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Terms in this set (300)
A
1. Late in pregnancy, a
because of partial occlusion of the vena cava and
patient often develops
aorta from the weight of the uterus. This impedes
supine hypotension
venous return from the lower extremities although
because of
increased collateral circulation during pregnancy
a. partial occlusion of the
helps to compensate. Remaining in the supine
vena cava and aorta.
position for long periods of time could decrease fetal
b. decreased peripheral
oxygenation as well. The lateral recumbent position
collateral circulation.
relieves the pressure on the vena cava and aorta,
c. increased blood flow to
allowing the blood pressure to increase and
the placenta.
symptoms to decrease.
, C
Some maternal contraindications to breastfeeding
include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
The nurse must educate
-Active TB not treated
the new mother that a
-Infection with human T-cell lymphotropic virus
contraindication to breast
-Illicit drug use
feeding is
-Use of chemotherapeutic agents
a. fetal macrosomia.
-Radiation therapy (may require only interruption
b. type II diabetes.
during treatment)
c. infection with HIV/AIDS.
-Use of other medications that pass into the breast
milk and may harm the child
-Presence of herpes on the breast
-Presence of varicella lesions on the breast (may
resume after lesions crust)
B
The initial postpartal
...with the dominant hand while supporting the inferior
intervention indicated for
uterus with the non-dominant hand to prevent trauma.
a soft boggy uterus is to
If the fundus does not contract with massage, then
a. apply an ice compress.
further evaluation is indicated to determine if
b. massage the fundus
placental fragments remain. After the fundus becomes
until firm.
contracted, the nurse should push firmly downward
c. apply a warm compress.
on the fundus to expel clots that may have pooled.
A
With the vibroacoustic
Usually, stimulus is applied for 1-2 seconds and
stimulation test, stimulus
repeated up to 3 times with time extending to 3
with an artificial larynx or
seconds in order to stimulate fetal movement. A
other device is applied to
positive or reactive finding is an increased fetal heart
the maternal abdomen for
rate of 15 bpm or more for at least 15 seconds;
a. 1 to 3 seconds.
however, a nonreactive result does not always
b. 5 to 10 seconds.
indicate fetal abnormality but indicates the need for
c. 1 to 2 minutes.
further testing.
, C
a fractured clavicle or brachial plexus injury. Damage
to the central nervous system, such as may occur with
Absence of the Moro
cerebral palsy, often results in bilateral absence of the
reflex on one side only in
reflex. The Moro reflex is elicited by allowing the
a neonate may indicate
infant's head and trunk to fall slightly backward when
a. fractured scapula.
the infant is raised. A positive Moro reflex includes
b. cerebral palsy.
immediate extension and abduction of the arms(and
c. fractured clavicle.
sometimes the legs) with fingers fanning and forming
a C-shape with a return of the limbs to the flexed
states
A
In a multiparous woman, the Bishop score that
In a multiparous woman,
predicts that labor induction will be successful is 5 or
what is the lowest Bishop
more while it is a 9 or more for a nulliparous woman.
score that predicts labor
The Bishop score is a rating system to determine
induction will be
readiness for induction based on scores of 0-3 in four
successful?
different measures: dilation (cm), effacement
a. 5
(percentage), station (cm), and cervical consistency
b. 7
(firm, medium, soft), and cervical position (posterior,
c. 9
mid position, anterior). The fifth measure, cervical
position, is scored only 0-2.
A
When cervical laceration Cervical lacerations are most often identified with
occur during delivery, they vaginal retractors when bleeding is persistent after
are most common at what delivery. The lacerations are sutured with absorbable
position? sutures, so no further treatment is usually indicated.
a. 3 and 9 o'clock Minor lacerations often occur during delivery, but
b. 12 and 6 o'clock they usually require no treatment. Tears are more
c. 10 and 4 o'clock common after forceps assisted and vacuum assisted
deliveries than normal vaginal births
, A
because of the fetus's high hemoglobin and
If using fetal pulse hematocrit. A value below 30% may be associated
oximetry, what is normal with hypoxia and metabolic acidosis. For fetal pulse
oxygen saturation? oximetry, which may be used to determine whether
a. 30% to 65% immediate intervention is needed for non-reassuring
b. 65% to 90% fetal heart rate, a special single-use sensor is placed
c. 90% to 100% internally along the fetal cheek, temple, or forehead.
However, fetal pulse oximetry has not been found to
reduce overall rates of Caesarean.
A decrease of fetal heart C
rate of at least 15 bpm for If it persists more than 2 minutes but less than 10
at least 10 minutes is minutes, it is classified as a prolonged deceleration.
classified as Recurrent decelerations are classified as occurring
a. recurrent deceleration. with half or more of uterine contractions in a 20
b. prolonged minute period. Intermittent decelerations occur with
deceleration. fewer than half of uterine contractions in a 20 minute
c. baseline change. period.
With suspected fetal C
hypoxia, a cord blood gas The segment can be placed on ice temporarily as
specimen is obtained cord blood gas can be accurately assessed for 60
during delivery by minutes. An arterial sample is preferred over venous,
a. withdrawing blood from but paired sampling is recommended. A pH of 7.24 or
the vein/artery before the less is associated with neurological compromise. A
cord is clamped or cut base excess of 12 mmol/L or more is predictive of
and before placental motor or cognitive impairment.
expulsion.
b. placing one clamp and
withdrawing blood above
the clamp before cutting
the cord.
c. double clamping a 10 to
20 cm segment, cutting it
out, and then withdrawing
blood from the segment.
VERSIONS OF THE EXAM WITH QUESTIONS AND
CORRECT DETAILED ANSWERS/EXPERT
VERIFIED FOR GUARANTEED PASS!/LATEST
UPDATE
Save
Terms in this set (300)
A
1. Late in pregnancy, a
because of partial occlusion of the vena cava and
patient often develops
aorta from the weight of the uterus. This impedes
supine hypotension
venous return from the lower extremities although
because of
increased collateral circulation during pregnancy
a. partial occlusion of the
helps to compensate. Remaining in the supine
vena cava and aorta.
position for long periods of time could decrease fetal
b. decreased peripheral
oxygenation as well. The lateral recumbent position
collateral circulation.
relieves the pressure on the vena cava and aorta,
c. increased blood flow to
allowing the blood pressure to increase and
the placenta.
symptoms to decrease.
, C
Some maternal contraindications to breastfeeding
include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
The nurse must educate
-Active TB not treated
the new mother that a
-Infection with human T-cell lymphotropic virus
contraindication to breast
-Illicit drug use
feeding is
-Use of chemotherapeutic agents
a. fetal macrosomia.
-Radiation therapy (may require only interruption
b. type II diabetes.
during treatment)
c. infection with HIV/AIDS.
-Use of other medications that pass into the breast
milk and may harm the child
-Presence of herpes on the breast
-Presence of varicella lesions on the breast (may
resume after lesions crust)
B
The initial postpartal
...with the dominant hand while supporting the inferior
intervention indicated for
uterus with the non-dominant hand to prevent trauma.
a soft boggy uterus is to
If the fundus does not contract with massage, then
a. apply an ice compress.
further evaluation is indicated to determine if
b. massage the fundus
placental fragments remain. After the fundus becomes
until firm.
contracted, the nurse should push firmly downward
c. apply a warm compress.
on the fundus to expel clots that may have pooled.
A
With the vibroacoustic
Usually, stimulus is applied for 1-2 seconds and
stimulation test, stimulus
repeated up to 3 times with time extending to 3
with an artificial larynx or
seconds in order to stimulate fetal movement. A
other device is applied to
positive or reactive finding is an increased fetal heart
the maternal abdomen for
rate of 15 bpm or more for at least 15 seconds;
a. 1 to 3 seconds.
however, a nonreactive result does not always
b. 5 to 10 seconds.
indicate fetal abnormality but indicates the need for
c. 1 to 2 minutes.
further testing.
, C
a fractured clavicle or brachial plexus injury. Damage
to the central nervous system, such as may occur with
Absence of the Moro
cerebral palsy, often results in bilateral absence of the
reflex on one side only in
reflex. The Moro reflex is elicited by allowing the
a neonate may indicate
infant's head and trunk to fall slightly backward when
a. fractured scapula.
the infant is raised. A positive Moro reflex includes
b. cerebral palsy.
immediate extension and abduction of the arms(and
c. fractured clavicle.
sometimes the legs) with fingers fanning and forming
a C-shape with a return of the limbs to the flexed
states
A
In a multiparous woman, the Bishop score that
In a multiparous woman,
predicts that labor induction will be successful is 5 or
what is the lowest Bishop
more while it is a 9 or more for a nulliparous woman.
score that predicts labor
The Bishop score is a rating system to determine
induction will be
readiness for induction based on scores of 0-3 in four
successful?
different measures: dilation (cm), effacement
a. 5
(percentage), station (cm), and cervical consistency
b. 7
(firm, medium, soft), and cervical position (posterior,
c. 9
mid position, anterior). The fifth measure, cervical
position, is scored only 0-2.
A
When cervical laceration Cervical lacerations are most often identified with
occur during delivery, they vaginal retractors when bleeding is persistent after
are most common at what delivery. The lacerations are sutured with absorbable
position? sutures, so no further treatment is usually indicated.
a. 3 and 9 o'clock Minor lacerations often occur during delivery, but
b. 12 and 6 o'clock they usually require no treatment. Tears are more
c. 10 and 4 o'clock common after forceps assisted and vacuum assisted
deliveries than normal vaginal births
, A
because of the fetus's high hemoglobin and
If using fetal pulse hematocrit. A value below 30% may be associated
oximetry, what is normal with hypoxia and metabolic acidosis. For fetal pulse
oxygen saturation? oximetry, which may be used to determine whether
a. 30% to 65% immediate intervention is needed for non-reassuring
b. 65% to 90% fetal heart rate, a special single-use sensor is placed
c. 90% to 100% internally along the fetal cheek, temple, or forehead.
However, fetal pulse oximetry has not been found to
reduce overall rates of Caesarean.
A decrease of fetal heart C
rate of at least 15 bpm for If it persists more than 2 minutes but less than 10
at least 10 minutes is minutes, it is classified as a prolonged deceleration.
classified as Recurrent decelerations are classified as occurring
a. recurrent deceleration. with half or more of uterine contractions in a 20
b. prolonged minute period. Intermittent decelerations occur with
deceleration. fewer than half of uterine contractions in a 20 minute
c. baseline change. period.
With suspected fetal C
hypoxia, a cord blood gas The segment can be placed on ice temporarily as
specimen is obtained cord blood gas can be accurately assessed for 60
during delivery by minutes. An arterial sample is preferred over venous,
a. withdrawing blood from but paired sampling is recommended. A pH of 7.24 or
the vein/artery before the less is associated with neurological compromise. A
cord is clamped or cut base excess of 12 mmol/L or more is predictive of
and before placental motor or cognitive impairment.
expulsion.
b. placing one clamp and
withdrawing blood above
the clamp before cutting
the cord.
c. double clamping a 10 to
20 cm segment, cutting it
out, and then withdrawing
blood from the segment.
