NR 327 CERTIFICATION EVALUATION
QUESTIONS AND ANSWERS FULL
SOLUTION GRADED A+
●● Uterine tachysystole
Answer: more than 5 contractions in 10 minutes
●● What can uterine tachysytole put the fetus at risk for ?
Answer: decreased fetal oxygenation
*requires immediate action*
●● If amniotic membranes have ruptured, assess for...
Answer: time
amount
color
odor
●● Why is it important for a client in labor to maintain an empty
bladder?
Answer: To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
,●● Misprostol
Answer: causes cervical ripening and contractions
●● Misprostol adverse effects
Answer: uterine tachysystole
*should not be given to clients who have had a previous cesarean birth
or major uterine surgery*
●● Dinoprostone
Answer: one time dose administered vaginally used to ripen the cervix
●● Oxytocin
Answer: cause uterine contractions once the cervix is favorable or when
contractions need to be stronger or more regular to dilate the cervix. It is
also used after birth to control postpartum hemorrhage.
●● Oxytocin adverse effects
Answer: blood pressure elevation
water intoxication
decreased urine output
uterine tachysystole
fetal hypoxia
cardiac arrhythmias
, nausea and vomiting
●● What is the highest priority after birth of the fetus?
Answer: Establishing the newborn's airway
●● fetal occiput
Answer: most rounded and smooth surface of the fetal head, is best at
fitting through the pelvis and dilating the cervix when it is turned in a
right anterio
●● Passageway
Answer: pelvis
●● Passanger
Answer: fetus, umbillical cord, and placenta
●● Powers
Answer: contractions
●● Position
Answer: change frequently and remain physically active during labor
when safe to do so
QUESTIONS AND ANSWERS FULL
SOLUTION GRADED A+
●● Uterine tachysystole
Answer: more than 5 contractions in 10 minutes
●● What can uterine tachysytole put the fetus at risk for ?
Answer: decreased fetal oxygenation
*requires immediate action*
●● If amniotic membranes have ruptured, assess for...
Answer: time
amount
color
odor
●● Why is it important for a client in labor to maintain an empty
bladder?
Answer: To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
,●● Misprostol
Answer: causes cervical ripening and contractions
●● Misprostol adverse effects
Answer: uterine tachysystole
*should not be given to clients who have had a previous cesarean birth
or major uterine surgery*
●● Dinoprostone
Answer: one time dose administered vaginally used to ripen the cervix
●● Oxytocin
Answer: cause uterine contractions once the cervix is favorable or when
contractions need to be stronger or more regular to dilate the cervix. It is
also used after birth to control postpartum hemorrhage.
●● Oxytocin adverse effects
Answer: blood pressure elevation
water intoxication
decreased urine output
uterine tachysystole
fetal hypoxia
cardiac arrhythmias
, nausea and vomiting
●● What is the highest priority after birth of the fetus?
Answer: Establishing the newborn's airway
●● fetal occiput
Answer: most rounded and smooth surface of the fetal head, is best at
fitting through the pelvis and dilating the cervix when it is turned in a
right anterio
●● Passageway
Answer: pelvis
●● Passanger
Answer: fetus, umbillical cord, and placenta
●● Powers
Answer: contractions
●● Position
Answer: change frequently and remain physically active during labor
when safe to do so
