2025\2026 A+ Grade
APGAR
- correct answer Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Woman in labor (un-reassuring FHR)
- correct answer (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2,
stop pitocin, Increase IV fluids!
Infant with Spina Bifida
- correct answer Prone so that sac does not rupture
Prolapsed cord
- correct answer Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip
- correct answer position on back or in infant seat to prevent trauma to the suture line. while feeding
hold in upright position.
FHR patterns for OB
- correct answer Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
, A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
what to check with pregnancy
- correct answer Never check the monitor or machine as a first action. Always assess the patient first.
Ex.. listen to fetal heart tones with stethoscope.
Position of the baby by fetal heart sounds
- correct answer Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
Heroin withdrawal neonate
- correct answer irritable, poor sucking
lead poisoning
- correct answer test at 12 months of age
pt with leukemia may have
- correct answer epistaxis due to low platelets
when a pt comes in and is in active labor
- correct answer first action of nurse is to listen to fetal heart tones/rate
NCLEX answer tips
- correct answer choose assessment first! (assess, collect, auscultate, monitor, palpate) only choose
intervention in an emergency or stress situation. If the answer has an absolute, discard it. Give priority
to the answers that deal with the patient's body, not machines, or equipment.
1 tsp
- correct answer 5 mL