Maternal Newborn Exam 1 Questions with
Accurate Answers
100% effacement means correct answer thinnest stage of cervix
1st degree lacerations correct answer perineal skin and vaginal mucous
membranes
2nd degree lacerations correct answer skin, mucous membranes, fascia of perinea
body (most common)
3rd degree lacerations correct answer skin, mucous membranes, muscle of
perineal body and extend to retail sphincter
4th degree lacerations correct answer extends into the rectal mucosa and
exposes lumen of rectum
abortion correct answer termination of pregnancy before viability of 20 weeks;
induced or spontaneous
acrocyanosis correct answer extremities are blue in baby (common)
active phase correct answer progressive fetal descent, more painful, increase in
strength frequency and duration of contractions (3-6cm)
additional cesarean section needs correct answer position client on left side,
exercises, early ambulation, increase PO intake, avoid carbonated beverages,
avoid straws,
,antepartum is considered when? correct answer conception to labor
APGAR score includes what? correct answer heart rate (2)
RR effort (2)
muscle tone (2)
Reflex irritability (2)
Color (pink, 2)
total of 10
Artificial rupture of membranes (AROM) correct answer causing water to break
causes prostaglandins to be released, causing contraction with oxytocin,
therefore inducing labor
at how many weeks does the baby drop into the pelvic cavity? correct answer 36
weeks
closed glottis correct answer provider tells when to push, FHR issues
contraction stress test correct answer FHR in relation to uterine contractions.
Negative results- good thing. theres no abnormal late decelerations during
contraction
Positive results- abnormal decelerations
disadvantages of spinal block correct answer intense blockade of the sympathetic
fibers which may result in *hypotension*
,duration correct answer amount of time contraction lasts (60-90 secs)
early deceleration intervention correct answer reassure the parents that
everything is fine
early PP hemorrhage? correct answer occurs in 24 hrs of birth
exfoliatione correct answer allows for healing of placenta site and important part
of involution; may take up to 6 weeks
false labor correct answer contractions are irregular, no change in frequency,
duration, and walking has no effect. No change in dilation or effacement
fetal attitude correct answer relationship of fetal body parts to each other (should
be flexed)
Fetal hemoglobin and oxygen compared to mother? correct answer fetal
hemoglobin carries 20-30% more oxygen, 50% more hemoglobin, and higher CO
per weight
fetal lie correct answer relationship of long axis of fetus to long axis of mother
(longitudinal or transverse)
fetal station correct answer relationship to ischial spines
, first stage of labor correct answer from beginning of dilation to full dilation
latent= 0-3cm
active= 4-7cm
transition=8-10cm
footling breech correct answer single or double, foot comes out
fourth stage of birth correct answer first 2 hrs after birth, physiologic
readjustment, homeostasis is reastablished, uterus begins to contract down to
smaller size, promoting decrease in vaginal bleeding
frank breech correct answer baby holding legs and butt comes out first
frequency of contraction correct answer amount of time between contractions
full cervical dilation marks the beginning of what stage? correct answer stage 2
GTPAL(M) correct answer Gravida
Term
Preterm
Abortions
Living
Multiple
Accurate Answers
100% effacement means correct answer thinnest stage of cervix
1st degree lacerations correct answer perineal skin and vaginal mucous
membranes
2nd degree lacerations correct answer skin, mucous membranes, fascia of perinea
body (most common)
3rd degree lacerations correct answer skin, mucous membranes, muscle of
perineal body and extend to retail sphincter
4th degree lacerations correct answer extends into the rectal mucosa and
exposes lumen of rectum
abortion correct answer termination of pregnancy before viability of 20 weeks;
induced or spontaneous
acrocyanosis correct answer extremities are blue in baby (common)
active phase correct answer progressive fetal descent, more painful, increase in
strength frequency and duration of contractions (3-6cm)
additional cesarean section needs correct answer position client on left side,
exercises, early ambulation, increase PO intake, avoid carbonated beverages,
avoid straws,
,antepartum is considered when? correct answer conception to labor
APGAR score includes what? correct answer heart rate (2)
RR effort (2)
muscle tone (2)
Reflex irritability (2)
Color (pink, 2)
total of 10
Artificial rupture of membranes (AROM) correct answer causing water to break
causes prostaglandins to be released, causing contraction with oxytocin,
therefore inducing labor
at how many weeks does the baby drop into the pelvic cavity? correct answer 36
weeks
closed glottis correct answer provider tells when to push, FHR issues
contraction stress test correct answer FHR in relation to uterine contractions.
Negative results- good thing. theres no abnormal late decelerations during
contraction
Positive results- abnormal decelerations
disadvantages of spinal block correct answer intense blockade of the sympathetic
fibers which may result in *hypotension*
,duration correct answer amount of time contraction lasts (60-90 secs)
early deceleration intervention correct answer reassure the parents that
everything is fine
early PP hemorrhage? correct answer occurs in 24 hrs of birth
exfoliatione correct answer allows for healing of placenta site and important part
of involution; may take up to 6 weeks
false labor correct answer contractions are irregular, no change in frequency,
duration, and walking has no effect. No change in dilation or effacement
fetal attitude correct answer relationship of fetal body parts to each other (should
be flexed)
Fetal hemoglobin and oxygen compared to mother? correct answer fetal
hemoglobin carries 20-30% more oxygen, 50% more hemoglobin, and higher CO
per weight
fetal lie correct answer relationship of long axis of fetus to long axis of mother
(longitudinal or transverse)
fetal station correct answer relationship to ischial spines
, first stage of labor correct answer from beginning of dilation to full dilation
latent= 0-3cm
active= 4-7cm
transition=8-10cm
footling breech correct answer single or double, foot comes out
fourth stage of birth correct answer first 2 hrs after birth, physiologic
readjustment, homeostasis is reastablished, uterus begins to contract down to
smaller size, promoting decrease in vaginal bleeding
frank breech correct answer baby holding legs and butt comes out first
frequency of contraction correct answer amount of time between contractions
full cervical dilation marks the beginning of what stage? correct answer stage 2
GTPAL(M) correct answer Gravida
Term
Preterm
Abortions
Living
Multiple
