MATERNAL/NEWBORN EXAM 1 Questions And Answers

MATERNAL/NEWBORN EXAM 1
Questions And Answers
Ac35-year-
oldcfemaleciscinclabor.cThecbabyciscengagedcincthecpelvis.cAscthecnursecyoucknowcthatcthiscm
eanscthatcthecfetalcstationciscapproximately?
A.c+1
B.c0
C.c+2
D.c-1c-cCORRECTccANSWER-B.c0

Acclientcisccomplainingcofcpainfulccontractions,corcafterpains,concpostpartumcdayc2.cWhichco
fcthecfollowingcconditionsccouldcincreasecthecseveritycofcafterpains?
A.cBottle-feeding
B.cDiabetes
C.cMultiplecgestation
D.cPrimiparityc-cCORRECTccANSWER-C.cMultiplecgestation
Multiplecgestation,cbreastfeeding,cmultiparity,candcconditionscthatccausecoverdistentioncofct
hecuteruscwillcincreasecthecintensitycofcafter-pains.cBottle-
feedingcandcdiabetescaren'tcdirectlycassociatedcwithcincreasingcseveritycofcafterpainscunles
scthecclientchascdeliveredcacmacrosomiccinfant.

Acnewborn'sconecminutecAPGARcscorecisc8.cWhichcofcthecfollowingcnursingcinterventionscw
illcyoucprovidectocthiscnewborn?
A.cRoutinecpost-deliveryccare
B.cFullcresuscitationcassistanceciscneededcandcreassesscAPGARcscore
C.cContinuectocmonitorcandcreassesscthecAPGARcscorecinc10cminutes
D.cSomecresuscitationcassistancecsuchcascoxygenc-cCORRECTccANSWER-
A.cRoutinecpost-deliveryccare
ScoringcInterventionscarecascfollows:c7-
10:cnocinterventions,cbabycdoingcgoodcjustcneedscroutinecpost-deliveryccare,c4-
6:csomecresuscitationcassistancecrequiredclikecoxygen,csuction....cstimulatecthecbaby,crubcb
aby'scback,c0-
3:cneedscfullcresuscitationc*RemembercthecAPGARcscoringciscperformedcatc1cminutecandc5c
minutescaftercbirthcandcreassessedcatc10cminutesc(5cminutesclater)caftercbirthcifcthecscorecisc
6corcless.

, AcnursecisccaringcforcacPPcclientcwithcacdiagnosiscofcDVTcwhociscreceivingcaccontinuouscintr
avenouscinfusioncofcheparincsodium.cWhichcofcthecfollowingclaboratorycresultscwillcthecnurs
ecspecificallycreviewctocdeterminecifcanceffectivecandcappropriatecdosecofcthecheparinciscbei
ngcdelivered?
A.cProthrombinctime
B.cInternationalcnormalizedcratio
C.cActivatedcpartialcthromboplastinctime
D.cPlateletccountc-cCORRECTccANSWER-C.cActivatedcpartialcthromboplastinctime
Anticoagulationctherapycmaycbecusedctocpreventcthecextensioncofcthrombuscbycdelayingcth
ecclottingctimecofcthecblood.cActivatedcpartialcthromboplastinctimecshouldcbecmonitored,can
dcacheparincdosecshouldcbecadjustedctocmaintaincactherapeuticclevelcofc1.5ctoc2.5ctimescthec
control.cThecprothrombinctimecandcthecINRcarecusedctocmonitorccoagulationctimecwhencwarf
arinc(Coumadin)ciscused.

AcnursecisccaringcforcacPPcwomancwhochascreceivedcepiduralcanesthesiacandciscmonitoringc
thecwomancforcthecpresencecofcacvulvachematoma.cWhichcofcthecfollowingcassessmentcfindi
ngscwouldcbestcindicatecthecpresencecofcachematoma?
A.cComplaintscofcactearingcsensation
B.cComplaintscofcintensecpain
C.cChangescincvitalcsigns
D.cSignscofcheavycbruisingc-cCORRECTccANSWER-C.cChangescincvitalcsigns
Becausecthecwomanchaschadcepiduralcanesthesiacandciscanesthetized,csheccannotcfeelcpai
n,cpressure,corcactearingcsensation.cChangescincvitalscindicatechypovolemiacincthecanesthet
izedcPPcwomancwithcvulvarchematoma.cHeavycbruisingcmaycbecvisualized,cbutcvitalcsigncch
angescindicatechematomaccausedcbycbloodccollectioncincthecperinealctissues.

Acnursingcstudent,cwhocyoucarecpreceptingcduringctheircOBcrotation,caskscyoucwhencthecfun
duscofcthecuterusciscnoclongercpalpable.cYoucanswer:*
A.catcaboutc10ctoc14cdays
B.catcaboutc7cdays
C.catc6cweeks
D.c48chourscaftercthecdeliverycofcthecbabyc-cCORRECTccANSWER-
A.catcaboutc10ctoc14cdays

Acpostpartumcnurseciscpreparingctoccarecforcacwomancwhochascjustcdeliveredcachealthycnew
borncinfant.cIncthecimmediatecpostpartumcperiodcthecnursecplansctoctakecthecwoman'scvitalc
signs:
A.cEveryc30cminutescduringcthecfirstchourcandcthenceverychourcforcthecnextctwochours.
B.cEveryc15cminutescduringcthecfirstchourcandcthenceveryc30cminutescforcthecnextctwochours.
C.cEverychourcforcthecfirstc2chourscandcthenceveryc4chours
D.cEveryc5cminutescforcthecfirstc30cminutescandcthenceverychourcforcthecnextc4chours.c-
cCORRECTccANSWER-

B.cEveryc15cminutescduringcthecfirstchourcandcthenceveryc30cminutescforcthecnextctwochours.