OB/PEDS FINAL EXAM 2 LATEST VERSIONS (VERSION A & B)
ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
Do you want to encourage ambulation in early phase if first stage of labor? -
ANSWER: Yes
Benefits of hydrotherapy? - ANSWER: Pain mgmt
Takes pressure off
What needs to be obtained during primary assessment of a laboring pt? - ANSWER:
Prenatal labs
Gestational age
High risk complications
History
What do Leopold maneuvers determine? - ANSWER: Fetal lie,position and
presentation
What does a cervical exam look at? - ANSWER: Dilation
Effacement
Station
How can you promote elimination during laboring? - ANSWER: Eliminate n/v
Getting up to bathroom
Trying to void
What are the positions for pushing? - ANSWER: Recumbent/lithotomy
Lateral
Squatting
Semi-fowlers
Hands and knees
What is included in immediate care of woman after birth? - ANSWER: Comfort and
early infant contact asap
Prepare for delivery of placenta
Monitor firmness of uterus
Estimated blood loss
What is the estimated blood loss for vaginal and c section? - ANSWER: 500ml for
vaginal and 1000 for C/S
What are the cares for the newborn? - ANSWER: Establish airway
Make sure infant is warm
Determine apgar score
, Physical assessment
Promote bonding
Breastfeeding
What are the assessment pieces during third and fourth stages of labor - ANSWER:
Firmness of uterus/fundus
Lochia
Perineum
Bladder
Breasts
Vital signs
What is pain perception based on in labor? - ANSWER: Cultural practices
Anxiety level
Fear
Previous pain experiences
Psych and social support
Attitude
Fatigue
Labor induced or augmented
Stress
What are the 2 pain pathways a woman experiences in labor - ANSWER: Visceral:
related to contraction of uterus and dilation/stretching of cervix
Somatic: pressure of presenting part on birth canal,vulva, and perineum
What are the non pharmacological methods of pain mgmt in labor? - ANSWER:
Teaching
Relaxation techniques
Positioning
Hydrotherapy
Massage
What are the factors the nurse needs to take into consideration before giving meds
in labor? - ANSWER: How far into labor is she
How does fetal monitoring strip look
Allergies
Stable vitals
When are sedatives given in labor? - ANSWER: Early or During cervical ripening to
promote rest
Why are sedatives not used in active labor? - ANSWER: Neonatal respiratory
depression
What are examples of sedatives used in labor? - ANSWER: Non-benzodiazepines -
ambien
ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
Do you want to encourage ambulation in early phase if first stage of labor? -
ANSWER: Yes
Benefits of hydrotherapy? - ANSWER: Pain mgmt
Takes pressure off
What needs to be obtained during primary assessment of a laboring pt? - ANSWER:
Prenatal labs
Gestational age
High risk complications
History
What do Leopold maneuvers determine? - ANSWER: Fetal lie,position and
presentation
What does a cervical exam look at? - ANSWER: Dilation
Effacement
Station
How can you promote elimination during laboring? - ANSWER: Eliminate n/v
Getting up to bathroom
Trying to void
What are the positions for pushing? - ANSWER: Recumbent/lithotomy
Lateral
Squatting
Semi-fowlers
Hands and knees
What is included in immediate care of woman after birth? - ANSWER: Comfort and
early infant contact asap
Prepare for delivery of placenta
Monitor firmness of uterus
Estimated blood loss
What is the estimated blood loss for vaginal and c section? - ANSWER: 500ml for
vaginal and 1000 for C/S
What are the cares for the newborn? - ANSWER: Establish airway
Make sure infant is warm
Determine apgar score
, Physical assessment
Promote bonding
Breastfeeding
What are the assessment pieces during third and fourth stages of labor - ANSWER:
Firmness of uterus/fundus
Lochia
Perineum
Bladder
Breasts
Vital signs
What is pain perception based on in labor? - ANSWER: Cultural practices
Anxiety level
Fear
Previous pain experiences
Psych and social support
Attitude
Fatigue
Labor induced or augmented
Stress
What are the 2 pain pathways a woman experiences in labor - ANSWER: Visceral:
related to contraction of uterus and dilation/stretching of cervix
Somatic: pressure of presenting part on birth canal,vulva, and perineum
What are the non pharmacological methods of pain mgmt in labor? - ANSWER:
Teaching
Relaxation techniques
Positioning
Hydrotherapy
Massage
What are the factors the nurse needs to take into consideration before giving meds
in labor? - ANSWER: How far into labor is she
How does fetal monitoring strip look
Allergies
Stable vitals
When are sedatives given in labor? - ANSWER: Early or During cervical ripening to
promote rest
Why are sedatives not used in active labor? - ANSWER: Neonatal respiratory
depression
What are examples of sedatives used in labor? - ANSWER: Non-benzodiazepines -
ambien
