N4410 Perinatal Nursing(with Errorless answers)
Late preterm correct answers 34 to 36 completed weeks
moderately preterm correct answers 32-34 weeks
very preterm correct answers less than 32 weeks
extremely preterm correct answers born at or before 25 weeks of pregnancy
Low birth weight correct answers birth weight under 2500g irrespective of gestational age
respiratory distress syndrome correct answers related to lack of pulmonary surfactant at birth
broncopulmonary dysplasia correct answers related to the need for ventilator support, may
sometimes lead to chronic lung health issues
apnea of prematurity correct answers characterized by frequent apnea pauses lasting longer than
20 seconds and often associated with cyanosis, pallor, hypotonia, or bradycardia/
necrotizing enterocolitis (NEC) correct answers cells of intestines are damaged when feeding
starts, breast milk reduces risk
retinopathy of prematurity (ROP) correct answers abnormal blood vessel growth in the retina
(related to too much oxygen delivery for premature infants)
Intrauterine growth restriction (IUGR) correct answers - occurs in up to 10% of pregnancies, a
leading cause of infant morbidity and mortality
- can occur anytime
- no growth or a drop off in growth
Early IUGR correct answers < 32 weeks at initial diagnosis
Late IUGR correct answers > 32 weeks at initial diagnosis
Severe IUGR correct answers estimated fetal weight < 3rd percentile
Perinatal asphyxia correct answers lack of blood flow or gas exchange to or from the fetus in the
period immediately before, during, or after the birth process
Hypoxic Ischemic Encephalopathy correct answers results from perinatal asphyxia
- therapeutic hypothermia is the standard of care for infants > 36 weeks GA
Perinatal compass nursing model correct answers - relationship-based care
- interprofessional collaboration
- evidence-informed practice
, - quality and safety
intrauterine resuscitation correct answers - change position (upright, all fours, or if lying down
turning left or right lateral)
- change surveillance method
- differentiate maternal heart rate from FHR
- modify/pause bearing down efforts
- stop IOL procedures (oxytocin/prostaglandin removal)
Tachysystole correct answers more than 5 contractions in 10 minutes averaged over 30 minutes
- consider tocolysis with an atypical or abnormal FHR
umbilical cord presentation correct answers knee chest position to relieve presenting part
umbilical cord prolapse correct answers elevate presenting part off the umbilical cord with hand
in vagina; call for help
oxygen administration during birth correct answers should not be administered without
documentation of hypoxia or hypovolemia; reserved for resuscitation of the pregnant person
Leopold's Maneuvers correct answers Palpation to determine presentation and position of the
fetus and aid in location of fetal heart sounds.
bradycardia: actions correct answers intrauterine resuscitation
differentiate maternal HR and FHR
rule out:
- fetal death
- non-hypoxic causes (post-maturity, drugs, fetal malposition)
- congential heart block
- cord prolapse
tachycardia: actions correct answers - intrauterine resuscitation
- assess maternal temperature and pulse
- review duration of ruptured membranes, presence of possible reasons, infection
Accelerations in FHR correct answers an abrupt increase in FHR above baseline with onset to
peak of the acceleration less than < 30 seconds and less than 2 minutes in duration.
normal and reassuring finding
Decelerations in FHR correct answers decrease in FHR below baseline
determination of the type of deceleration is based on: correct answers - the slope of deceleration
(either abrupt or gradual)
- the timing in relation to contractions
Late preterm correct answers 34 to 36 completed weeks
moderately preterm correct answers 32-34 weeks
very preterm correct answers less than 32 weeks
extremely preterm correct answers born at or before 25 weeks of pregnancy
Low birth weight correct answers birth weight under 2500g irrespective of gestational age
respiratory distress syndrome correct answers related to lack of pulmonary surfactant at birth
broncopulmonary dysplasia correct answers related to the need for ventilator support, may
sometimes lead to chronic lung health issues
apnea of prematurity correct answers characterized by frequent apnea pauses lasting longer than
20 seconds and often associated with cyanosis, pallor, hypotonia, or bradycardia/
necrotizing enterocolitis (NEC) correct answers cells of intestines are damaged when feeding
starts, breast milk reduces risk
retinopathy of prematurity (ROP) correct answers abnormal blood vessel growth in the retina
(related to too much oxygen delivery for premature infants)
Intrauterine growth restriction (IUGR) correct answers - occurs in up to 10% of pregnancies, a
leading cause of infant morbidity and mortality
- can occur anytime
- no growth or a drop off in growth
Early IUGR correct answers < 32 weeks at initial diagnosis
Late IUGR correct answers > 32 weeks at initial diagnosis
Severe IUGR correct answers estimated fetal weight < 3rd percentile
Perinatal asphyxia correct answers lack of blood flow or gas exchange to or from the fetus in the
period immediately before, during, or after the birth process
Hypoxic Ischemic Encephalopathy correct answers results from perinatal asphyxia
- therapeutic hypothermia is the standard of care for infants > 36 weeks GA
Perinatal compass nursing model correct answers - relationship-based care
- interprofessional collaboration
- evidence-informed practice
, - quality and safety
intrauterine resuscitation correct answers - change position (upright, all fours, or if lying down
turning left or right lateral)
- change surveillance method
- differentiate maternal heart rate from FHR
- modify/pause bearing down efforts
- stop IOL procedures (oxytocin/prostaglandin removal)
Tachysystole correct answers more than 5 contractions in 10 minutes averaged over 30 minutes
- consider tocolysis with an atypical or abnormal FHR
umbilical cord presentation correct answers knee chest position to relieve presenting part
umbilical cord prolapse correct answers elevate presenting part off the umbilical cord with hand
in vagina; call for help
oxygen administration during birth correct answers should not be administered without
documentation of hypoxia or hypovolemia; reserved for resuscitation of the pregnant person
Leopold's Maneuvers correct answers Palpation to determine presentation and position of the
fetus and aid in location of fetal heart sounds.
bradycardia: actions correct answers intrauterine resuscitation
differentiate maternal HR and FHR
rule out:
- fetal death
- non-hypoxic causes (post-maturity, drugs, fetal malposition)
- congential heart block
- cord prolapse
tachycardia: actions correct answers - intrauterine resuscitation
- assess maternal temperature and pulse
- review duration of ruptured membranes, presence of possible reasons, infection
Accelerations in FHR correct answers an abrupt increase in FHR above baseline with onset to
peak of the acceleration less than < 30 seconds and less than 2 minutes in duration.
normal and reassuring finding
Decelerations in FHR correct answers decrease in FHR below baseline
determination of the type of deceleration is based on: correct answers - the slope of deceleration
(either abrupt or gradual)
- the timing in relation to contractions
