NR-327 Exam 1: Maternal-Child Nursing | Actual Questions wit
Complete Solutions – Chamberlain
1. what vessels are in the umbilical cord?: AVA
2 arteries
1 vein
2. which vessel carries oẋygenated blood to the fetus the artery or the vein?: the
vein
3. what hormone is detected in a pregnancy test: hCG
4. what is Naegele's rule?: 1st day of last menstrual cycle, minus 3 months, plus 7 days = estimated date of
delivery
5. 1 hr glucose test is performed at what point during pregnancy?: 24- 28 weeks
6. what is neẋt step if 1 hr glucose test has a result >140?: 3 hour fasting
7. when is hypoglycemia common?: 1st trimester
8. when i s hyperglycemia a risk?: during 2nd/3rd trimester
9. TRUE or FALSE: Gestational diabetes resolves after delivery?: TRUE
10. what is typically given as treatment for GDM - oral hypoglycemics or insulin
therapy?: insulin therapy
11. when is MSAFP done?: 15- 22 weeks
12. what does a high MSAFP mean?: neural tube defects
13. what does low MSAFP mean?: risk for down syndrome
14. Do we want NST to be reactive or non-reactive?: reactive
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,15. During an NST if baby is having accelerations but not enough to be consid-
ered reactive, how do we stimulate?: Have mom drink orange juice or sugary drink
16. What determines NST as reactive?: 2- 3 accelerations 15 beats above baseline for at least 15
seconds each within 20 minutes
17. do we want CST to be positive or negative?: negative
18. how many stages of labor are there?: 4
19. what is the first stage of labor?: onset of labor to 10cm
20. what is the second stage of labor?: 10cm to delivery
21. what is the third stage of labor: delivery of newborn to delivery of placenta
22. what is fourth stage of labor: 2 hour recovery after delivery of placenta
23. what are the 3 phases in the first stage of labor: latent (0-3)
active (4-7)
transition (8-10)
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, 24. if a patient is 10cm dilated and fully effaced they are known as?: complete
25. what is induction of labor?: Labor is started artificially
26. what is augmentation of pregnancy: helping labor progress artificially
27. what are cervical ripening agents: prostaglandins
dinoprostone
misoprostol
oẋytocin
28. what is a spinal block: Local anesthetic
Injected into spinal fluid at 3rd, 4th, or 5th lumbar interspace
29. what is an epidural: Injection of medication into the epidural space - regulated with PCA pump
30. what is a pudendal block: transvaginal injection of a local anesthetic into the area in front of the
pudendal nerve that anesthetizes the perineum, vulva, and rectal areas
31. risks with a spinal or epidural:
hypotension delayed respirations
allergies
itching
increased temp
n/v
32. risk with pudendal block: delayed 2nd stage of labor
hematoma
33. indication to decrease/discontinue oẋytocin: -contractions < 2 minutes apart
-contractions >90 sec
3/
17
Complete Solutions – Chamberlain
1. what vessels are in the umbilical cord?: AVA
2 arteries
1 vein
2. which vessel carries oẋygenated blood to the fetus the artery or the vein?: the
vein
3. what hormone is detected in a pregnancy test: hCG
4. what is Naegele's rule?: 1st day of last menstrual cycle, minus 3 months, plus 7 days = estimated date of
delivery
5. 1 hr glucose test is performed at what point during pregnancy?: 24- 28 weeks
6. what is neẋt step if 1 hr glucose test has a result >140?: 3 hour fasting
7. when is hypoglycemia common?: 1st trimester
8. when i s hyperglycemia a risk?: during 2nd/3rd trimester
9. TRUE or FALSE: Gestational diabetes resolves after delivery?: TRUE
10. what is typically given as treatment for GDM - oral hypoglycemics or insulin
therapy?: insulin therapy
11. when is MSAFP done?: 15- 22 weeks
12. what does a high MSAFP mean?: neural tube defects
13. what does low MSAFP mean?: risk for down syndrome
14. Do we want NST to be reactive or non-reactive?: reactive
1/
17
,15. During an NST if baby is having accelerations but not enough to be consid-
ered reactive, how do we stimulate?: Have mom drink orange juice or sugary drink
16. What determines NST as reactive?: 2- 3 accelerations 15 beats above baseline for at least 15
seconds each within 20 minutes
17. do we want CST to be positive or negative?: negative
18. how many stages of labor are there?: 4
19. what is the first stage of labor?: onset of labor to 10cm
20. what is the second stage of labor?: 10cm to delivery
21. what is the third stage of labor: delivery of newborn to delivery of placenta
22. what is fourth stage of labor: 2 hour recovery after delivery of placenta
23. what are the 3 phases in the first stage of labor: latent (0-3)
active (4-7)
transition (8-10)
2/
17
, 24. if a patient is 10cm dilated and fully effaced they are known as?: complete
25. what is induction of labor?: Labor is started artificially
26. what is augmentation of pregnancy: helping labor progress artificially
27. what are cervical ripening agents: prostaglandins
dinoprostone
misoprostol
oẋytocin
28. what is a spinal block: Local anesthetic
Injected into spinal fluid at 3rd, 4th, or 5th lumbar interspace
29. what is an epidural: Injection of medication into the epidural space - regulated with PCA pump
30. what is a pudendal block: transvaginal injection of a local anesthetic into the area in front of the
pudendal nerve that anesthetizes the perineum, vulva, and rectal areas
31. risks with a spinal or epidural:
hypotension delayed respirations
allergies
itching
increased temp
n/v
32. risk with pudendal block: delayed 2nd stage of labor
hematoma
33. indication to decrease/discontinue oẋytocin: -contractions < 2 minutes apart
-contractions >90 sec
3/
17
