CONCORDIA NUR 418 PEDS/OB EXAM 1
QUESTIONS AND ANSWERS LATEST 2025-2026
UPDATE
Parity - Answer--multipara: 2 or more births at more or 20 weeks -
nulipara: no births at more than 20 weeks gestation -primapara: 1 birth at
more than 20 weeks gestation
Fundal height - Answer--fundal height in cm should equal weeks of
gestation +/-2cm
-12 weeks= above pubic symphysis
-16 weeks= halfway between pubic symphysis and umbilicus -20
weeks= on the umbilicus
(Top is uterus, cervix is base)
False Labor - Answer--Braxton hicks: uterus contractibility increases in
response to increased estrogen levels
-can begin in second trimester but some women dont feel them until 3rd
-contractions are irregular with no particular pattern
-as uterus enlarges they are more noticeable
-ensure adequate fluid intake and recommend maternity girdle for uterus
support
, False Labor Changes - Answer-*False labor: if no change in cervix
within 2 hours, irregular contractions (hydrate patient) *True labor: If
cervix changes (effacement & dilation)
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Answer-Overall Goals: -
support maternal coping and labor progress
- Maximize uterine blood flow
- Maximize umbilical blood flow
- Maximize oxygenation
- Maintain appropriate uterine activity
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Nurse Interventions -
Answer-Nursing actions:
- Review plan/expectations with woman and her family
-Maintain calm environment
- Stay at the bedside as much as possible Monitor only at the level
needed for this patient Frequent position changes/upright positioning
Judicious use of technology Adjust IVF, oxytocin if using, tocolytics
(terbutaline) if using to promote uterine relaxation, supplemental O2 to
promote fetal oxygenation
Safe Ranges and Therapeutic Levels - Answer--if a med is dosed below
minimum safe range= child isnt getting therapeutic dose -if a med is
dosed above safe range= may be toxic, severe medical consequences,
medications are weight based
, Nonpharm: Bradley method - Answer-Bradley method uses techniques
that focus the woman on inward relaxation, by means of breathing
control, abdominal breathing, and general relaxation. The partner
facilitates the implementation of these techniques through coaching,
giving rise to the term "husband-coached childbirth." To assist the
partner in coaching the laboring woman to relax, there is an emphasis on
darkness, solitude, and quiet to reduce stimulation and enhance the calm
and comfort needed to conserve energy that will be required for birth
and to decrease anxiety and tension in the woman.
Pediatric Physiological Differences to medication - Answer--immature
blood brain barrier.
-increased permeability of skin and conjunctiva -immature
cardiovascular system
-higher metabolic rate
-differences in protein binding
-altered absorption patterns
-delayed gastric emptying, relative lack of gastric acid
-immature renal function
-high total water volume
-low body fat
-rapidly growing tissues
-large body surface area
Higher water volume Lower body fat Increased skin permeability
Immature blood brain barrier
QUESTIONS AND ANSWERS LATEST 2025-2026
UPDATE
Parity - Answer--multipara: 2 or more births at more or 20 weeks -
nulipara: no births at more than 20 weeks gestation -primapara: 1 birth at
more than 20 weeks gestation
Fundal height - Answer--fundal height in cm should equal weeks of
gestation +/-2cm
-12 weeks= above pubic symphysis
-16 weeks= halfway between pubic symphysis and umbilicus -20
weeks= on the umbilicus
(Top is uterus, cervix is base)
False Labor - Answer--Braxton hicks: uterus contractibility increases in
response to increased estrogen levels
-can begin in second trimester but some women dont feel them until 3rd
-contractions are irregular with no particular pattern
-as uterus enlarges they are more noticeable
-ensure adequate fluid intake and recommend maternity girdle for uterus
support
, False Labor Changes - Answer-*False labor: if no change in cervix
within 2 hours, irregular contractions (hydrate patient) *True labor: If
cervix changes (effacement & dilation)
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Answer-Overall Goals: -
support maternal coping and labor progress
- Maximize uterine blood flow
- Maximize umbilical blood flow
- Maximize oxygenation
- Maintain appropriate uterine activity
Fetal Monitoring (OB ch 9 pg 272 Box 9-1) - Nurse Interventions -
Answer-Nursing actions:
- Review plan/expectations with woman and her family
-Maintain calm environment
- Stay at the bedside as much as possible Monitor only at the level
needed for this patient Frequent position changes/upright positioning
Judicious use of technology Adjust IVF, oxytocin if using, tocolytics
(terbutaline) if using to promote uterine relaxation, supplemental O2 to
promote fetal oxygenation
Safe Ranges and Therapeutic Levels - Answer--if a med is dosed below
minimum safe range= child isnt getting therapeutic dose -if a med is
dosed above safe range= may be toxic, severe medical consequences,
medications are weight based
, Nonpharm: Bradley method - Answer-Bradley method uses techniques
that focus the woman on inward relaxation, by means of breathing
control, abdominal breathing, and general relaxation. The partner
facilitates the implementation of these techniques through coaching,
giving rise to the term "husband-coached childbirth." To assist the
partner in coaching the laboring woman to relax, there is an emphasis on
darkness, solitude, and quiet to reduce stimulation and enhance the calm
and comfort needed to conserve energy that will be required for birth
and to decrease anxiety and tension in the woman.
Pediatric Physiological Differences to medication - Answer--immature
blood brain barrier.
-increased permeability of skin and conjunctiva -immature
cardiovascular system
-higher metabolic rate
-differences in protein binding
-altered absorption patterns
-delayed gastric emptying, relative lack of gastric acid
-immature renal function
-high total water volume
-low body fat
-rapidly growing tissues
-large body surface area
Higher water volume Lower body fat Increased skin permeability
Immature blood brain barrier
