NRSG 421: Maternity, peds, mental health || QUESTIONS
WITH COMPLETE SOLUTIONS!!
Immediately after the birth of a neonate, the nurse dries and positions the neonate. Following
this, the neonate remains apneic. What should the nurse do next?
a.Assign the first APGAR score
b.Start positive pressure ventilation
c.Administer oxygen
d.Start cardiac compressions correct answers B is correct, the APGAR score is at 1 minute so
you don't wait until one minute to assign them a score if they are not breathing
What to do if baby is not breathing correct answers If they are not breathing, we are going to
stimulate them
Getting the resps breathing is the most important part
Administering oxygen to someone who isn't breathing does not do anything!!
To Ressusitate you have to clamp the cord in most cases
Baseline FHS correct answers Normal 110-160 bpm
Variability FHS correct answers variation from baseline) normal 10-25 beats
Accelerations (good) correct answers FHR increase of ≥15 bpm, away from baseline ≥15 sec
Decelerations correct answers •Early (good- head compression): U shape, mirror contractions
•Variable (variable- cord compression): V shape, variable timing
•Late (bad- uteroplacental insufficiency): U shape, often subtle, peak after contraction peak
A nurse in a prenatal clinic is assessing a client at 30 weeks gestation. Which findings lead
this nurse to suspect that the client has mild preeclampsia?
a.Glycosuria, hypertension, seizures
b.Hematuria, blurry vision, reduced urine output
c.Burning on urination, hypertension, abdominal pain
d.Hypertension, edema, proteinuria correct answers D
A 28-year-old multigravida at 32 weeks' gestation is admitted to the hospital with painless
vaginal bleeding. Which action should the nurse take first?
a.Perform sterile vaginal exam to assess dilation
b.Administer a cleansing enema
c.Prepare for a cesarean birth
d.Check blood pressure and fetal heart rate correct answers Placenta previa. Painless vaginal
bleeding
You do not want to go in vaginal for pracental previa
A primigravida in active labor is 9 cm dilated with complete effacement and +1 station. What
should the nurse do when the primary care provider prescribes morphine 10 mg intramuscular
for pain?
a.Administer the medication in the ventrogluteal site
b.Ensure that naloxone is at the client's bedside
c.Ask the care provider to validate the dosage of the medication
WITH COMPLETE SOLUTIONS!!
Immediately after the birth of a neonate, the nurse dries and positions the neonate. Following
this, the neonate remains apneic. What should the nurse do next?
a.Assign the first APGAR score
b.Start positive pressure ventilation
c.Administer oxygen
d.Start cardiac compressions correct answers B is correct, the APGAR score is at 1 minute so
you don't wait until one minute to assign them a score if they are not breathing
What to do if baby is not breathing correct answers If they are not breathing, we are going to
stimulate them
Getting the resps breathing is the most important part
Administering oxygen to someone who isn't breathing does not do anything!!
To Ressusitate you have to clamp the cord in most cases
Baseline FHS correct answers Normal 110-160 bpm
Variability FHS correct answers variation from baseline) normal 10-25 beats
Accelerations (good) correct answers FHR increase of ≥15 bpm, away from baseline ≥15 sec
Decelerations correct answers •Early (good- head compression): U shape, mirror contractions
•Variable (variable- cord compression): V shape, variable timing
•Late (bad- uteroplacental insufficiency): U shape, often subtle, peak after contraction peak
A nurse in a prenatal clinic is assessing a client at 30 weeks gestation. Which findings lead
this nurse to suspect that the client has mild preeclampsia?
a.Glycosuria, hypertension, seizures
b.Hematuria, blurry vision, reduced urine output
c.Burning on urination, hypertension, abdominal pain
d.Hypertension, edema, proteinuria correct answers D
A 28-year-old multigravida at 32 weeks' gestation is admitted to the hospital with painless
vaginal bleeding. Which action should the nurse take first?
a.Perform sterile vaginal exam to assess dilation
b.Administer a cleansing enema
c.Prepare for a cesarean birth
d.Check blood pressure and fetal heart rate correct answers Placenta previa. Painless vaginal
bleeding
You do not want to go in vaginal for pracental previa
A primigravida in active labor is 9 cm dilated with complete effacement and +1 station. What
should the nurse do when the primary care provider prescribes morphine 10 mg intramuscular
for pain?
a.Administer the medication in the ventrogluteal site
b.Ensure that naloxone is at the client's bedside
c.Ask the care provider to validate the dosage of the medication
