BSN 346 SHADOW HEALTH
NON-REASSURING FETAL STATUS
TRANSCRIPT AND DOCUMENTATION
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Risks associated with preterm birth.
Answer: (after 20w and before 37)age younger than 18 years or first
pregnancy at age older than 40 years, hx of medical conditions, present and
past obstetric problems, social and environmental factors, and substance
abuse. Other risk factors include a multifetal pregnancy (which contributes
to overdistention of the uterus) and anemia (which decreases oxygen supply
to the uterus)
◍ Asked about activity level.
Answer: Reports typical high activity levelReports activity level low since
getting sickReports still able to run or playReports focusing in class is
difficult
◍ Transition stage of labor.
Answer: Last part of first stage of labor, from 7cm to fully dilated, Strong
contractions every 1.5-2 minutes, for 60-90 seconds
◍ Asked about cough etiquette.
Answer: Denies covering mouth when coughing
◍ Warfarin takes ___ days to be fully effective.
Answer: 4-5(Doses adjusted to maintain INR > 2.0)
◍ Asked about characteristics of cough.
, Answer: Reports cough is wetReports clear sputum with cough
◍ Normal platelet count.
Answer: 150,000-400,000/mm3
◍ Early signs of newborn hypoxia.
Answer: Nasal flaring, grunting
◍ Asked about onset of cough.
Answer: Reports cough started 3 days ago
◍ Asked about relieving factors for cough.
Answer: Reports cough is temporarily relieved by cough medicine
◍ Early decelerations.
Answer: safe Begin prior to peak of the contraction and end by the end of it.
they are caused by head compression
◍ magnesium sulfate toxcicity s/s.
Answer: loss of deep tendon reflexes, heart block, respiratory paralysis, and
cardiac arrest. **The antidote for magnesium sulfate is calcium gluconate.
◍ Asked about additional review of systems for HEENT.
Answer: Reports frequent coldsDenies headachesDenies nosebleedsDenies
vision difficultyDenies dizzinessDenies watery eyesDenies eye
rednessDenies eye painDenies sinus pain
◍ APGAR.
Answer: appearance, pulse, grimace (reflex irritability), activity, respiration
◍ The nurse is assessing a pregnant client with type 1 diabetes mellitus about
her understanding regarding changing insulin needs during pregnancy. The
nurse determines that further teaching is needed if the client makes which
statement?"I will need to increase my insulin dosage during the first 3
months of pregnancy.""My insulin dose will likely need to be increased
during the second and third trimesters.""Episodes of hypoglycemia are more
likely to occur during the first 3 months of pregnancy.""My insulin needs
should return to prepregnant levels within 7 to 10 days after birth if I am
, bottle-feeding.".
Answer: Insulin needs decrease in the first trimester of pregnancy because of
increased insulin production by the pancreas and increased peripheral
sensitivity to insulin.The statements in options 2, 3, and 4 are accurate and
signify that the client understands control of her diabetes during pregnancy.
◍ Variable decelerations.
Answer: Cord compression symptom: sharp abrupt change in heart rate
without contraction
◍ Established chief complaint.
Answer: Reports cough
◍ Pyridoxine (vitamin B6) often is administered with isoniazid why?.
Answer: to prevent fetal neurotoxicity
◍ Umbilical arteries and vein.
Answer: Arteries carry deoxygenated blood and waste products from the
fetus (Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries.)umbilical vein carries oxygenated blood and provides
oxygen and nutrients to the fetus.
◍ Asked about allergies.
Answer: Denies seasonal allergiesDenies food allergiesDenies medication
allergies
◍ fetal station.
Answer: Location of the presenting part in relation to the midpelvis or
ischial spines; expressed as cm above or below the spines; station 0 is
engaged, station -2 is 2 cm above the ischial spines
◍ Risk factors for labor dystocia.
Answer: advanced maternal age, overweight, electrolyte imbalances,
previous difficulty with fertility, uterine overstimulation with oxytocin,
short stature, prior version, masculine characteristics, uterine abnormalities,
malpresentations and position of the fetus, cephalopelvic disproportion,
maternal fatigue, dehydration, fear, administration of an analgesic early in
NON-REASSURING FETAL STATUS
TRANSCRIPT AND DOCUMENTATION
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Risks associated with preterm birth.
Answer: (after 20w and before 37)age younger than 18 years or first
pregnancy at age older than 40 years, hx of medical conditions, present and
past obstetric problems, social and environmental factors, and substance
abuse. Other risk factors include a multifetal pregnancy (which contributes
to overdistention of the uterus) and anemia (which decreases oxygen supply
to the uterus)
◍ Asked about activity level.
Answer: Reports typical high activity levelReports activity level low since
getting sickReports still able to run or playReports focusing in class is
difficult
◍ Transition stage of labor.
Answer: Last part of first stage of labor, from 7cm to fully dilated, Strong
contractions every 1.5-2 minutes, for 60-90 seconds
◍ Asked about cough etiquette.
Answer: Denies covering mouth when coughing
◍ Warfarin takes ___ days to be fully effective.
Answer: 4-5(Doses adjusted to maintain INR > 2.0)
◍ Asked about characteristics of cough.
, Answer: Reports cough is wetReports clear sputum with cough
◍ Normal platelet count.
Answer: 150,000-400,000/mm3
◍ Early signs of newborn hypoxia.
Answer: Nasal flaring, grunting
◍ Asked about onset of cough.
Answer: Reports cough started 3 days ago
◍ Asked about relieving factors for cough.
Answer: Reports cough is temporarily relieved by cough medicine
◍ Early decelerations.
Answer: safe Begin prior to peak of the contraction and end by the end of it.
they are caused by head compression
◍ magnesium sulfate toxcicity s/s.
Answer: loss of deep tendon reflexes, heart block, respiratory paralysis, and
cardiac arrest. **The antidote for magnesium sulfate is calcium gluconate.
◍ Asked about additional review of systems for HEENT.
Answer: Reports frequent coldsDenies headachesDenies nosebleedsDenies
vision difficultyDenies dizzinessDenies watery eyesDenies eye
rednessDenies eye painDenies sinus pain
◍ APGAR.
Answer: appearance, pulse, grimace (reflex irritability), activity, respiration
◍ The nurse is assessing a pregnant client with type 1 diabetes mellitus about
her understanding regarding changing insulin needs during pregnancy. The
nurse determines that further teaching is needed if the client makes which
statement?"I will need to increase my insulin dosage during the first 3
months of pregnancy.""My insulin dose will likely need to be increased
during the second and third trimesters.""Episodes of hypoglycemia are more
likely to occur during the first 3 months of pregnancy.""My insulin needs
should return to prepregnant levels within 7 to 10 days after birth if I am
, bottle-feeding.".
Answer: Insulin needs decrease in the first trimester of pregnancy because of
increased insulin production by the pancreas and increased peripheral
sensitivity to insulin.The statements in options 2, 3, and 4 are accurate and
signify that the client understands control of her diabetes during pregnancy.
◍ Variable decelerations.
Answer: Cord compression symptom: sharp abrupt change in heart rate
without contraction
◍ Established chief complaint.
Answer: Reports cough
◍ Pyridoxine (vitamin B6) often is administered with isoniazid why?.
Answer: to prevent fetal neurotoxicity
◍ Umbilical arteries and vein.
Answer: Arteries carry deoxygenated blood and waste products from the
fetus (Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries.)umbilical vein carries oxygenated blood and provides
oxygen and nutrients to the fetus.
◍ Asked about allergies.
Answer: Denies seasonal allergiesDenies food allergiesDenies medication
allergies
◍ fetal station.
Answer: Location of the presenting part in relation to the midpelvis or
ischial spines; expressed as cm above or below the spines; station 0 is
engaged, station -2 is 2 cm above the ischial spines
◍ Risk factors for labor dystocia.
Answer: advanced maternal age, overweight, electrolyte imbalances,
previous difficulty with fertility, uterine overstimulation with oxytocin,
short stature, prior version, masculine characteristics, uterine abnormalities,
malpresentations and position of the fetus, cephalopelvic disproportion,
maternal fatigue, dehydration, fear, administration of an analgesic early in
