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RNC-NIC Questions Ch 1-4 General Assessment and Management with all Correct & 100% Verified Answers |Already Graded A+

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RNC-NIC Questions Ch 1-4 General Assessment and Management with all Correct & 100% Verified Answers |Already Graded A+

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RNC-NIC Questions Ch 1-4 General Assessment and
Management with all Correct & 100% Verified Answers |
Already Graded A+
1. Which of the following
B. A cephalohematoma is a collection of blood
descriptions defines a
be-tween the periosteum and the skull that does
cephalohematoma? not cross
A.Pitting edema that extends across the suture line. It may enlarge during the
24hrs after
the suture lines caused by birth and may take several months to resolve.
pressure generated on the These in-fants are at higher risk for developing
fetal skull by the cervix. hyperbilirubine-mia. A caput succedaneum is
Edema generally resolves in a caused from pressure on the fetal skull by the
few days. cervix during labor. A common characteristic of
B. Collection of blood between a caput succedaneum is pitting edema that
the periosteum and the skull extends across the suture lines. Edema
and does not cross the suture generally resolves within a few days.
line. It may en-large during Craniosynostosis is the pre-mature closure of the
the 24hrs after birth and may cranial sutures. A hemorrhage into the space
take several months to re- between the galea aponeurotica and the
solve. periosteum is a subgaleal hemorrhage.
C. Premature closure of the
cranial suture with a palpable
suture line.
D. Hemorrhage into the space
be-tween the galea
aponeurotica and the
periosteum. Hematoma may
cross the suture lines and may
lead to exsanguinations of the
infant.

2. A patient who is G3P2 at 33 wks ges- B. Fibronectins are a family of proteins
found in the
tation arrives at the triage unit com- extracellular matrix. Fetal fibronectins (fFns)


, RNC-NIC Questions Ch 1-4 General Assessment and
Management with all Correct & 100% Verified Answers |
are found Already Graded A+
plaining of regular uterine in fetal membranes and decidua throughout
contrac-tions. Her pregnancy pregnan-cy. As the gestational sac implants and
Hx includes a preterm delivery attaches to the interior of the uterus in the first
at 34 wks. Before examining half of pregnancy, fFns are normally found in the
her, the nurse performs cervicovaginal fluid. After 22 weeks, the
electronic fetal monitoring and presence of fFns normally is no longer
ob-tains a complete Hx. The pt detected in vaginal secretions until
reports no bleeding and no approximately 2 weeks before the onset of
ROM. She has delivery, term or preterm. It
had no vaginal examinations or sex- is suggested that fFns be released into
the cervix and
ual activity for more than 24 hours. the vagina when mechanical- or
inflammatory-mediat-






, RNC-NIC Questions Ch 1-4 General Assessment and
Management with all Correct & 100% Verified Answers |
Already
The biochemical marker Graded
useful A+ occurs to the membranes.
in ed damage
Cervical ferritin
this situation for predicting preterm is not a biomarker, but an inflammatory
marker whose
birth is: presence provides support for the theory that
A. cervical ferritin infec-tion is a mediator of preterm birth.
B. fetal fibronectin Maternal plasma concentrations of corticotropin-
C. Corticotropin-releasing releasing hormone are elevated in both term
hor-mone and preterm pregnancies. It appears to be a
D. placental α-microglobulin-1 component of the common pathway of labor,
regardless of gestation. Placental α-microglob-
ulin-1 is a protein found in amniotic fluid that is
a biomarker for ROM.
3. When electronic fetal
monitoring is used, the best B. Variability is the most important FHR
indicator of fetal oxy-genation characteristic. It is the most important indicator
status during labor is: of normal fetal pH or acidosis. Moderate FHR
A. FHR baseline within the variability reliably predicts the absence of fetal
normal range metabolic acidemia. The normal FHR baseline
B. moderate FHR variability range is 110-160 bpm regardless of GA.
C. absence of decelerations of Decelerations are categorized as late, early,
variable, or prolonged. Decelerations are
the FHR
caused by 2 basic mechanisms: 1. reflex
D. presence of accelerations of
autonomic slowing of the FHR in response to
the FHR
changes in BP, blood gases, and possibly other
factors; 2. direct depression of the FHR resulting
in disrupted O2 transfer. Like moderate variability,
ac-celerations reflect normal autonomic regulation
of the FHR and are highly predictive of the
absence of fetal metabolic acidemia.
4. The BPP is currently the
primary
A. The BPP is an evaluation of fetal well-being
through


, RNC-NIC Questions Ch 1-4 General Assessment and
Management with all Correct & 100% Verified Answers |
Already
method for evaluating fetal well-be-Graded
the use ofA+
various reflex activities that are
controlled
ing through the assessment of by the CNS and are sensitive to hypoxia, as well as
vari-ous activities that are the fetal environment that can attect fetal well-
controlled by the nervous being. The biophysical activities are the first to
system and are sensi-tive to develop and the last to disappear when
oxygenation. The five vari- asphyxia occurs. The BPP con-

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