CONCORDIA NUR 418 PEDS/OB EXAM 1 NEWEST WITH
ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS
(100% GUARANTEED PASS!!!)
What can be delegated? - CORRECT ANSWER-•Delegate to role below nurse.
Cannot delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
Family Centered Care concepts (FCC Care Video ) - CORRECT ANSWER-Focus
shifted from the biomedical aspect of a child's condition to view the child in the
context of their family Use of interdisciplinary team specific per fam Employees
dignity, respect, collaboration, participation, information sharing
•Family is involved in the care planning. Increases adherance, improves outcomes
Maintain routines, foods, languages
Assigning Parity - CORRECT ANSWER--number of times a woman has given birth
to a fetus with a gestational age of 20 weeks or more (alive or stillborn) G= total
number of times pregnant T= number of term infants born (Between 38-42wks)
P= number of preterm infants born (Between 20-37 wks) A= number of abortions
before 20 weeks L= number of children currently living
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) - CORRECT ANSWER-Specific objectives of MCH Care focuses
,on the reduction of maternal, perinatal, infant and childhood mortality and
morbidity and the promotion of reproductive health and the physical and
psychosocial development of the child and adolescent within the family.
Community Based Delegation - CORRECT ANSWER-Community based nurse:
serves communities with greater risks and barriers to achieving positive maternal
and child health outcomes
obstetric/neonatal nurse: work with pregnant women to ensure healthy
pregnancies before, during, and after childbirth, works directly with newborn
infants
Parity - CORRECT 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 - CORRECT ANSWER--fundal height in cm should equal weeks of
gestation + or - 2 -12 weeks= above symphysis pubis -16 weeks= halfway between
symphasis pubis and umbilicus -20 weeks= on the umbilicus
*Top of uterus, cervix is base
False Labor - CORRECT 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 - CORRECT 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) - CORRECT 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 - CORRECT
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-0
Safe Ranges and Therapeutic Levels - CORRECT 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
Nonpharm: Bradley method - CORRECT ANSWER-It's a medication-free method
that emphasizes relaxation as a form of pain reduction during labor. But it's also a
comprehensive plan that focuses on healthy living throughout your pregnancy.
Pediatric Physiological Differences to medication - CORRECT 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
Postpartum Assessment (OB Chp 12) - CORRECT ANSWER-*supine position -
pain level -last urine and BM -LOC -VS -cap refil -edema -breast for redness -check
fundus (fundal height, boggy, firm) -check peri pad and note the amount of blood
-episiostomy, c-section, tear assess for redness, edema, drainage, approximation -
check for edema in extremeties -assess emtional status -assess comfort level
Postpartum Assessment of Mom (from collab) - CORRECT ANSWER-Heavy
bleeding, fundus should be firm midline and right at the umbilicus boggy, check
bladder understand normal post partum assessment 1hr: heavy period, small
clots, NO GUSH Fundus should be firm, midline (belly button) every day further
down, 2 fingers+ lower If boggy or to the side, check bladder
Apgar Score (OB text Chp 8 & 15) - CORRECT ANSWER-APGAR: 1 min and 5 min
(start at 10) A- color of baby, its normal to have cyanosis immediately after birth
0=pale or blue
1= pink body blue extremities
2= pink
P- pulse
0=absent
1= less than 100
ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS
(100% GUARANTEED PASS!!!)
What can be delegated? - CORRECT ANSWER-•Delegate to role below nurse.
Cannot delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
Family Centered Care concepts (FCC Care Video ) - CORRECT ANSWER-Focus
shifted from the biomedical aspect of a child's condition to view the child in the
context of their family Use of interdisciplinary team specific per fam Employees
dignity, respect, collaboration, participation, information sharing
•Family is involved in the care planning. Increases adherance, improves outcomes
Maintain routines, foods, languages
Assigning Parity - CORRECT ANSWER--number of times a woman has given birth
to a fetus with a gestational age of 20 weeks or more (alive or stillborn) G= total
number of times pregnant T= number of term infants born (Between 38-42wks)
P= number of preterm infants born (Between 20-37 wks) A= number of abortions
before 20 weeks L= number of children currently living
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) - CORRECT ANSWER-Specific objectives of MCH Care focuses
,on the reduction of maternal, perinatal, infant and childhood mortality and
morbidity and the promotion of reproductive health and the physical and
psychosocial development of the child and adolescent within the family.
Community Based Delegation - CORRECT ANSWER-Community based nurse:
serves communities with greater risks and barriers to achieving positive maternal
and child health outcomes
obstetric/neonatal nurse: work with pregnant women to ensure healthy
pregnancies before, during, and after childbirth, works directly with newborn
infants
Parity - CORRECT 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 - CORRECT ANSWER--fundal height in cm should equal weeks of
gestation + or - 2 -12 weeks= above symphysis pubis -16 weeks= halfway between
symphasis pubis and umbilicus -20 weeks= on the umbilicus
*Top of uterus, cervix is base
False Labor - CORRECT 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 - CORRECT 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) - CORRECT 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 - CORRECT
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-0
Safe Ranges and Therapeutic Levels - CORRECT 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
Nonpharm: Bradley method - CORRECT ANSWER-It's a medication-free method
that emphasizes relaxation as a form of pain reduction during labor. But it's also a
comprehensive plan that focuses on healthy living throughout your pregnancy.
Pediatric Physiological Differences to medication - CORRECT 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
Postpartum Assessment (OB Chp 12) - CORRECT ANSWER-*supine position -
pain level -last urine and BM -LOC -VS -cap refil -edema -breast for redness -check
fundus (fundal height, boggy, firm) -check peri pad and note the amount of blood
-episiostomy, c-section, tear assess for redness, edema, drainage, approximation -
check for edema in extremeties -assess emtional status -assess comfort level
Postpartum Assessment of Mom (from collab) - CORRECT ANSWER-Heavy
bleeding, fundus should be firm midline and right at the umbilicus boggy, check
bladder understand normal post partum assessment 1hr: heavy period, small
clots, NO GUSH Fundus should be firm, midline (belly button) every day further
down, 2 fingers+ lower If boggy or to the side, check bladder
Apgar Score (OB text Chp 8 & 15) - CORRECT ANSWER-APGAR: 1 min and 5 min
(start at 10) A- color of baby, its normal to have cyanosis immediately after birth
0=pale or blue
1= pink body blue extremities
2= pink
P- pulse
0=absent
1= less than 100
