N4410 Perinatal Nursing Questions With Complete
Solutions
4 Rs of trauma-informed care Correct Answer -Realize the
widespread impact of trauma
-Recognize signs and symptoms
-Respond by integrating trauma-informed knowledge
-Resist re-traumatization
Accelerations in FHR Correct Answer an abrupt increase in
FHR above baseline with onset to peak of the acceleration less
than < 30 seconds and less than 2 minutes in duration.
normal and reassuring finding
apnea of prematurity Correct Answer characterized by
frequent apnea pauses lasting longer than 20 seconds and often
associated with cyanosis, pallor, hypotonia, or bradycardia/
artificially rupturing membranes carries a risk of Correct
Answer prolapsed cord
bed rest Correct Answer not supported as an intervention for
most pregnancy complications
- loss of bone and muscle mass
bradycardia: actions Correct Answer intrauterine resuscitation
differentiate maternal HR and FHR
rule out:
- fetal death
- non-hypoxic causes (post-maturity, drugs, fetal malposition)
- congential heart block
, - cord prolapse
broncopulmonary dysplasia Correct Answer related to the
need for ventilator support, may sometimes lead to chronic lung
health issues
complex high risk pregnancy (tertiary) Correct Answer health
issues unstable, potential or actual significant impact on
pregnancy health and parenting
complicated variable decelerations Correct Answer - abrupt,
less than 30 seconds from onset to the nadir
- failure to return to baseline by end of contraction
complicated variable decelerations interventions Correct
Answer - reposition to relieve cord compression
- observe closely
complicated variable decelerations physiology Correct Answer
- Cord compression leading to baroreceptor response in fetus
who has limited oxygen reserves.
- May indicate evolving fetal hypoxia or acidemia
Decelerations in FHR Correct Answer decrease in FHR below
baseline
determination of the type of deceleration is based on: Correct
Answer - the slope of deceleration (either abrupt or gradual)
- the timing in relation to contractions
Solutions
4 Rs of trauma-informed care Correct Answer -Realize the
widespread impact of trauma
-Recognize signs and symptoms
-Respond by integrating trauma-informed knowledge
-Resist re-traumatization
Accelerations in FHR Correct Answer an abrupt increase in
FHR above baseline with onset to peak of the acceleration less
than < 30 seconds and less than 2 minutes in duration.
normal and reassuring finding
apnea of prematurity Correct Answer characterized by
frequent apnea pauses lasting longer than 20 seconds and often
associated with cyanosis, pallor, hypotonia, or bradycardia/
artificially rupturing membranes carries a risk of Correct
Answer prolapsed cord
bed rest Correct Answer not supported as an intervention for
most pregnancy complications
- loss of bone and muscle mass
bradycardia: actions Correct Answer intrauterine resuscitation
differentiate maternal HR and FHR
rule out:
- fetal death
- non-hypoxic causes (post-maturity, drugs, fetal malposition)
- congential heart block
, - cord prolapse
broncopulmonary dysplasia Correct Answer related to the
need for ventilator support, may sometimes lead to chronic lung
health issues
complex high risk pregnancy (tertiary) Correct Answer health
issues unstable, potential or actual significant impact on
pregnancy health and parenting
complicated variable decelerations Correct Answer - abrupt,
less than 30 seconds from onset to the nadir
- failure to return to baseline by end of contraction
complicated variable decelerations interventions Correct
Answer - reposition to relieve cord compression
- observe closely
complicated variable decelerations physiology Correct Answer
- Cord compression leading to baroreceptor response in fetus
who has limited oxygen reserves.
- May indicate evolving fetal hypoxia or acidemia
Decelerations in FHR Correct Answer decrease in FHR below
baseline
determination of the type of deceleration is based on: Correct
Answer - the slope of deceleration (either abrupt or gradual)
- the timing in relation to contractions
