CONCORDIA NUR 418 PEDS/OB EXAM 1 NEWEST
2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
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- G= total number of times pregnant
T= number of term infants born (Between 38-42wks)
P= number of preterm infants born
A= number of abortions before 20 weeks
L= number of children currently living
,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
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 infantsA
Fundal height - CORRECT 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 - 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 Adjust IVF, oxytocin
if using, tocolytics (terbutaline) if using to promote uterine relaxation, supplemental O2 to
promote fetal oxygenation
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, medications are weight based
Nonpharm: Bradley method - CORRECT 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
2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
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- G= total number of times pregnant
T= number of term infants born (Between 38-42wks)
P= number of preterm infants born
A= number of abortions before 20 weeks
L= number of children currently living
,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
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 infantsA
Fundal height - CORRECT 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 - 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 Adjust IVF, oxytocin
if using, tocolytics (terbutaline) if using to promote uterine relaxation, supplemental O2 to
promote fetal oxygenation
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, medications are weight based
Nonpharm: Bradley method - CORRECT 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
