotension
DC is usually ___ hr after vag and ___ hrs after C section - ✔✔ANSWER✔✔>>48
96
what is a normal range for axillary temp of newborn - ✔✔ANSWER✔✔>>97.7-99
36.5-37.5
postpartum, how often should you measure vitals - ✔✔ANSWER✔✔>>every 15
minutes for first 2 hrs or until stable
when rubbing fundus after birth - ✔✔ANSWER✔✔>>stabliize the uterus by
placing left hand right about symphysis pubis and measure how far fundus is
either bellow (negative #) or above (positive) the belly button- measure finger
widths
when does the first stage of labor begin and end -
✔✔ANSWER✔✔>>contractions- cervical dilation and efacement
what are the 3 stages of stage 1 - ✔✔ANSWER✔✔>>latent phase- dilated 0-3 cm
and some efacement with little descent
active phase- 4-7 cm and significant descent
transition phase- 10 cm- complete efacement- contractions at peak intensity
how often and long are contractions is latent phase - ✔✔ANSWER✔✔>>every 5
to 30 minutes and they last 30-45 seconds
how often and long are contraction in active phase - ✔✔ANSWER✔✔>>every 3-5
minutes and they last 40-70 seconds
how often and long are contraction in transition phase - ✔✔ANSWER✔✔>>every
2-3 minutes and they last 45-90 seconds
when does stage 2 of labor begin and end - ✔✔ANSWER✔✔>>once completely
dilated and ends with birth
when does stage 3 begin and end - ✔✔ANSWER✔✔>>birth and ends with
expulsion of the placenta
, if the baby doesnt drink all the breast milk from the bottle can i keep the milk for
a later feeding - ✔✔ANSWER✔✔>>nope- dump it
American Academy of Pediatrics (AAP) recommends a daily intake of vitamin D
of 400 IU/day for all infants and children beginning in the first few days of life. -
✔✔ANSWER✔✔>>baby needs vit D supplment if breast feeding
can i smoke and breastfeed - ✔✔ANSWER✔✔>>yes- even thought nicotine will
be in the milk we still recommend it
what can help the babies pain during the heal stick - ✔✔ANSWER✔✔>>swaddle
them and hold them upright
In general, women with a single fetus and an average BMI should gain __-__lb
during pregnancy. - ✔✔ANSWER✔✔>>25-35 lb
What is the best way for me to obtain a capillary blood specimen from a
newborn? - ✔✔ANSWER✔✔>>heel (need this for blood glucose and screening
for phenylketonuria) Wrap a warm, moist cloth around the heel for 5 to 10
minutes- puncture the outer aspect of the heel
____ is a breast infection that can develop a few weeks after a woman begins
breastfeeding her newborn. - ✔✔ANSWER✔✔>>Mastitis- develops from a crack
in the nipple= To prevent this complication, instruct patients to position their
newborn properly and make sure he grasps the areola and not just the
nipple.They should also expose their nipples to air at least once a day and use a
preparation such as vitamin E ointment to soften the nipples
vesicular breath sounds - ✔✔ANSWER✔✔>>soft, fine, breezy, low-pitched
sounds heard over peripheral lung tissue
a classic sign of long-term oxygen deprivation - ✔✔ANSWER✔✔>>clubbing
a dry, crackling or grating sound produced by air in subcutaneous tissue, by air
moving through fluid in the alveoli of the lungs, or by bone rubbing against bone
- ✔✔ANSWER✔✔>>crepitus
does friction rub go away with coughing - ✔✔ANSWER✔✔>>nope- it stays
posture or position of the body; body build and constitution -
✔✔ANSWER✔✔>>habitus
kyphosis - ✔✔ANSWER✔✔>>curving of thoracic spine
