Exam 2026|2027 Actual Complete Real Exam Questions And Correct
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What does an umbilical cord contain? -ANSWER-two arteries (bring
unoxygenated blood back to placenta) and one vein (delivers
oxygenated blood to fetus)
When would you see more lanugo and vernix on a baby? -ANSWER-
when the baby is more preterm
When is the soonest you want membranes to rupture? -ANSWER-when
fetus's head is engaged
four Ps of labor -ANSWER-power, passage, passenger, and psyche
duration of contractions -ANSWER-beginning of contraction to end of
same contraction
frequency of contractions -ANSWER-beginning of one contraction to
beginning of next contraction
premonitory signs of labor -ANSWER-cervical changes, lightening (fetus
descending), increased energy, bloody show, Braxton-Hicks, SROM
,What can early decelerations indicate? -ANSWER-FHR may decrease as
head pushes against cervix
most accurate monitoring for intensity of contractions -ANSWER-
internal monitoring
What must happen for internal monitoring to be used during labor? -
ANSWER-membranes bust be ruptured and baby is at least at station 0
to prevent cord prolapse
What should be done if patient is getting pitocin? -ANSWER-continuous
monitoring (contractions and FHR)
gauging dilatation -ANSWER-index and middle fingers against side of
cervix determines size of opening
How to determine fetal presenting position? -ANSWER-feeling for
fontanelles
Where is FHR best transduced? -ANSWER-on baby's back (lower
quadrant for cephalic presentation, upper quadrant for breech
presentation)
,preparation for Leopold's maneuver -ANSWER-empty bladder, lie on
back with feet on bed, knees bent
What is the purpose of Leopold's maneuver? -ANSWER-determine fetal
position, presentation, and lie
Leopold's maneuver -ANSWER-§ Facing the woman, palpate the upper
abdomen with both hands. Note the shape, consistency, and mobility of
the palpated part. The fetal head is firm and round and moves
independently of the trunk. The buttock feels softer, and it moves with
the trunk.
§ Moving the hands on the pelvis, palpate the abdomen with gentle but
deep pressure. The fetal back, on one side of the abdomen, feels
smooth, and the fetal extremities on the other side feel knobby.
§ Place one hand just above the symphysis. Note whether the part
palpated feels like the fetal head or the breech and whether it is
engaged.
§ Facing the woman's feet, place both hands on the lower portion of
the abdomen and move hands gently down the sides of the uterus
toward the pubis. Note the cephalic prominence or brow.
o 1 and 3 confirm each other, 2 and 4 confirm each other
ominous signs of fetal tachycardia are accompanied by... -ANSWER-late
decelerations, severe variable decelerations, decreased variability
, What are fetal accelerations caused by? -ANSWER-fetal movement
accompanied by uterine contractions
early decelerations -ANSWER-occur uniformly before uterine
contraction and are BENIGN
variable decelerations -ANSWER-managed by repositioning mom to
take pressure off of umbilical cord
late decelerations -ANSWER-need internal monitoring
nursing interventions for nonreassuring FHR -ANSWER-o Optimize
maternal positioning (off of back and onto left side-lying)
o Monitor maternal v/s for hypotension and treat (bolus of fluids)
o Administer IV fluids as needed
o Give supplemental oxygen if indicated
o Consider discontinuing oxytocin
o Initiate continuous monitoring
o capillary ABGs on baby to determine level of hypoxia
o C-section if nothing is improving
o Place internal monitors as appropriate
o Perform vaginal exam to assess for prolapsed cord or labor progress
o Assist physician with fetal blood sampling