OB/Peds f Final f Exam f 2020 f exam f questions f and f answers f correct f (graded f A+) If f a f Maternal f Serum f Alpha f Fetal f Protein f (MSAFP) f level f was f elevated f what f should f the f nurse f prioritize? f - f correct f answers -Further f testing What f is f the f best f action f to f treat f heartburn f at f night f during f pregnancy? f - f correct f answers -Elevate f the f head f of f the f bed. What f is f the f GTPAL? f Previous f pregnancy f ended f at f 18 f weeks, f twins f at f 31 f weeks, f and f a f 5 f year f old f at f 39 f weeks. f - f correct f answers -G4, f T1, f P2, f A1, f L3 Which f procedure f should f the f nurse f administer f RhoGam f if f the f woman f is f Rh f negative? f - f correct f answers -Amniocentesis Positive f sign f of f pregnancy f - f correct f answers -Fetal f movement f felt f by f examiner Dizziness, f shortness f of f breath f while f lying f supine f is f caused f by f what f in f pregnancy? f - f correct f answers -Blood f trapped f in f the f vena f cava f in f a f supine f position Probable f sign f of f pregnancy f - f correct f answers -Positive f home f pregnancy f test What f hormone f is f necessary f after f birth f for f newborn f growth? f - f correct f answers -
Prolactin Blood f volume f in f pregnancy f can f increase f by? f - f correct f answers -40%-45% A f woman f is f unable f to f maintain f adequate f blood f sugar f control f during f pregnancy. f What f is f the f top f priority? f - f correct f answers -Prepare f for f assessment f of f fetal f lung f maturity Which f test f can f be f done f at f 10 f weeks f to f check f for f risk f of f a f genetic f defect? f - f correct f answers -Chorionic f villus f sampling A f mother f with f gestational f diabetes f is f at f increased f risk f of f long-term f complications f such f as? f - f correct f answers -Increased f risk f of f developing f type f 2 f diabetes During f which f stage f does f a f woman's f cardiac f output f increase f 80% f above f pre-labor f levels? f - f correct f answers -Immediately f after f birth Which f fetal f presentation f is f least f likely f to f occur? f - f correct f answers -Shoulder Which f phase f of f the f contraction f is f most f important f to f make f sure f the f fetus f has f adequate f oxygenation? f - f correct f answers -Relaxation Difference f between f true f and f false f labor? f - f correct f answers -Contraction f increase f even f if f relaxing What f initiates f labor? f - f correct f answers -Prostoglandins f may f be f the f causing f factor What f is f the f nurse f referring f to f when f she f says f the f fetus f is f ROA? f - f correct f answers -
Fetal f position When f the f fetus f crowns f and f the f client f is f pushing f what f stage f of f labor f is f this? f - f correct f answers -Second How f does f anxiety f affect f labor? f - f correct f answers -Slows f down f labor f and f decreases f oxygen f to f the f fetus What f would f you f monitor f if f a f client f has f an f epidural? f - f correct f answers -Inability f to f push When f is f a f pudendal f block f given? f - f correct f answers -Just f before f birth What f is f the f priority f when f preparing f for f an f epidural? f - f correct f answers -IV f fluid f bolus Which f is f the f best f pain f option f if f a f woman f won't f push f because f it f hurts f too f much? f - f correct f answers -Pudendal f block What f should f the f nurse f do f if f the f client f is f having f variable f decelerations? f - f correct f answers -Change f positions What f are f decelerations? f - f correct f answers -Uteroplacental f insufficiency What f are f late f decelerations? f - f correct f answers -Uteroplacental f insufficiency What f color f is f the f nitrazine f paper f if f the f membranes f are f ruptured? f - f correct f answers -
Blue Which f is f a f reassuring f fetal f heart f rate? f - f correct f answers -Acceleration f of f at f least f 15 f bpm f for f 15 f seconds What f test f is f the f best f indicator f for f a f successful f induction? f - f correct f answers -Bishop f score f of f 7 Which f cervical f ripening f agent f can f be f given f orally? f - f correct f answers -Misoprostol Which f action f would f the f nurse f prioritize f for f an f emergent f cesarean f delivery? f - f correct f answers -Sign f informed f consent Slow f progression f of f labor f resulting f in f a f cesarean f section f is f due f to? f - f correct f answers -
Dystocia Infection f of f amniotic f fluid f is f called? f - f correct f answers -Chorioamnionitis What f would f be f the f reason f for f an f episiotomy? f - f correct f answers -Shoulder f dystocia Prostaglandin f Ex f is f delivered f via f what f route? f - f correct f answers -Vaginal A f fetus f is f in f transverse f lie f at f 40 f weeks. f What f should f the f nurse f assist f the f doctor f with? f - f correct f answers -Prepare f to f assist f with f an f external f version What f do f you f monitor f with f magnesium f sulfate? f - f correct f answers -Respiratory f depression, f hypotension What f is f the f priority f for f shoulder f dystocia? f - f correct f answers -McRoberts f Maneuver What f action f is f taken f for f a f prolapsed f cord? f - f correct f answers -Place f in f knee f chest f position What f would f the f woman f experience f if f the f fetus f was f in f a f occiput f posterior f position? f - f correct f answers -Back f pain What f kind f of f deceleration f would f be f noted f on f the f monitor f if f the f woman f has f a f uterine f rupture? f - f correct f answers -Late f deceleration What f is f green f amniotic f fluid? f - f correct f answers -Meconium What f process f results f in f the f return f of f nonpregnant f size f and f function f of f the f uterus? f - f correct f answers -Involution Uterine f contraction f postpartum f are f essential f for? f - f correct f answers -Sealing f off f blood f vessels f at f the f placenta f site Where f will f the f fundus f be f located f 1 f day f postpartum? f - f correct f answers -1 f cm f below f the f umbilicus What f is f bonding? f - f correct f answers -Developing f an f attachment f and f becoming f acquainted What f mode f of f heat f loss f occurs f with f a f fan f blowing f on f the f infant? f - f correct f answers -
Convection A f white f cheesy f substance f on f newborn f is f called? f - f correct f answers -Vernix What f is f the f function f of f surfactant? f - f correct f answers -Keeps f alveoli f from f collapsing f with f breaths An f infant f with f a f low f temperature f is f at f risk f for? f - f correct f answers -Respiratory f distress
Prolactin Blood f volume f in f pregnancy f can f increase f by? f - f correct f answers -40%-45% A f woman f is f unable f to f maintain f adequate f blood f sugar f control f during f pregnancy. f What f is f the f top f priority? f - f correct f answers -Prepare f for f assessment f of f fetal f lung f maturity Which f test f can f be f done f at f 10 f weeks f to f check f for f risk f of f a f genetic f defect? f - f correct f answers -Chorionic f villus f sampling A f mother f with f gestational f diabetes f is f at f increased f risk f of f long-term f complications f such f as? f - f correct f answers -Increased f risk f of f developing f type f 2 f diabetes During f which f stage f does f a f woman's f cardiac f output f increase f 80% f above f pre-labor f levels? f - f correct f answers -Immediately f after f birth Which f fetal f presentation f is f least f likely f to f occur? f - f correct f answers -Shoulder Which f phase f of f the f contraction f is f most f important f to f make f sure f the f fetus f has f adequate f oxygenation? f - f correct f answers -Relaxation Difference f between f true f and f false f labor? f - f correct f answers -Contraction f increase f even f if f relaxing What f initiates f labor? f - f correct f answers -Prostoglandins f may f be f the f causing f factor What f is f the f nurse f referring f to f when f she f says f the f fetus f is f ROA? f - f correct f answers -
Fetal f position When f the f fetus f crowns f and f the f client f is f pushing f what f stage f of f labor f is f this? f - f correct f answers -Second How f does f anxiety f affect f labor? f - f correct f answers -Slows f down f labor f and f decreases f oxygen f to f the f fetus What f would f you f monitor f if f a f client f has f an f epidural? f - f correct f answers -Inability f to f push When f is f a f pudendal f block f given? f - f correct f answers -Just f before f birth What f is f the f priority f when f preparing f for f an f epidural? f - f correct f answers -IV f fluid f bolus Which f is f the f best f pain f option f if f a f woman f won't f push f because f it f hurts f too f much? f - f correct f answers -Pudendal f block What f should f the f nurse f do f if f the f client f is f having f variable f decelerations? f - f correct f answers -Change f positions What f are f decelerations? f - f correct f answers -Uteroplacental f insufficiency What f are f late f decelerations? f - f correct f answers -Uteroplacental f insufficiency What f color f is f the f nitrazine f paper f if f the f membranes f are f ruptured? f - f correct f answers -
Blue Which f is f a f reassuring f fetal f heart f rate? f - f correct f answers -Acceleration f of f at f least f 15 f bpm f for f 15 f seconds What f test f is f the f best f indicator f for f a f successful f induction? f - f correct f answers -Bishop f score f of f 7 Which f cervical f ripening f agent f can f be f given f orally? f - f correct f answers -Misoprostol Which f action f would f the f nurse f prioritize f for f an f emergent f cesarean f delivery? f - f correct f answers -Sign f informed f consent Slow f progression f of f labor f resulting f in f a f cesarean f section f is f due f to? f - f correct f answers -
Dystocia Infection f of f amniotic f fluid f is f called? f - f correct f answers -Chorioamnionitis What f would f be f the f reason f for f an f episiotomy? f - f correct f answers -Shoulder f dystocia Prostaglandin f Ex f is f delivered f via f what f route? f - f correct f answers -Vaginal A f fetus f is f in f transverse f lie f at f 40 f weeks. f What f should f the f nurse f assist f the f doctor f with? f - f correct f answers -Prepare f to f assist f with f an f external f version What f do f you f monitor f with f magnesium f sulfate? f - f correct f answers -Respiratory f depression, f hypotension What f is f the f priority f for f shoulder f dystocia? f - f correct f answers -McRoberts f Maneuver What f action f is f taken f for f a f prolapsed f cord? f - f correct f answers -Place f in f knee f chest f position What f would f the f woman f experience f if f the f fetus f was f in f a f occiput f posterior f position? f - f correct f answers -Back f pain What f kind f of f deceleration f would f be f noted f on f the f monitor f if f the f woman f has f a f uterine f rupture? f - f correct f answers -Late f deceleration What f is f green f amniotic f fluid? f - f correct f answers -Meconium What f process f results f in f the f return f of f nonpregnant f size f and f function f of f the f uterus? f - f correct f answers -Involution Uterine f contraction f postpartum f are f essential f for? f - f correct f answers -Sealing f off f blood f vessels f at f the f placenta f site Where f will f the f fundus f be f located f 1 f day f postpartum? f - f correct f answers -1 f cm f below f the f umbilicus What f is f bonding? f - f correct f answers -Developing f an f attachment f and f becoming f acquainted What f mode f of f heat f loss f occurs f with f a f fan f blowing f on f the f infant? f - f correct f answers -
Convection A f white f cheesy f substance f on f newborn f is f called? f - f correct f answers -Vernix What f is f the f function f of f surfactant? f - f correct f answers -Keeps f alveoli f from f collapsing f with f breaths An f infant f with f a f low f temperature f is f at f risk f for? f - f correct f answers -Respiratory f distress
