NURl 202/l NUR202l Examl 2l –l Maternal-
Newbornl Nursingl Review|l Fortisl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Whatl arel importantl factorsl tol considerl whenl treatingl cardiacl patientsl thatl arel alsol
pregnant?
Answer:
Consideredl al highl riskl pregnancyl Minimizel stressl onl thel heart
Q:l Whatl arel thel signsl andl symptomsl tol lookl forl whenl treatingl pregnantl cardiacl
patients?
Answer:
-l Peripherall edema,l tachypnea,l tachycardia,l dyspnea,l SOBl (l patientl isl consideredl cardiac
decompensation)
-l Normall heartl canl compensatel forl thel increasedl workloadl ofl pregnancy,l labor,l andl
birthl are
generallyl welll tolerated,l butl thel diseasel heartl isl hemodynamicallyl challenged
Q:l Whatl shouldl thel nursel assessl whenl takingl carel ofl pregnantl patientsl withl CHF?
Answer:
-l Generalizedl Edema,l JVD,l dyspnea,l palpitations,l moist
coughl
-l Positionl tol supportl cardiacl function
-l Avoidl strainingl andl constipation/l Openl glottisl pushing
Q:l Whatl happensl ifl myocardiall diseasel developsl duringl pregnancy?
,Answer:
valvularl diseasel existsl orl al congenitall heartl defectsl isl present,l cardiacl decompensationl
(inabilityl of
thel heartl tol maintainl al sufficientl C/O)
Q:l Whatl arel thel subjectivel signsl ofl potentiall complicationsl ofl cardiovascularl diseasel
inl pregnantl women?
Answer:
Increasel fatigue,l dyspneal withl normall activity,l Feelingl smothering,l feelingl likel myl heartl
isl racingl (palpitation),l frequentl cough,l swellingl ofl face,l feet,l legl andl fingersl
(generalizedl edema)
Q:l Whatl arel thel objectivel signsl ofl potentiall complicationsl ofl cardiovascularl diseasel
inl pregnantl women?
Answer:
-l Irregular,l weak,l rapidl pulsel (greaterl thanl orl equall tol 100l beats/min)
-l Progressive,l Generalizedl Edema
-l Cracklesl atl basel ofl lungsl afterl twol inspirations/exhalationsl notl clearingl withl cough
-l Orthopnea,l increasingl dyspnea
-l Rapidl Respirationl (greaterl thanl orl equall tol 25l breaths/min)
-l Moist/frequentl cough
-l Cyanosisl ofl lips/naill beds
Q:l Whatl shouldl bel testedl beforel allowingl al motherl tol breastl feed?
Answer:
drugl testl becausel ifl positivel patientl cannotl breastl feed
Q:l Whatl dol wel worryl aboutl withl postpartuml moms?
Answer:
,Ourl biggestl worryl isl hemorrhage
Q:l Whatl arel biggestl waysl wel canl preventl hemorrhagel inl postpartuml moms?
Answer:
Fundall message,l assessl andl assessl perineum,l quantifyl bloodl loss,l lookl forl hiddenl bloodl
bruises,l expectl lacerations,l wel arel lookingl tol seel thatl anyl repairsl havel healed
Q:l Whatl dol wel recommendl forl postpartuml momsl whol arel hesitantl aboutl bowell
movements?
Answer:
Recommendl thatl theyl havel fiber,l lotsl ofl fluids,l andl ambulatel frequently
Q:l Whatl dol wel recommendl withl postpartuml momsl whol havel vaginall lacerations?
Answer:
Sitsl bats,l wel wantl theml tol usel al peril bottle
Q:l Whyl dol wel notl wantl momsl whol arel postl vaginall deliveryl tol notl wipe?
Answer:
Itl canl introducel bacterial andl bel kindl ofl morel damagingl andl irritatingl tol thosel tissues
Q:l Whatl isl importantl whenl introducingl moml tol breastfeeding?
Answer:
-l Coachingl moml tol feedl babyl everyl 1l tol 2l hrsl orl 2l tol 3l hrsl dependingl onl whenl
babyl wantsl tol eat
-l Initiatel breastfeedingl withinl 1l tol 2l hrsl ofl birthl orl asl soonl asl possible
-l Teachl moml aboutl mastitisl washingl herl breastl beforel feeds,l usingl pads,l frequentlyl
emptyingl herl breast,l butl makingl surel moml doesl notl washl nipplesl withl soapl andl water
, Q:l Whatl isl al signl ofl al goodl latchl forl al breastfeedingl mother?
Answer:
Experiencingl thirstl andl contractionsl whilel feeding
Q:l Whatl shouldl thel nursel lookl atl andl observel inl postpartuml patients?
Answer:
-l Arel theyl exhibitingl facilitatingl behaviors?
-l Isl therel synchronyl betweenl babyl andl mom?
-l Dol wel seel signsl andl symptomsl ofl postpartuml depression?
Q:l Whatl arel symptomsl ofl postpartuml depression?
Answer:
-l Lossl ofl interest
-l Disconnection
-l Symptomsl ofl depressionl thatl lastl morel thanl 2l weeks,l orl extendl tol thoughtsl ofl selfl
harml orl thoughtsl ofl harmingl baby
Q:l Whatl commonl factorsl ofl hispanicl momsl shouldl thel nursel keepl intol consideration?
Answer:
Withl thisl culturel wel tendl tol seel thatl hispanicl familiesl havel al lotl ofl extendedl familyl
networksl andl itl isl commonl forl femalesl inl mom'sl familyl especiallyl tol bel veryl involvedl
inl carel ofl thel infant
Q:l Whatl commonl factorsl ofl Asianl momsl shouldl thel nursel takel intol considerationl
whenl caringl forl momsl inl thisl culture?
Answer:
Asianl mothersl arel veryl stoic
Newbornl Nursingl Review|l Fortisl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Whatl arel importantl factorsl tol considerl whenl treatingl cardiacl patientsl thatl arel alsol
pregnant?
Answer:
Consideredl al highl riskl pregnancyl Minimizel stressl onl thel heart
Q:l Whatl arel thel signsl andl symptomsl tol lookl forl whenl treatingl pregnantl cardiacl
patients?
Answer:
-l Peripherall edema,l tachypnea,l tachycardia,l dyspnea,l SOBl (l patientl isl consideredl cardiac
decompensation)
-l Normall heartl canl compensatel forl thel increasedl workloadl ofl pregnancy,l labor,l andl
birthl are
generallyl welll tolerated,l butl thel diseasel heartl isl hemodynamicallyl challenged
Q:l Whatl shouldl thel nursel assessl whenl takingl carel ofl pregnantl patientsl withl CHF?
Answer:
-l Generalizedl Edema,l JVD,l dyspnea,l palpitations,l moist
coughl
-l Positionl tol supportl cardiacl function
-l Avoidl strainingl andl constipation/l Openl glottisl pushing
Q:l Whatl happensl ifl myocardiall diseasel developsl duringl pregnancy?
,Answer:
valvularl diseasel existsl orl al congenitall heartl defectsl isl present,l cardiacl decompensationl
(inabilityl of
thel heartl tol maintainl al sufficientl C/O)
Q:l Whatl arel thel subjectivel signsl ofl potentiall complicationsl ofl cardiovascularl diseasel
inl pregnantl women?
Answer:
Increasel fatigue,l dyspneal withl normall activity,l Feelingl smothering,l feelingl likel myl heartl
isl racingl (palpitation),l frequentl cough,l swellingl ofl face,l feet,l legl andl fingersl
(generalizedl edema)
Q:l Whatl arel thel objectivel signsl ofl potentiall complicationsl ofl cardiovascularl diseasel
inl pregnantl women?
Answer:
-l Irregular,l weak,l rapidl pulsel (greaterl thanl orl equall tol 100l beats/min)
-l Progressive,l Generalizedl Edema
-l Cracklesl atl basel ofl lungsl afterl twol inspirations/exhalationsl notl clearingl withl cough
-l Orthopnea,l increasingl dyspnea
-l Rapidl Respirationl (greaterl thanl orl equall tol 25l breaths/min)
-l Moist/frequentl cough
-l Cyanosisl ofl lips/naill beds
Q:l Whatl shouldl bel testedl beforel allowingl al motherl tol breastl feed?
Answer:
drugl testl becausel ifl positivel patientl cannotl breastl feed
Q:l Whatl dol wel worryl aboutl withl postpartuml moms?
Answer:
,Ourl biggestl worryl isl hemorrhage
Q:l Whatl arel biggestl waysl wel canl preventl hemorrhagel inl postpartuml moms?
Answer:
Fundall message,l assessl andl assessl perineum,l quantifyl bloodl loss,l lookl forl hiddenl bloodl
bruises,l expectl lacerations,l wel arel lookingl tol seel thatl anyl repairsl havel healed
Q:l Whatl dol wel recommendl forl postpartuml momsl whol arel hesitantl aboutl bowell
movements?
Answer:
Recommendl thatl theyl havel fiber,l lotsl ofl fluids,l andl ambulatel frequently
Q:l Whatl dol wel recommendl withl postpartuml momsl whol havel vaginall lacerations?
Answer:
Sitsl bats,l wel wantl theml tol usel al peril bottle
Q:l Whyl dol wel notl wantl momsl whol arel postl vaginall deliveryl tol notl wipe?
Answer:
Itl canl introducel bacterial andl bel kindl ofl morel damagingl andl irritatingl tol thosel tissues
Q:l Whatl isl importantl whenl introducingl moml tol breastfeeding?
Answer:
-l Coachingl moml tol feedl babyl everyl 1l tol 2l hrsl orl 2l tol 3l hrsl dependingl onl whenl
babyl wantsl tol eat
-l Initiatel breastfeedingl withinl 1l tol 2l hrsl ofl birthl orl asl soonl asl possible
-l Teachl moml aboutl mastitisl washingl herl breastl beforel feeds,l usingl pads,l frequentlyl
emptyingl herl breast,l butl makingl surel moml doesl notl washl nipplesl withl soapl andl water
, Q:l Whatl isl al signl ofl al goodl latchl forl al breastfeedingl mother?
Answer:
Experiencingl thirstl andl contractionsl whilel feeding
Q:l Whatl shouldl thel nursel lookl atl andl observel inl postpartuml patients?
Answer:
-l Arel theyl exhibitingl facilitatingl behaviors?
-l Isl therel synchronyl betweenl babyl andl mom?
-l Dol wel seel signsl andl symptomsl ofl postpartuml depression?
Q:l Whatl arel symptomsl ofl postpartuml depression?
Answer:
-l Lossl ofl interest
-l Disconnection
-l Symptomsl ofl depressionl thatl lastl morel thanl 2l weeks,l orl extendl tol thoughtsl ofl selfl
harml orl thoughtsl ofl harmingl baby
Q:l Whatl commonl factorsl ofl hispanicl momsl shouldl thel nursel keepl intol consideration?
Answer:
Withl thisl culturel wel tendl tol seel thatl hispanicl familiesl havel al lotl ofl extendedl familyl
networksl andl itl isl commonl forl femalesl inl mom'sl familyl especiallyl tol bel veryl involvedl
inl carel ofl thel infant
Q:l Whatl commonl factorsl ofl Asianl momsl shouldl thel nursel takel intol considerationl
whenl caringl forl momsl inl thisl culture?
Answer:
Asianl mothersl arel veryl stoic
