Hondros RN Maternity Exam 2 Prep
Questions With Solved Solutions.
What should a woman do if she feels the urge to push before full dilation? - Answer She
should blow in short breaths to avoid bearing down.
Glucose screening for gestational diabetes happens when? - Answer 24-28 weeks gestation
Diagnosis of gestational diabetes? - Answer A result of 130mg/dl or higher, must have a 3 hr
test to confirm.
How much of an increase of caloric intake should a pregnant woman have? - Answer 300
kcal/daily
How many extra calories should the lactating/breastfeeding mom take in daily? - Answer 500
kcal/daily
What does folic acid prevent? - Answer Nural tube defects in the fetus
What is cerclage? - Answer Stitches used to close the cervix to prevent spontaneous abortions
or premature birth
Short, quick breaths can distract the mother from pushing. - Answer True
What is effleurage? - Answer When a laboring woman massages her stomach in a circular
motion during contractions.
What pain scale is typically utilized in infants? - Answer NIPS scale
What are the cardinal movements of labor? - Answer Engage
Descent
Flexion
Internal Rotation
, What is the purpose of Leopold's? - Answer Checks the presentation and position of the baby
Category 1 in three tier FHR interpretation - Answer Baseline HR of 110-160
Moderate variability
No variable or late decels
Acels present or absent
No action required
Category 2 in three tier FHR interpretation - Answer Bradycardia/Tachycardia
Baseline changes in variability
No acels with scalp stimulation
Episodic/variable decels
Evaluate, continue to monitor and reevaluate
Category 3 in three tier FHR interpretation - Answer Absent variability
Recurrent late decels, recurrent variable decels, bradycardia
Sinusoidal FHR
Sustained category 3 tracings require prompt attention
May require delivery via fastest route
Reactive NST results - Answer At least two accels of FHR with fetal movement of 15bpm lasting
at least 15 seconds or more for 20 mins (15 15 20)
What needs to be considered when administering an Epidural? - Answer Monitor vitals
Positioning
Consent
IV fluids
Check FHR (if it is already infusing)
Nursing interventions for late decels - Answer O2 via facemask @ 10 L/min
Lateral positioning until FHR improves
Questions With Solved Solutions.
What should a woman do if she feels the urge to push before full dilation? - Answer She
should blow in short breaths to avoid bearing down.
Glucose screening for gestational diabetes happens when? - Answer 24-28 weeks gestation
Diagnosis of gestational diabetes? - Answer A result of 130mg/dl or higher, must have a 3 hr
test to confirm.
How much of an increase of caloric intake should a pregnant woman have? - Answer 300
kcal/daily
How many extra calories should the lactating/breastfeeding mom take in daily? - Answer 500
kcal/daily
What does folic acid prevent? - Answer Nural tube defects in the fetus
What is cerclage? - Answer Stitches used to close the cervix to prevent spontaneous abortions
or premature birth
Short, quick breaths can distract the mother from pushing. - Answer True
What is effleurage? - Answer When a laboring woman massages her stomach in a circular
motion during contractions.
What pain scale is typically utilized in infants? - Answer NIPS scale
What are the cardinal movements of labor? - Answer Engage
Descent
Flexion
Internal Rotation
, What is the purpose of Leopold's? - Answer Checks the presentation and position of the baby
Category 1 in three tier FHR interpretation - Answer Baseline HR of 110-160
Moderate variability
No variable or late decels
Acels present or absent
No action required
Category 2 in three tier FHR interpretation - Answer Bradycardia/Tachycardia
Baseline changes in variability
No acels with scalp stimulation
Episodic/variable decels
Evaluate, continue to monitor and reevaluate
Category 3 in three tier FHR interpretation - Answer Absent variability
Recurrent late decels, recurrent variable decels, bradycardia
Sinusoidal FHR
Sustained category 3 tracings require prompt attention
May require delivery via fastest route
Reactive NST results - Answer At least two accels of FHR with fetal movement of 15bpm lasting
at least 15 seconds or more for 20 mins (15 15 20)
What needs to be considered when administering an Epidural? - Answer Monitor vitals
Positioning
Consent
IV fluids
Check FHR (if it is already infusing)
Nursing interventions for late decels - Answer O2 via facemask @ 10 L/min
Lateral positioning until FHR improves
