NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
What does fetal circulation consist of? - ANSWER Two umbilical Arteries and One umbilical vein.
What is the normal heart rate of the fetus? - ANSWER 110 - 160 bpm
What is the purpose of estrogen during pregnancy? - ANSWER It stimulates uterine development to
provide an environment for the fetus, and stimulates the breast to prepare for lactation.
List 4 functions of amniotic fluid. - ANSWER 1. Allows for fetal movement
2. It is a measure of kidney function
3. Surrounds, cushions and protects the fetus
4. Maintains the body temperature of the fetus
Using Nagele's Rule, what is the estimated date of birth if a woman tells you the first day of her LMP was
October 20, 2012? - ANSWER July 27, 2013
Give the GTPAL if a pregnant woman that reports having a child that is 5 (born at 38 weeks), and no
other pregnancy history? - ANSWER G2- T0- P0 - A0 -L1
Goodell's sign is indicative of what? - ANSWER A softening of the cervix
,NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
If a pregnant client is 28 weeks gestation. Where would you expect to measure the fundal height in
centimeters? - ANSWER 28 cm
What is quickening? - ANSWER Fetal movement that is felt by the mother
Ballottement, Chadwicks sign, Uterine enlargement and Braxton Hicks contractions are what kind of sign
of pregnancy? - ANSWER Probable
Name 3 classic signs of preeclamsia? - ANSWER 1. Proteinuria
2. Hypertension
3. Generalized edema
After a client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and
observes a spurt of blood from the vagina. The nurse recognizes these findings as a sign of: - ANSWER
Placental separation
What color would you expect lochia to be in the 4th stage of labor? - ANSWER Red
Where should a nurse expect the fundus to be immediately after delivery? - ANSWER At the level of the
umbilicus
Name 4 self care instructions for a post postpartum woman diagnosed with Mastitis. - ANSWER 1. Wear
a supportive, non-underwire bra
2. Rest during the acute phase
3. Maintain 3000mL of fluid intake
4. Continue to breast feed if the breast are not too sore
, NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
What is a serious adverse effect associated with Oxytocin (Pitocin)? - ANSWER Tetanic contractions
How frequent are contractions during the 2nd stage of labor? - ANSWER Every 15 mins
When does the 3rd stage of labor end? - ANSWER After the birth of the placenta
How can a nurse most effectively determine the duration of a clients contractions? - ANSWER By timing
the period from the onset of uterine tightening to uterine relaxation.
What finding indicates impending placental separation? - ANSWER Umbilical cord lengthening
During the 4th stage of labor, the nurse notes that the clients fundus is boggy and located above the
umbilicus. How should the nurse intervene? - ANSWER Massage the client's fundus
A client is experiencing TRUE labor, when her contractions are: - ANSWER Regular and increase in
frequency and duration
Define fatal tachycardia? - ANSWER FHR is greater than 160 bpm for 10 mins or longer
What intervention should the nurse take for a client in the 2nd stage of labor that experiences
membrane rupture? - ANSWER Check for a prolapsed cord
What are the cardinal movements of labor? - ANSWER Fetal decent
Flexion
Internal rotation
Extension
External rotation
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
What does fetal circulation consist of? - ANSWER Two umbilical Arteries and One umbilical vein.
What is the normal heart rate of the fetus? - ANSWER 110 - 160 bpm
What is the purpose of estrogen during pregnancy? - ANSWER It stimulates uterine development to
provide an environment for the fetus, and stimulates the breast to prepare for lactation.
List 4 functions of amniotic fluid. - ANSWER 1. Allows for fetal movement
2. It is a measure of kidney function
3. Surrounds, cushions and protects the fetus
4. Maintains the body temperature of the fetus
Using Nagele's Rule, what is the estimated date of birth if a woman tells you the first day of her LMP was
October 20, 2012? - ANSWER July 27, 2013
Give the GTPAL if a pregnant woman that reports having a child that is 5 (born at 38 weeks), and no
other pregnancy history? - ANSWER G2- T0- P0 - A0 -L1
Goodell's sign is indicative of what? - ANSWER A softening of the cervix
,NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
If a pregnant client is 28 weeks gestation. Where would you expect to measure the fundal height in
centimeters? - ANSWER 28 cm
What is quickening? - ANSWER Fetal movement that is felt by the mother
Ballottement, Chadwicks sign, Uterine enlargement and Braxton Hicks contractions are what kind of sign
of pregnancy? - ANSWER Probable
Name 3 classic signs of preeclamsia? - ANSWER 1. Proteinuria
2. Hypertension
3. Generalized edema
After a client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and
observes a spurt of blood from the vagina. The nurse recognizes these findings as a sign of: - ANSWER
Placental separation
What color would you expect lochia to be in the 4th stage of labor? - ANSWER Red
Where should a nurse expect the fundus to be immediately after delivery? - ANSWER At the level of the
umbilicus
Name 4 self care instructions for a post postpartum woman diagnosed with Mastitis. - ANSWER 1. Wear
a supportive, non-underwire bra
2. Rest during the acute phase
3. Maintain 3000mL of fluid intake
4. Continue to breast feed if the breast are not too sore
, NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) 175 solutions Rated 100
% PASS Grade
What is a serious adverse effect associated with Oxytocin (Pitocin)? - ANSWER Tetanic contractions
How frequent are contractions during the 2nd stage of labor? - ANSWER Every 15 mins
When does the 3rd stage of labor end? - ANSWER After the birth of the placenta
How can a nurse most effectively determine the duration of a clients contractions? - ANSWER By timing
the period from the onset of uterine tightening to uterine relaxation.
What finding indicates impending placental separation? - ANSWER Umbilical cord lengthening
During the 4th stage of labor, the nurse notes that the clients fundus is boggy and located above the
umbilicus. How should the nurse intervene? - ANSWER Massage the client's fundus
A client is experiencing TRUE labor, when her contractions are: - ANSWER Regular and increase in
frequency and duration
Define fatal tachycardia? - ANSWER FHR is greater than 160 bpm for 10 mins or longer
What intervention should the nurse take for a client in the 2nd stage of labor that experiences
membrane rupture? - ANSWER Check for a prolapsed cord
What are the cardinal movements of labor? - ANSWER Fetal decent
Flexion
Internal rotation
Extension
External rotation
