1|Page
NFDN 2004 - FINAL REVIEW QUESTIONS WITH
COMPLETE SOLUTIONS
3 positive signs of pregnancy - ....ANSWER ....✔✔
Fetal HB
Movement felt by examiner
Visulization of fetus
(see, feel, hear)
avoid during pregnancy - ....ANSWER ....✔✔ caffeine
(over 3 cups a day associated with early miscarriage
excessive seafood = tuna, shark high in mercury
listeria = found in soil and water that is contaminated
goals of prenatal education - ....ANSWER ....✔✔
Increase understanding of the process of birth.
Generally to understand the length of labour. Increased
satisfaction with the process of labour through
knowledge and understanding
Increase knowledge of physical/psychological changes
,2|Page
rubra lochia - ....ANSWER ....✔✔ red- mostly blood
(3 days)
serosa lochia - ....ANSWER ....✔✔ pink blood +
mucous (3-10 days)
lochia alba - ....ANSWER ....✔✔ whiteish or colourless
- mostly mucous (up to 6 weeks)
within what amount of time do we want the baby to be
nursed following birth - ....ANSWER ....✔✔ 30 minutes
BUBBLE HER physical assessment - ....ANSWER ....✔✔
B = breasts (nipples)
U = uterus (firm for boggy)
B = bladder
B = bowel
L = locha (dissipate clot to ensure there is no tissue-
could indicate hemorrhage)
E = episiotomy (perineum)
,3|Page
H = humans (passer stretch only) ask patient to bring
tools upwards looking for DVT - pain in calf when this
happens
E = emotional
R = rest and activity
prolactin - ....ANSWER ....✔✔ milk production when
baby attaches
what stimulates the let down reflect for breast milk -
....ANSWER ....✔✔ oxytocin
would you give an enema or suppository with a 3rd or
4th degree tear - ....ANSWER ....✔✔ no
New admission - C section
Assessment of incision - ....ANSWER ....✔✔ REEDA
r=redness
e=edema
e=ecchymosis
d=discharge
a=approximation
, 4|Page
nursing care for cesarean - ....ANSWER ....✔✔ treat
as post op
bubble vitals
how would you manage a patient complaining of
perineal pain - what would assessment include -
....ANSWER ....✔✔ edema, bleeding, infection, pain
treat with ice and analgesic
why do we assess funds and lochia - ....ANSWER
....✔✔ postpartum bleeding and to ensure involution.
What assessment to be done if lochia is heavy and/or
clots? - ....ANSWER ....✔✔ fundal assessment
boggy? massage uterus to get contractions happening
again
constipated treatment - ....ANSWER ....✔✔ fibre,
fluid, fittness
kangaroo care - ....ANSWER ....✔✔ breast milk
production, regulate babies temp, increase bonding
NFDN 2004 - FINAL REVIEW QUESTIONS WITH
COMPLETE SOLUTIONS
3 positive signs of pregnancy - ....ANSWER ....✔✔
Fetal HB
Movement felt by examiner
Visulization of fetus
(see, feel, hear)
avoid during pregnancy - ....ANSWER ....✔✔ caffeine
(over 3 cups a day associated with early miscarriage
excessive seafood = tuna, shark high in mercury
listeria = found in soil and water that is contaminated
goals of prenatal education - ....ANSWER ....✔✔
Increase understanding of the process of birth.
Generally to understand the length of labour. Increased
satisfaction with the process of labour through
knowledge and understanding
Increase knowledge of physical/psychological changes
,2|Page
rubra lochia - ....ANSWER ....✔✔ red- mostly blood
(3 days)
serosa lochia - ....ANSWER ....✔✔ pink blood +
mucous (3-10 days)
lochia alba - ....ANSWER ....✔✔ whiteish or colourless
- mostly mucous (up to 6 weeks)
within what amount of time do we want the baby to be
nursed following birth - ....ANSWER ....✔✔ 30 minutes
BUBBLE HER physical assessment - ....ANSWER ....✔✔
B = breasts (nipples)
U = uterus (firm for boggy)
B = bladder
B = bowel
L = locha (dissipate clot to ensure there is no tissue-
could indicate hemorrhage)
E = episiotomy (perineum)
,3|Page
H = humans (passer stretch only) ask patient to bring
tools upwards looking for DVT - pain in calf when this
happens
E = emotional
R = rest and activity
prolactin - ....ANSWER ....✔✔ milk production when
baby attaches
what stimulates the let down reflect for breast milk -
....ANSWER ....✔✔ oxytocin
would you give an enema or suppository with a 3rd or
4th degree tear - ....ANSWER ....✔✔ no
New admission - C section
Assessment of incision - ....ANSWER ....✔✔ REEDA
r=redness
e=edema
e=ecchymosis
d=discharge
a=approximation
, 4|Page
nursing care for cesarean - ....ANSWER ....✔✔ treat
as post op
bubble vitals
how would you manage a patient complaining of
perineal pain - what would assessment include -
....ANSWER ....✔✔ edema, bleeding, infection, pain
treat with ice and analgesic
why do we assess funds and lochia - ....ANSWER
....✔✔ postpartum bleeding and to ensure involution.
What assessment to be done if lochia is heavy and/or
clots? - ....ANSWER ....✔✔ fundal assessment
boggy? massage uterus to get contractions happening
again
constipated treatment - ....ANSWER ....✔✔ fibre,
fluid, fittness
kangaroo care - ....ANSWER ....✔✔ breast milk
production, regulate babies temp, increase bonding
