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inpatient obstetric nursing practice exam
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a pt is admitted to the labor unit with possible preterm labor. nitrazine
paper is use to detect amniotic fluid. the result is positive with a reading
of Ans: 7.1
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clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea
can be seen when the blood loss reaches Ans: 1500 ml
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an appropriante action in response to a non-reactive NST is to Ans:
consider acoustic stimulation
while the exact mechanism of action is not fully known, mag sulfate
inhibits smooth muscle contractions by direct effect on myometrial Ans:
calcium activity
which of the following decelerations must drop at least 15 bpm from
baseline (early, late, prolonged) Ans: prolonged
according to the NICHD guidelines recurrent decelerations are defined
as decelerations that occur with Ans: greater or equal to 50% UCs in any
20 minute window
the risk of water intoxication is decreased during induction of labor if
oxytocin is given in a/an Ans: isotonic solution
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a fetal heart tracing shows a baseline FHR of 145, moderate variability,
early decelerations and no accelerations and no decelerations. This is a
NICHD category Ans: I (110-160) moderate variability, no variables, no
late decals or prolonged decals
pain experience in the first stage of labor results primarily from Ans:
pressure on adjacent structures and nerves
what are characteristics of a dizygotic pregnancy? Ans: 2 placentas, 2
chorions and 2 amniotic sacs
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validity as applied to a research instrument demonstrates Ans: degree
to which the instrument measures what is was intended to measure
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A pregnant women developed varicella-zoster at 32 weeks gestation.
she is now in active labor at 40 weeks gestation. the nurse would expect
which of the following to be appropriate? Ans: take no action since the
mother's antibodies will be protective
US for antepartum testing uses high frequency sound waves to produce
an image that varies based on the Ans: density of the structure under
the transducer
a pregnancy woman that has a history of herpes simplex virus (HSV). she
hasn't had an outbreak for 5 years. the recommendation for this
pregnancy is to Ans: start antiviral at 36 weeks
The goal of neuraxial analgesia is to provide pain relief Ans: with as little
motor block as possible
the STI that is transmitted trans-placentally is Ans: syphilis