Maternal Child Nursing Care
Exam #3 QUESTIONS AND
VERIFIED ANSWERS
Transition period - correct answer The first 6-8 hours after birth
What is the neonatal period? - correct answer first 28 days of life
Apgar scale - correct answer On a scale from 1-2, 2 being the best score.
0-3 severely depressed
4-6 moderately depressed
6-10 Excellent condition
Appearance (color:blue (pale), pink & blue, pink)
Pulse (heart rate:Absent, <100, >100)
Grimace (reflex irritability)... active motion (sneeze, cough, irritability)
Activity (muscle tone: limp, flaccid, flexed)
Respiration (breathing: absent, weak cry, strong cry)
Bilirubin - correct answer orange-yellow pigment in bile; formed by the breakdown of
hemoglobin when red blood cells are destroyed
acrocyanosis - correct answer Blue condition of the extremities
, Paralytic Ileus - correct answer -complete absence of peristaltic movement that may follow
abdominal surgery or complete bowel obstruction
Mongolian spots - correct answer areas of deep bluish-gray pigmentation most commonly on
the sacral aspect of a newborn
Methergine - correct answer used in postpartum to prevent hemorrhage (may cause HTN)
Hemabate (Carboprost) - correct answer -Uterine Contraction / prevention of bleeding - smooth
muscle contraction
- 250 mcq IM - repeat every 15-45 min (max 8 doses)
- Onset immediate / Duration 2 hours
Epstein pearls - correct answer multiple small, white, epithelial inclusion cysts found in the
midline of the palate in newborn infants
Ballard scale (Newborn Assessment) - correct answer -Full gestational mark (10 different steps
with grade) use in NICU premature
-step gives us a grade and will give you how many weeks gestation the baby is.
Examination of the placenta - correct answer -Umbilical cord should be assessed for length,
number of vessels, thrombosis, knots, and presence of Wharton's jelly.
-Assess for missing cotelydons (if missing, indicative of retained placental tissue)
Moro reflex (startle reflex) - correct answer Symmetric abduction and extension of arms are
seen; fingers fan out and form a C with thumb and for finger
-slight tremor possible and a short cry
-Response is present at birth and may be seen until 8 weeks
Exam #3 QUESTIONS AND
VERIFIED ANSWERS
Transition period - correct answer The first 6-8 hours after birth
What is the neonatal period? - correct answer first 28 days of life
Apgar scale - correct answer On a scale from 1-2, 2 being the best score.
0-3 severely depressed
4-6 moderately depressed
6-10 Excellent condition
Appearance (color:blue (pale), pink & blue, pink)
Pulse (heart rate:Absent, <100, >100)
Grimace (reflex irritability)... active motion (sneeze, cough, irritability)
Activity (muscle tone: limp, flaccid, flexed)
Respiration (breathing: absent, weak cry, strong cry)
Bilirubin - correct answer orange-yellow pigment in bile; formed by the breakdown of
hemoglobin when red blood cells are destroyed
acrocyanosis - correct answer Blue condition of the extremities
, Paralytic Ileus - correct answer -complete absence of peristaltic movement that may follow
abdominal surgery or complete bowel obstruction
Mongolian spots - correct answer areas of deep bluish-gray pigmentation most commonly on
the sacral aspect of a newborn
Methergine - correct answer used in postpartum to prevent hemorrhage (may cause HTN)
Hemabate (Carboprost) - correct answer -Uterine Contraction / prevention of bleeding - smooth
muscle contraction
- 250 mcq IM - repeat every 15-45 min (max 8 doses)
- Onset immediate / Duration 2 hours
Epstein pearls - correct answer multiple small, white, epithelial inclusion cysts found in the
midline of the palate in newborn infants
Ballard scale (Newborn Assessment) - correct answer -Full gestational mark (10 different steps
with grade) use in NICU premature
-step gives us a grade and will give you how many weeks gestation the baby is.
Examination of the placenta - correct answer -Umbilical cord should be assessed for length,
number of vessels, thrombosis, knots, and presence of Wharton's jelly.
-Assess for missing cotelydons (if missing, indicative of retained placental tissue)
Moro reflex (startle reflex) - correct answer Symmetric abduction and extension of arms are
seen; fingers fan out and form a C with thumb and for finger
-slight tremor possible and a short cry
-Response is present at birth and may be seen until 8 weeks
