Maternity Nursing Exam I
What are the priority areas of care from birth through the 1st 2 hours? - Answer Airway maintainence
Adequate oxygen supply
Maintain body temp
Eye prophylaxis
Vitamin K prophylaxis
Umbilical care
Promoting parent infant interaction
PKU screening
What is the normal heart rate range for a newborn? - Answer 100 to 160 taken for full 60 seconds
What is the normal respiration rate for a newborn? - Answer 30 to 60 taken for full 60 seconds
What is the temperature range for a newborn? - Answer 97.6 low to 100.2 high
According to the Health Protection act of 1996 health plans are required to allow the mother and baby
to remain in the hospital for how long? Vaginal birth? Cesarean birth? - Answer Vaginal birth- 48 hours
Cesarean birth-96 hours
What are the blood loss pad saturation assessments termed in order to show the amount of saturation?
- Answer Scant = less than 2.5 cm
Light= less than 10 cm
Moderate= greater than 10 cm
Heavy= one pad saturated within 2 hours
What does the APGAR acronym stand for? - Answer Appearance (skin color)
Pulse (heart rate)
Grimace (reflex irritability)
Activity (muscle tone)
, Maternity Nursing Exam I
Respiration
On the APGAR assessment how is the "Appearance" evaluated and scored? - Answer Appearance=Skin
color, Blue, or pale=0 points, Body pink, extremities blue=1, Completely pink=2
On the APGAR assessment how is the "Pulse" evaluated and scored? - Answer Pulse=Heart rate,
Absent=0 points, less than 100 BPM=1 points, Greater than 100 BMP=2 points
On the APGAR assessment how is the "Grimace" evaluated and scored? - Answer Grimace=Reflex
irritability, No response=0 points, Grimace=1 points, Cry=2 points
On the APGAR assessment how is the "Activity" evaluated and scored? - Answer Activity=Muscle tone,
Flaccid= 0 points, Some flexion of extremites=1 points, Well flexed=2 points
On the APGAR assessment how is the "Respiration" evaluated and scored? - Answer
Respiration=Respiratory rate, Absent=0 points, Slow weak cry=1 points, Good cry=2 points
According to the APGAR scoring a score of 0-3 indicates what? - Answer Severe distress adjusting to
extrauterine life
According to the APGAR scoring a score of 4-6 indicates what? - Answer Moderate difficulty adjusting to
extrauterine life
According to the APGAR scoring a score of 7-10 indicates what? - Answer Minimal or no difficulty
adjusting to extrauterine life
What four conditions are essential for maintaining an adequate oxygen supply? - Answer 1. A clear
airway.
2. Effective establishment of respirations.
3. Adequate circulation, adequate perfusion, effective cardiac function.
4. Adequate thermoregulation
What are the priority areas of care from birth through the 1st 2 hours? - Answer Airway maintainence
Adequate oxygen supply
Maintain body temp
Eye prophylaxis
Vitamin K prophylaxis
Umbilical care
Promoting parent infant interaction
PKU screening
What is the normal heart rate range for a newborn? - Answer 100 to 160 taken for full 60 seconds
What is the normal respiration rate for a newborn? - Answer 30 to 60 taken for full 60 seconds
What is the temperature range for a newborn? - Answer 97.6 low to 100.2 high
According to the Health Protection act of 1996 health plans are required to allow the mother and baby
to remain in the hospital for how long? Vaginal birth? Cesarean birth? - Answer Vaginal birth- 48 hours
Cesarean birth-96 hours
What are the blood loss pad saturation assessments termed in order to show the amount of saturation?
- Answer Scant = less than 2.5 cm
Light= less than 10 cm
Moderate= greater than 10 cm
Heavy= one pad saturated within 2 hours
What does the APGAR acronym stand for? - Answer Appearance (skin color)
Pulse (heart rate)
Grimace (reflex irritability)
Activity (muscle tone)
, Maternity Nursing Exam I
Respiration
On the APGAR assessment how is the "Appearance" evaluated and scored? - Answer Appearance=Skin
color, Blue, or pale=0 points, Body pink, extremities blue=1, Completely pink=2
On the APGAR assessment how is the "Pulse" evaluated and scored? - Answer Pulse=Heart rate,
Absent=0 points, less than 100 BPM=1 points, Greater than 100 BMP=2 points
On the APGAR assessment how is the "Grimace" evaluated and scored? - Answer Grimace=Reflex
irritability, No response=0 points, Grimace=1 points, Cry=2 points
On the APGAR assessment how is the "Activity" evaluated and scored? - Answer Activity=Muscle tone,
Flaccid= 0 points, Some flexion of extremites=1 points, Well flexed=2 points
On the APGAR assessment how is the "Respiration" evaluated and scored? - Answer
Respiration=Respiratory rate, Absent=0 points, Slow weak cry=1 points, Good cry=2 points
According to the APGAR scoring a score of 0-3 indicates what? - Answer Severe distress adjusting to
extrauterine life
According to the APGAR scoring a score of 4-6 indicates what? - Answer Moderate difficulty adjusting to
extrauterine life
According to the APGAR scoring a score of 7-10 indicates what? - Answer Minimal or no difficulty
adjusting to extrauterine life
What four conditions are essential for maintaining an adequate oxygen supply? - Answer 1. A clear
airway.
2. Effective establishment of respirations.
3. Adequate circulation, adequate perfusion, effective cardiac function.
4. Adequate thermoregulation
