PN 3006 QUIZ 3 STUDY GUIDE
ACTUAL QUESTIONS AND ANSWERS
A woman arrives in the clinic for her prenatal visit she states that she is
currently 28 weeks pregnant with twins she has; 5 year old son born at 39
weeks, 3 year old daughter born at 34 weeks and her last pregnancy was
ended at 16 weeks what is her obstetrical history - ANSWER-G4 T1 P1 A1 L2
Exercise during pregnancy should be practiced to achieve which of the
following goals? - ANSWER-Improving obstetrical outcomes
at a 30 week prenatal visit, a woman is lying on her back on the examination
table and suddenly states she feels dizzy and faint the best action by the
nurse is: - ANSWER-Turn the woman on her side (preferably her left side)
A woman is being seen for her first prenatal care appointment. the chart
shows her ob HX to be: G4 T3 P0 A1 L2. What can the nurse anticipate given
this HX - ANSWER-The patient may need assistance planning care of her
other children during labour and birth
a woman's LMP is april 1 2019 she has been keeping upwell on her prenatal
appointments but states the dates of the coming appt needs to be changed
because she is going on a cruise Dec 30-Jan17 2020 the nurse should
respond by saying: - ANSWER-Perhaps you many consider moving the date of
your cruise to end earlier so it is not as close to you due date.
a nurse is explaining probable signs of pregnancy some of these would
include: - ANSWER-Abdominal enlargement, Braxton Hicks contractions and
the header sign
what are the 4 p's of labour - ANSWER-Powers, Passage, Passenger, position
and Psyche
what is the key difference between pre labour and true labour - ANSWER-the
presence of cervical change (effacement or dilation)
Effacement is? - ANSWER-thinning of the cervix
contractions should be how far apart when the mother should go to the
hospital - ANSWER-Nuliparas : 4-5 mins apart Multiparas 5-7 minutes apart
, first stage of labour - ANSWER-dilation of the cervix until the cervix reaches
10 centimetres
latent (0-3cm) Active (4-10cm)
the second stage of labour - ANSWER-expulsion or pushing phase this phase
extends from the the total dilation of the cervix until the baby has been born
Third stage of labour - ANSWER-expulsion of the placenta (afterbirth)
fourth stage of labour - ANSWER-begins with the delivery of the placenta and
includes at least the first 2 hours after birth
what is the baseline fetal hear rate (FHR) - ANSWER-110-160 bpm
what is the main fetal risk during first and second phase of labour - ANSWER-
fetal compromise due to interruption of fetal oxygen supply
main maternal risk in the fourth stage - ANSWER-Hemorrhage caused by
Uterine relaxation
top priorities for newborn immediately after delivery - ANSWER-maintain
warmth, maintain cardiorespiratory function, maintain skin to skin contact,
assess for major abnormalities encouragement of parent-infant bonding and
breastfeeding
to determine the frequency of uterine contractions the nurse should note the
time from: - ANSWER-Beginning of one contraction to the beginning of the
next contraction
excessive anxiety and fear during labour may result in what? - ANSWER-
ineffective labour patterns
woman pregnant with her first child - ANSWER-primigravida
woman giving birth for first time but previously pregnant - ANSWER-
Primipara
a woman pregnant with her first child phones the labour clinic saying "My
water broke" what should the nurse tell her to do - ANSWER-come to the
hospital for an assessment
a labouring woman begins making grunting noises and bearing down during
a strong contraction what should the nurse do - ANSWER-look at her
perineum for increased bloody show or perineal bulging
ACTUAL QUESTIONS AND ANSWERS
A woman arrives in the clinic for her prenatal visit she states that she is
currently 28 weeks pregnant with twins she has; 5 year old son born at 39
weeks, 3 year old daughter born at 34 weeks and her last pregnancy was
ended at 16 weeks what is her obstetrical history - ANSWER-G4 T1 P1 A1 L2
Exercise during pregnancy should be practiced to achieve which of the
following goals? - ANSWER-Improving obstetrical outcomes
at a 30 week prenatal visit, a woman is lying on her back on the examination
table and suddenly states she feels dizzy and faint the best action by the
nurse is: - ANSWER-Turn the woman on her side (preferably her left side)
A woman is being seen for her first prenatal care appointment. the chart
shows her ob HX to be: G4 T3 P0 A1 L2. What can the nurse anticipate given
this HX - ANSWER-The patient may need assistance planning care of her
other children during labour and birth
a woman's LMP is april 1 2019 she has been keeping upwell on her prenatal
appointments but states the dates of the coming appt needs to be changed
because she is going on a cruise Dec 30-Jan17 2020 the nurse should
respond by saying: - ANSWER-Perhaps you many consider moving the date of
your cruise to end earlier so it is not as close to you due date.
a nurse is explaining probable signs of pregnancy some of these would
include: - ANSWER-Abdominal enlargement, Braxton Hicks contractions and
the header sign
what are the 4 p's of labour - ANSWER-Powers, Passage, Passenger, position
and Psyche
what is the key difference between pre labour and true labour - ANSWER-the
presence of cervical change (effacement or dilation)
Effacement is? - ANSWER-thinning of the cervix
contractions should be how far apart when the mother should go to the
hospital - ANSWER-Nuliparas : 4-5 mins apart Multiparas 5-7 minutes apart
, first stage of labour - ANSWER-dilation of the cervix until the cervix reaches
10 centimetres
latent (0-3cm) Active (4-10cm)
the second stage of labour - ANSWER-expulsion or pushing phase this phase
extends from the the total dilation of the cervix until the baby has been born
Third stage of labour - ANSWER-expulsion of the placenta (afterbirth)
fourth stage of labour - ANSWER-begins with the delivery of the placenta and
includes at least the first 2 hours after birth
what is the baseline fetal hear rate (FHR) - ANSWER-110-160 bpm
what is the main fetal risk during first and second phase of labour - ANSWER-
fetal compromise due to interruption of fetal oxygen supply
main maternal risk in the fourth stage - ANSWER-Hemorrhage caused by
Uterine relaxation
top priorities for newborn immediately after delivery - ANSWER-maintain
warmth, maintain cardiorespiratory function, maintain skin to skin contact,
assess for major abnormalities encouragement of parent-infant bonding and
breastfeeding
to determine the frequency of uterine contractions the nurse should note the
time from: - ANSWER-Beginning of one contraction to the beginning of the
next contraction
excessive anxiety and fear during labour may result in what? - ANSWER-
ineffective labour patterns
woman pregnant with her first child - ANSWER-primigravida
woman giving birth for first time but previously pregnant - ANSWER-
Primipara
a woman pregnant with her first child phones the labour clinic saying "My
water broke" what should the nurse tell her to do - ANSWER-come to the
hospital for an assessment
a labouring woman begins making grunting noises and bearing down during
a strong contraction what should the nurse do - ANSWER-look at her
perineum for increased bloody show or perineal bulging
