NFDN 2004 - FINAL REVIEW questions with
accurate answers
*******urine dips at prenatal visits Ans✓✓✓ for protein
(preeclampsia) and glucose (diabetes)
*1st priority intervention to. prevent. heat loss and cold stress in babies
Ans✓✓✓ dry thoroughly and wrap with blanket
*5 main reasons for postpartum hemorrhage Ans✓✓✓ uterine atony
(relaxation of uterus)
trauma (lacerations/hematoma)
retained products of conception
DIC - PPH, HELLP syndrome, placental abruption
uterine inversion (prolapsed) uterus on side of body
treatment depends on cause of hemorrhage
*advanced maternal age is at risk for Ans✓✓✓ chromosomal
abnormalities, preeclampsia, diabetes
*BABIES ARE DEFICIENT IN VITAMIN K WHEN BORN
Ans✓✓✓ ADMINISTER. VITAMIN K IM VASTUS LATERALIS
*cephalohematoma Ans✓✓✓ blood accumulation at top of babies will
be off to one side (more at risk for jaundice - need to get rid of RBCS)
,*colostrum Ans✓✓✓ first milk (natural laxative, promotes BM,
encourages elimination of bile in gut instead of being recycled through
enteric hepatic pathway and reabsorbed)
*ectopic pregnancy Ans✓✓✓ sharp, stabbing pain, moves into shoulder
can indicate rupture - will feel in lower abdomen
*ERYTHROMYCIN Ans✓✓✓ PREVENT INFECTION OF
CHLAMYDIA MICROORGANISMS WHICH CAN CAUSE
BLINDNESS IN NEWBORNS
*exam 5 causes of PPH and intervention Ans✓✓✓ uterine Antony:
massage and oxytocin
retained placental tissue: evacuation and oxytocin
lacerations or hematoma: surgical repair
thrombin(bleeding disorders): blood products
uterine inversion d/t increased cord traction: gentle replacement of
uterus and oxytocins
*exam a full bladder displaces the uterus - if uterus is displaced
Ans✓✓✓ unable to contract, higher risk of postpartum hemorrhage -
high risk of maternal mortality
*EXAM area where placenta implanted is going to need to seal off to
prevent bleeding Ans✓✓✓ this happens by uterine contractions ,
constrict blood vessels that helps w healing process in area
, *exam encourage for respiratory post c section Ans✓✓✓ deep
breathing!
coughing!
ambulate!
signs and symptoms of PE!
*exam hematocrit level Ans✓✓✓ may decrease due to loss of plasma -
any acute decrease may mean hemorrhage********
*exam kegel exercises help reduce the risk of Ans✓✓✓
*INCONTINENCE
*VAGINAL PROLAPSE
*exam mother will be at risk for postpartum hemorrhage until Ans✓✓✓
involution is complete
*exam signs of hemorrhage Ans✓✓✓ thready pulse, weak
decrease in BP (sign of bleeding or infection)
*formula fed babies Ans✓✓✓ GI infection risk increased because of
insufficient cleaning techniques
*hormone responsable for production Ans✓✓✓ prolactin
accurate answers
*******urine dips at prenatal visits Ans✓✓✓ for protein
(preeclampsia) and glucose (diabetes)
*1st priority intervention to. prevent. heat loss and cold stress in babies
Ans✓✓✓ dry thoroughly and wrap with blanket
*5 main reasons for postpartum hemorrhage Ans✓✓✓ uterine atony
(relaxation of uterus)
trauma (lacerations/hematoma)
retained products of conception
DIC - PPH, HELLP syndrome, placental abruption
uterine inversion (prolapsed) uterus on side of body
treatment depends on cause of hemorrhage
*advanced maternal age is at risk for Ans✓✓✓ chromosomal
abnormalities, preeclampsia, diabetes
*BABIES ARE DEFICIENT IN VITAMIN K WHEN BORN
Ans✓✓✓ ADMINISTER. VITAMIN K IM VASTUS LATERALIS
*cephalohematoma Ans✓✓✓ blood accumulation at top of babies will
be off to one side (more at risk for jaundice - need to get rid of RBCS)
,*colostrum Ans✓✓✓ first milk (natural laxative, promotes BM,
encourages elimination of bile in gut instead of being recycled through
enteric hepatic pathway and reabsorbed)
*ectopic pregnancy Ans✓✓✓ sharp, stabbing pain, moves into shoulder
can indicate rupture - will feel in lower abdomen
*ERYTHROMYCIN Ans✓✓✓ PREVENT INFECTION OF
CHLAMYDIA MICROORGANISMS WHICH CAN CAUSE
BLINDNESS IN NEWBORNS
*exam 5 causes of PPH and intervention Ans✓✓✓ uterine Antony:
massage and oxytocin
retained placental tissue: evacuation and oxytocin
lacerations or hematoma: surgical repair
thrombin(bleeding disorders): blood products
uterine inversion d/t increased cord traction: gentle replacement of
uterus and oxytocins
*exam a full bladder displaces the uterus - if uterus is displaced
Ans✓✓✓ unable to contract, higher risk of postpartum hemorrhage -
high risk of maternal mortality
*EXAM area where placenta implanted is going to need to seal off to
prevent bleeding Ans✓✓✓ this happens by uterine contractions ,
constrict blood vessels that helps w healing process in area
, *exam encourage for respiratory post c section Ans✓✓✓ deep
breathing!
coughing!
ambulate!
signs and symptoms of PE!
*exam hematocrit level Ans✓✓✓ may decrease due to loss of plasma -
any acute decrease may mean hemorrhage********
*exam kegel exercises help reduce the risk of Ans✓✓✓
*INCONTINENCE
*VAGINAL PROLAPSE
*exam mother will be at risk for postpartum hemorrhage until Ans✓✓✓
involution is complete
*exam signs of hemorrhage Ans✓✓✓ thready pulse, weak
decrease in BP (sign of bleeding or infection)
*formula fed babies Ans✓✓✓ GI infection risk increased because of
insufficient cleaning techniques
*hormone responsable for production Ans✓✓✓ prolactin
