Perinatal Nursing Exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
purpose of the doctor venosus - CORRECT ANSWER by-pass the liver
Twins: - CORRECT ANSWER o 1 preterm delivery
What makes a woman have an increased risk for pre-eclampsia - CORRECT
ANSWER family hx, pregnancy during adolescence, first pregnancy with a new
partner
Early signs of drug toxicity with magnesium sulfate - CORRECT ANSWER patellar
reflexes(loss of patellar reflexes indicates toxicity)
Before 32 weeks gestation, what medication is given? - CORRECT
ANSWER INDOMETHACIN given to stop premature labour
If a woman is at 38 weeks gestation and she is having moderate bright red vaginal bleeding
happening, WHAT DO YOU DO - CORRECT ANSWER notify provider as placenta
previa possible
What Indicates fetal distress? - CORRECT ANSWER Meconium is the amniotic fluid
The doctor has performed an amniotomy. What is the priority nursing action? - CORRECT
ANSWER With an amniotomy there is a risk of cord prolapse and thus the nurse needs
to assess fetal well-being by doing the heart rate
what is an amniotomy? - CORRECT ANSWER Amniotomy, also known as artificial
rupture of membranes (AROM) or colloquially known as "breaking the water,
, A nurse notes that a client in labour has fetal heart rate decelerations that start with the
contraction and end as the contraction ends. What term best defines the nurse's findings? -
CORRECT ANSWER Early decelerations- they start and end with the contraction.
They are due to fetal head compression.
The primary care provider has order a narcotic analgesic for a woman in the active phase of
labour. What should the nurse do prior to administering the analgesic? - CORRECT
ANSWER Before administering a narcotic the nurse needs to ensure delivery is not
imminent. If delivery occurs soon after administering the narcotic the fetus may be depressed
at delivery.
The nurse is admitting a client to the postpartum unit. The assessment findings show that the
client's fundus is 2 fingerbreaths above the umbilicus and deviated to the right. What action
should the nurse take? - CORRECT ANSWER Ask the client urinate
What best describes the interaction between newborn and father? - CORRECT
ANSWER A combination of absorption, preoccupation, and interest termed
engrossment. Rationale: The feelings of the father are similar to the mother's attachment.
What causes closure of the foramen ovale? - CORRECT ANSWER Decreased pressure
in the right atrium Rationale: In utero the pressure in the right atrium is greater than the left.
This keeps the foramen ovale open. At birth pressure drop and pressure in the left atrium
becomes greater than the right.
What is the best way to maintain the newborn's temperature immediately after birth? -
CORRECT ANSWER Dry the baby's skin and hair thoroughly Rationale: Drying the
skin and hair will prevent heat loss by evaporation.
The nurse assesses a 2400 gm baby born 2 hours ago at 39 weeks gestation. The findings
include jitteriness, irregular respirations, and temperature instability. What likely precipitated
these findings? - CORRECT ANSWER Hypoglycemia Rationale: A small for
gestational age baby is prone to hypoglycemia as it has been malnourished in utero. This has
used up glucose stores and fat. Common signs of hypoglycemia include poor eating, tremors,
jitteriness, pallor, apnea and irregular respirations.
QUESTIONS AND CORRECT ANSWERS
purpose of the doctor venosus - CORRECT ANSWER by-pass the liver
Twins: - CORRECT ANSWER o 1 preterm delivery
What makes a woman have an increased risk for pre-eclampsia - CORRECT
ANSWER family hx, pregnancy during adolescence, first pregnancy with a new
partner
Early signs of drug toxicity with magnesium sulfate - CORRECT ANSWER patellar
reflexes(loss of patellar reflexes indicates toxicity)
Before 32 weeks gestation, what medication is given? - CORRECT
ANSWER INDOMETHACIN given to stop premature labour
If a woman is at 38 weeks gestation and she is having moderate bright red vaginal bleeding
happening, WHAT DO YOU DO - CORRECT ANSWER notify provider as placenta
previa possible
What Indicates fetal distress? - CORRECT ANSWER Meconium is the amniotic fluid
The doctor has performed an amniotomy. What is the priority nursing action? - CORRECT
ANSWER With an amniotomy there is a risk of cord prolapse and thus the nurse needs
to assess fetal well-being by doing the heart rate
what is an amniotomy? - CORRECT ANSWER Amniotomy, also known as artificial
rupture of membranes (AROM) or colloquially known as "breaking the water,
, A nurse notes that a client in labour has fetal heart rate decelerations that start with the
contraction and end as the contraction ends. What term best defines the nurse's findings? -
CORRECT ANSWER Early decelerations- they start and end with the contraction.
They are due to fetal head compression.
The primary care provider has order a narcotic analgesic for a woman in the active phase of
labour. What should the nurse do prior to administering the analgesic? - CORRECT
ANSWER Before administering a narcotic the nurse needs to ensure delivery is not
imminent. If delivery occurs soon after administering the narcotic the fetus may be depressed
at delivery.
The nurse is admitting a client to the postpartum unit. The assessment findings show that the
client's fundus is 2 fingerbreaths above the umbilicus and deviated to the right. What action
should the nurse take? - CORRECT ANSWER Ask the client urinate
What best describes the interaction between newborn and father? - CORRECT
ANSWER A combination of absorption, preoccupation, and interest termed
engrossment. Rationale: The feelings of the father are similar to the mother's attachment.
What causes closure of the foramen ovale? - CORRECT ANSWER Decreased pressure
in the right atrium Rationale: In utero the pressure in the right atrium is greater than the left.
This keeps the foramen ovale open. At birth pressure drop and pressure in the left atrium
becomes greater than the right.
What is the best way to maintain the newborn's temperature immediately after birth? -
CORRECT ANSWER Dry the baby's skin and hair thoroughly Rationale: Drying the
skin and hair will prevent heat loss by evaporation.
The nurse assesses a 2400 gm baby born 2 hours ago at 39 weeks gestation. The findings
include jitteriness, irregular respirations, and temperature instability. What likely precipitated
these findings? - CORRECT ANSWER Hypoglycemia Rationale: A small for
gestational age baby is prone to hypoglycemia as it has been malnourished in utero. This has
used up glucose stores and fat. Common signs of hypoglycemia include poor eating, tremors,
jitteriness, pallor, apnea and irregular respirations.
