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CONCORDIA NUR 418 PEDS/OB EXAM 1
NEWEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (100%
GUARANTEED PASS!!!)
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) ......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 ......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
What can be delegated? ......answer.....•Delegate to role below nurse. Cannot
delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
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Family Centered Care concepts (FCC Care Video ) ......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 ......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
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 + 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
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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-0
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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
Nonpharm: Bradley method ......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 ......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) ......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,
CONCORDIA NUR 418 PEDS/OB EXAM 1
NEWEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (100%
GUARANTEED PASS!!!)
Focus of Community Based Maternal Child Health Programs (Maternal child
Discussion board) ......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 ......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
What can be delegated? ......answer.....•Delegate to role below nurse. Cannot
delegate assessment. Stable condition. Predictable. YES to bathing NO to
assessing a wound
,2|Page
Family Centered Care concepts (FCC Care Video ) ......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 ......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
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 + 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
,3|Page
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-0
, 4|Page
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
Nonpharm: Bradley method ......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 ......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) ......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,
