CNUR 303 Exam Questions With Complete Solutions
1.In what circumstances does the nurse do Leopold's
maneuvers?
2.What circumstances might make performing Leopold's
maneuvers a challenge, and how can these be overcome? correct
answers When you need to assess position of the baby- need
heart tones, before labor to find location and if they can
vaginally deliver,
Challenges- full bladder, BMI- percussion
Heart status- normal heart indicates brain growth
1.What enables the fetus's skull to adapt to the maternal pelvis
during the birthing process?
2.During birth, the slight overlapping of cerebral bones can
occur, causing molding of the fetus's head. How many days does
it take for most newborns to assume their normal shape? correct
answers 1.Sutures and fontanels- toque for temp and cone head
2.About 3 days
10 steps to successful breast-feeding correct answers 1.Have a
written breastfeeding policy that is routinely communicated to
all health care staff.
2.Train all health care staff in skills necessary to implement this
policy.
3.Inform all pregnant women about the benefits and
management of breastfeeding.
4.Help mothers initiate breastfeeding within a half-hour of birth.
5.Show mothers how to breastfeed, and how to maintain
lactation even if they should be separated from their infants
,6.Give newborn infants no food or drink other than breastmilk
unless medicallyindicated.
7.Practice rooming in - allow mothers and infants to remain
together - 24 hours a day.
8.Encourage breastfeeding on demand.
9.Give no artificial teats or pacifiers (also called dummies or
soothers) to breastfeeding infants.
10.Foster the establishment of breastfeeding support groups and
refer mothers to them on discharge from the hospital or clinic.
4th stage of Labour correct answers •Recovery" period
•Begins after the placenta is expelled and lasts up to 4 hours
after birth
•Many physiologic and psychological changes occur
•Nursing focus:
-Maternal hemorrhage
-Provision of comfort measures
-Promotion of family attachment
A premature infant with respiratory distress syndrome (RDS)
receives artificial surfactant. Which is true with regard to
surfactant therapy? correct answers Surfactant improves the
ability of the baby's lungs to exchange oxygen and carbon
dioxide. Surfactant can be administered as an adjunct to oxygen
and ventilation therapy. With administration of artificial
surfactant, respiratory compliance is improved until the infant
can generate enough surfactant on his or her own. Surfactant has
no bearing on the sedation needs of the infant. Surfactant is used
to improve respiratory compliance, including the exchange of
oxygen and carbon dioxide. The goal of surfactant therapy in an
infant with RDS is to stimulate production of surfactant in the
,type 2 cells of the alveoli. The clinical presentation of RDS and
neonatal pneumonia may be similar. The infant may be started
on broad-spectrum antibiotics to treat infection.
A woman who is 16 weeks gestation comes in for her monthly
assessment. The nurse completes an assessment and notes a
fundal height of 20 cm. What should the nurse do next?
The woman goes to the bathroom. The nurse reassesses the
fundal height to find it is still at 20 cm. What could be some of
the causes? correct answers 1.Recheck assessment, ask to go to
bathroom
2.Causes- uterine thyroid, growth is happening quickly,
polyhidrosis- too much amniotic fluid
A woman, who is 18 weeks gestation, comes in for her monthly
assessment. The nurse completes an assessment and notes a
fundal height of 14 cm. What should the nurse do next?
The nurse takes the fundal height to find it is still 14cm. What
could be some of the causes? correct answers Recheck
assessment, fetal growth slowed, intrauterine growth restriction,
prematurely going to pelvis, too little amniotic fluid- kidney
problems
Abd PP correct answers •During first 2 weeks, abdominal wall
remains relaxed.
•Woman has still-pregnant appearance.
•Return to prepregnancy state takes 6 weeks.
•Depends on previous tone, proper exercise, and amount of
adipose tissue
•Diastasis recti abdominus
, Acceleration correct answers duration > 15 sec, Acme > 15
bpm above baseline
Increase to peak in less than 30 seconds, from baseline, initial
change to return, 32 weeks- 15 bpm or 15 sec- 2min, before 32
weeks, acme of 10 bpm, between 10 sec - 2 min
Prolonged- 2-10 min
>10 min- baseline change
periodic- with contractions, fetal stimulations, mild cord
compression
Episodic- no relations with contraction, most common, fetal
movement, transient need for more oxygenation, fetal
stimulation
Good- with mod variability- indicate intact SNS- brain is being
perfused with oxygen rich blood
•Abrupt, transient increase in FHR <2 minutes duration
•<32 wks—10x10—increase of FHR at least 10 bpm above
baseline for at least 10 seconds
•>32 wks—15x15—increase of FHR at least 15 bpm above
baseline for at least 15 seconds
•Are a sympathetic response
•means the sympathetic nervous system is intact - good news!!!
•Result of
•Fetal movement or stimulation (e.g., Scalp stimulation, palpate
maternal abdomen)
•Reaction to contractions
Fetal movement- 2 accelerations in 20 min, HR is responding
appropriately
Term- abrupt increase in FHR, 15 bpm above baseline for 15
sec- 2 min
Preterm- 10 bpm increase for 10 sec
1.In what circumstances does the nurse do Leopold's
maneuvers?
2.What circumstances might make performing Leopold's
maneuvers a challenge, and how can these be overcome? correct
answers When you need to assess position of the baby- need
heart tones, before labor to find location and if they can
vaginally deliver,
Challenges- full bladder, BMI- percussion
Heart status- normal heart indicates brain growth
1.What enables the fetus's skull to adapt to the maternal pelvis
during the birthing process?
2.During birth, the slight overlapping of cerebral bones can
occur, causing molding of the fetus's head. How many days does
it take for most newborns to assume their normal shape? correct
answers 1.Sutures and fontanels- toque for temp and cone head
2.About 3 days
10 steps to successful breast-feeding correct answers 1.Have a
written breastfeeding policy that is routinely communicated to
all health care staff.
2.Train all health care staff in skills necessary to implement this
policy.
3.Inform all pregnant women about the benefits and
management of breastfeeding.
4.Help mothers initiate breastfeeding within a half-hour of birth.
5.Show mothers how to breastfeed, and how to maintain
lactation even if they should be separated from their infants
,6.Give newborn infants no food or drink other than breastmilk
unless medicallyindicated.
7.Practice rooming in - allow mothers and infants to remain
together - 24 hours a day.
8.Encourage breastfeeding on demand.
9.Give no artificial teats or pacifiers (also called dummies or
soothers) to breastfeeding infants.
10.Foster the establishment of breastfeeding support groups and
refer mothers to them on discharge from the hospital or clinic.
4th stage of Labour correct answers •Recovery" period
•Begins after the placenta is expelled and lasts up to 4 hours
after birth
•Many physiologic and psychological changes occur
•Nursing focus:
-Maternal hemorrhage
-Provision of comfort measures
-Promotion of family attachment
A premature infant with respiratory distress syndrome (RDS)
receives artificial surfactant. Which is true with regard to
surfactant therapy? correct answers Surfactant improves the
ability of the baby's lungs to exchange oxygen and carbon
dioxide. Surfactant can be administered as an adjunct to oxygen
and ventilation therapy. With administration of artificial
surfactant, respiratory compliance is improved until the infant
can generate enough surfactant on his or her own. Surfactant has
no bearing on the sedation needs of the infant. Surfactant is used
to improve respiratory compliance, including the exchange of
oxygen and carbon dioxide. The goal of surfactant therapy in an
infant with RDS is to stimulate production of surfactant in the
,type 2 cells of the alveoli. The clinical presentation of RDS and
neonatal pneumonia may be similar. The infant may be started
on broad-spectrum antibiotics to treat infection.
A woman who is 16 weeks gestation comes in for her monthly
assessment. The nurse completes an assessment and notes a
fundal height of 20 cm. What should the nurse do next?
The woman goes to the bathroom. The nurse reassesses the
fundal height to find it is still at 20 cm. What could be some of
the causes? correct answers 1.Recheck assessment, ask to go to
bathroom
2.Causes- uterine thyroid, growth is happening quickly,
polyhidrosis- too much amniotic fluid
A woman, who is 18 weeks gestation, comes in for her monthly
assessment. The nurse completes an assessment and notes a
fundal height of 14 cm. What should the nurse do next?
The nurse takes the fundal height to find it is still 14cm. What
could be some of the causes? correct answers Recheck
assessment, fetal growth slowed, intrauterine growth restriction,
prematurely going to pelvis, too little amniotic fluid- kidney
problems
Abd PP correct answers •During first 2 weeks, abdominal wall
remains relaxed.
•Woman has still-pregnant appearance.
•Return to prepregnancy state takes 6 weeks.
•Depends on previous tone, proper exercise, and amount of
adipose tissue
•Diastasis recti abdominus
, Acceleration correct answers duration > 15 sec, Acme > 15
bpm above baseline
Increase to peak in less than 30 seconds, from baseline, initial
change to return, 32 weeks- 15 bpm or 15 sec- 2min, before 32
weeks, acme of 10 bpm, between 10 sec - 2 min
Prolonged- 2-10 min
>10 min- baseline change
periodic- with contractions, fetal stimulations, mild cord
compression
Episodic- no relations with contraction, most common, fetal
movement, transient need for more oxygenation, fetal
stimulation
Good- with mod variability- indicate intact SNS- brain is being
perfused with oxygen rich blood
•Abrupt, transient increase in FHR <2 minutes duration
•<32 wks—10x10—increase of FHR at least 10 bpm above
baseline for at least 10 seconds
•>32 wks—15x15—increase of FHR at least 15 bpm above
baseline for at least 15 seconds
•Are a sympathetic response
•means the sympathetic nervous system is intact - good news!!!
•Result of
•Fetal movement or stimulation (e.g., Scalp stimulation, palpate
maternal abdomen)
•Reaction to contractions
Fetal movement- 2 accelerations in 20 min, HR is responding
appropriately
Term- abrupt increase in FHR, 15 bpm above baseline for 15
sec- 2 min
Preterm- 10 bpm increase for 10 sec
