NRSG 421 Maternity - Questions With Right
Solutions
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Terms in this set (118)
Immediately after the B
birth of a neonate, the
nurse dries and positions
the neonate. Following
this, the neonate remains
apneic. What should the
nurse do next?
a.Assign the first APGAR
score
b.Start positive pressure
ventilation
c.Administer oxygen
d.Start cardiac
compressions
T/F Most newborns F, most don't need clamping right away or
require immediate cord resuscitation
clamping
T/F Newborns can be T
evaluated and monitored
during skin to skin
contact with mother after
birth
Approximately ___ of 10, 1
newborns need help with
breathing and ___ of
newborns need further
resuscitation
, improve breastfeeding
3 benefits of skin to skin
temperature control
for newborn
blood glucose stability
What should be done warm
first if at birth, newborn is dry
not full term gestation, stimulate
good skin tone, or position airway
breathing/crying (5)? suction if needed
position airway
What are 5 actions if
suction if needed
newborn has laboured
pulse oximeter
breathing or persistent
oxygen if needed
cyanosis?
consider CPAP
What are 3 actions if positive pressure ventilation
newborn has apnea, pulse oximeter
gasping, or HR <100? consider cardiac monitor
If after initial actions and ensure adequate ventilation
newborn hr still <100, consider ETT or laryneal mask
what 3 actions? cardiac monitor
ETT or laryngeal mask
If after initial actions and
Chest compressions
newborn hr still <60, what
Coordinate PPV with 100% O2
4 actions?
UVC
1 min: 60-65%
What is target O2 at 1 min,
2 min: 65-70
2 min, and 3 min?
3 min: 70-75%
*What is baseline fetal 110-160 bbp
HR?
What is variability? variation from baseline 10-25 bpm
What is normal and
healthy?
T/F Acceleration in fetal T, good sign
HR is normal
FHR increase of >=15 bpm and away from baseline
What is acceleration?
>=15 sec
, Decelerations that begin with the beginning of
contractions or with contractions (mirror
What are early
contractions)
decelerations?
What is it caused by?
Caused by head compression
What shape?
U-shape
Common pattern with rapid decelerations
What are variable
decelerations?
V shape
What shape?
What type of timing?
Variable in duration, depth, and fall, and timing
Are variable not usually if not long or frequent
decelerations worry if they last a long time or other concerning
concerning? findings
Gradual deceleration that begins with the peak of
*What are late the contractions and is not resolved by the end of
decelerations? the contraction
What do they indicate?
indicates uteroplacental insufficiency
Are late decelerations a CONCERNING
concerning or non-
concerning sign?
Late decelerations are ___ U, subtle, peak
shape, often __, and ___
after contraction peak
T/F No variability in FHR F, concerning
with contractions is
normal
Which 3 findings are hypertension, edema, proteinuria
signs of MILD
preeclampsia?
seizures
Which 4 findings are
hematuria
signs of more advanced
blurry vision
preeclampsia?
reduced urine output
Solutions
Save
Terms in this set (118)
Immediately after the B
birth of a neonate, the
nurse dries and positions
the neonate. Following
this, the neonate remains
apneic. What should the
nurse do next?
a.Assign the first APGAR
score
b.Start positive pressure
ventilation
c.Administer oxygen
d.Start cardiac
compressions
T/F Most newborns F, most don't need clamping right away or
require immediate cord resuscitation
clamping
T/F Newborns can be T
evaluated and monitored
during skin to skin
contact with mother after
birth
Approximately ___ of 10, 1
newborns need help with
breathing and ___ of
newborns need further
resuscitation
, improve breastfeeding
3 benefits of skin to skin
temperature control
for newborn
blood glucose stability
What should be done warm
first if at birth, newborn is dry
not full term gestation, stimulate
good skin tone, or position airway
breathing/crying (5)? suction if needed
position airway
What are 5 actions if
suction if needed
newborn has laboured
pulse oximeter
breathing or persistent
oxygen if needed
cyanosis?
consider CPAP
What are 3 actions if positive pressure ventilation
newborn has apnea, pulse oximeter
gasping, or HR <100? consider cardiac monitor
If after initial actions and ensure adequate ventilation
newborn hr still <100, consider ETT or laryneal mask
what 3 actions? cardiac monitor
ETT or laryngeal mask
If after initial actions and
Chest compressions
newborn hr still <60, what
Coordinate PPV with 100% O2
4 actions?
UVC
1 min: 60-65%
What is target O2 at 1 min,
2 min: 65-70
2 min, and 3 min?
3 min: 70-75%
*What is baseline fetal 110-160 bbp
HR?
What is variability? variation from baseline 10-25 bpm
What is normal and
healthy?
T/F Acceleration in fetal T, good sign
HR is normal
FHR increase of >=15 bpm and away from baseline
What is acceleration?
>=15 sec
, Decelerations that begin with the beginning of
contractions or with contractions (mirror
What are early
contractions)
decelerations?
What is it caused by?
Caused by head compression
What shape?
U-shape
Common pattern with rapid decelerations
What are variable
decelerations?
V shape
What shape?
What type of timing?
Variable in duration, depth, and fall, and timing
Are variable not usually if not long or frequent
decelerations worry if they last a long time or other concerning
concerning? findings
Gradual deceleration that begins with the peak of
*What are late the contractions and is not resolved by the end of
decelerations? the contraction
What do they indicate?
indicates uteroplacental insufficiency
Are late decelerations a CONCERNING
concerning or non-
concerning sign?
Late decelerations are ___ U, subtle, peak
shape, often __, and ___
after contraction peak
T/F No variability in FHR F, concerning
with contractions is
normal
Which 3 findings are hypertension, edema, proteinuria
signs of MILD
preeclampsia?
seizures
Which 4 findings are
hematuria
signs of more advanced
blurry vision
preeclampsia?
reduced urine output
