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OB EXAM 2: GALEN COLLEGE OF NURSING. CONTAINS 270 QUESTIONS AND CORRECT ANSWERS!

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OB EXAM 2: GALEN COLLEGE OF NURSING. CONTAINS 270 QUESTIONS AND CORRECT ANSWERS!

Institution
OB NURSING
Module
OB NURSING

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OB EXAM 2: GALEN COLLEGE OF
NURSING. CONTAINS 270 QUESTIONS
AND CORRECT ANSWERS!

What is the most common medical complication of pregnancy? -
ANSWER: Hypertension



What is PIH? - ANSWER: Pregnancy induced hypertension
*()())__
)%)_)^_
)_)_&_
How is PIH diagnosed? - ANSWER: 140/90 two times 6 hours apart _()()()*
#&*&&
#^&%^
&%^&$
What is gestational hypertension? - ANSWER: Onset after 20 weeks #&^&*
^$*&(*
of gestation without proteinuria, return of normal B/P in postpartum (%^*())
^)()^()(
_)(_)^()
(_)(^)*(
What is Pre-eclampsia? - ANSWER: onset after 20 weeks of gestation ^&*&*
with proteinuria, multisystem vasopastic, reduced organ profusion, &^*&*
^&
classified as mile or severe



Risk factors for PIH - ANSWER: women younger than 20 or older than
40, african and native americans, primigravidas, obesity, multiple
fetus', family history, comorbitities (diabetes), chronic hypertension,
chronic renal disease



A concentration of _________ mg/dl or greater in at least ___
random urine specimens is proteinuria. - ANSWER: 30;2

, OB EXAM 2: GALEN COLLEGE OF
NURSING. CONTAINS 270 QUESTIONS
AND CORRECT ANSWERS!

Edema is not used as a marker of what? - ANSWER: preeclampsia



What is pathologic edema? - ANSWER: generalized accumulation of
fluid in the face, hands or abdomen that is not responsive to 12 hours
*()())__
of bed rest, rapid weight gain of more than 2 kg in 1 week )%)_)^_
)_)_&_
_()()()*
#&*&&
If a womens last menstrual period is 5/21 when is her estimated due #^&%^
date? - ANSWER: February 28th &%^&$
#&^&*
^$*&(*
(%^*())
What is Leopolds maneuver? - ANSWER: It is used to determine the ^)()^()(
_)(_)^()
baby's position and know where to place the stethescope.
(_)(^)*(
^&*&*
&^*&*
^&
Left occiput anterior = - ANSWER: Easy labor



Left occiput posterior= - ANSWER: Difficult/painful labor



What is considered tachycardia for a fetus? Indicative of what? -
ANSWER: >160 bpm, indicative of maternal or fetal infection or fetal
hypoxia (an ominous sign).



What is considered fetal bradycardia? Indicative of? Intervention? -
ANSWER: <120 bpm, indicative of fetal hypoxia or stress and maternal

, OB EXAM 2: GALEN COLLEGE OF
NURSING. CONTAINS 270 QUESTIONS
AND CORRECT ANSWERS!

hypotension after epidural initiation (place client on left side, increase
fluids, and stop pitocin).



WHAT IS AN EARLY DECELERATION? - ANSWER: HR SLOWS
*()())__
BEFORE PEAK OF CONTRACTION AND RECOVERS BY END OF )%)_)^_
CONTRACTION. (BEING EARLY IS GOOD) )_)_&_
_()()()*
#&*&&
#^&%^
WHAT ARE EARLY DECELERATIONS INDICATIVE OF? - ANSWER: &%^&$
HEAD COMPRESSION (NOT OMINOUS=NO INTERVENTION
#&^&*
^$*&(*
REQUIRED). (%^*())
^)()^()(
_)(_)^()
(_)(^)*(
WHAT ARE LATE DECELERATIONS? - ANSWER: HR DECREASES ^&*&*
AFTER PEAK OF CONTRACTION AND RECOVERS AFTER &^*&*
^&
CONTRACTION ENDS. (BEING LATE IS BAD).



WHAT ARE LATE DECELERATIONS INDICATIVE OF?
INTERVENTIONS? - ANSWER: FETAL STRESS AND HYPOXIA OR
DEFICIENT PLACENTAL PERFUSION (CHANGE MATERNAL
POSITION AND DISCONTINUE OXYTOCIN (PITOCIN)).



WHAT ARE VARIABLE DECELERATIONS? - ANSWER: TRANSIENT
DECREASE IN HR ANY TIME DURING CONTRACTION.

, OB EXAM 2: GALEN COLLEGE OF
NURSING. CONTAINS 270 QUESTIONS
AND CORRECT ANSWERS!

WHAT ARE VARIABLE DECELERATIONS INDICATIVE OF?
INTERVENTIONS? - ANSWER: CORD COMPRESSION (CHANGE
MATERNAL POSITION-KNEE CHEST/ASS IN AIR). IF CORD IS
PROTRUDING NEVER TOUCH.

*()())__
)%)_)^_
What is decreased variability? - ANSWER: A smooth baseline. The )_)_&_
baseline should vary by 10 to 15 beats every minute. The loss of short _()()()*
#&*&&
term variability can be ominous where as long term loss (20 to 40 mins) #^&%^
is probably not significant and can indicate a sleep cycle. &%^&$
#&^&*
^$*&(*
(%^*())
What is decreased variability indicative of? - ANSWER: Fetal sleep ^)()^()(
_)(_)^()
cycle, depressant drugs, hypoxia, or CNS anomalies. (_)(^)*(
^&*&*
&^*&*
^&
What is an acme? - ANSWER: A peak of something



What are the three different ratings for APGAR CRITERIA? -
ANSWER: 0 (POOR), 1, and 2 (BETTER). LOWEST SCORE IS A 0
AND HIGHEST IS 10.



What are the different criteria for APGAR SCORING? - ANSWER:
COLOR, HR, REFLEX IRRITABILITY, MUSCLE TONE, RESPIRATORY
EFFORT.

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Institution
OB NURSING
Module
OB NURSING

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