NSPN 7100 Final Exam Questions With Complete Solutions
10 steps for promoting and protecting breastfeeding Correct
Answers 1. Informed decision
2. Establishment and maintenance of milk supply
3. Human milk management
4. Oral care and feeding of human milk
5. skin to skin
6. Non nutritive sucking
7. transition to breast
8. measurement of milk transfer
9. preparation for discharge
10. appropriate follow up
3 sign of response distress Correct Answers grunting, nasal
flaring, indrawing
4 causes of PPH Correct Answers Tone
Thrombin
Tissue
Trauma
4 levels of fetal adaptation Correct Answers 1. physiological
needs
2. motor organization
3. state regulation
4. attention and social interaction
4 phases of maternal role attainment Correct Answers 1.
Commitment: preparation during pregnancy
2. Attachment: learning to care for infant
,3. Moving: towards a new normal
4. Achievement: new found maternal identity
5 Areas of Knowing Correct Answers 1. Knowing the
profession: scope of practice/competencies
2. Knowing the case: theory knowledge
3. Knowing the person: individuals wishes/preferences
4. Knowing the patient: knowledge of their admission/hx/risk
factors
5. Knowing the self: awareness of strengths/limitations
5 P's Correct Answers Passenger, passage, powers, position,
psyche
6 sleep awake states Correct Answers Deep sleep, active sleep,
drowsy, quiet alert, active alert, crying
An organized infant is one who Correct Answers maintains
physiological stability, maintains good tone, can transition
smoothly between states and interact with environment
Anti-infective properties in breast milk Correct Answers
Neutophils are most common WBC
T and B cell lymphocytes:
- create antibodies
- kill infected cells
- strengthen infants immune response
APGAR Correct Answers Appearance
Pulse
, Grimace
Activity
Respiration
Assessed at 1 and 5 minutes a score of 7 or less at 5 minutes
warrants further assessment
Asymmetrical IUGR Correct Answers - often occurs later on
- growth of head and body do not match
- often due to HTN, CVD, renal disease
Average blood loss in a c-section Correct Answers 500-1000ml
Average blood loss in a vaginal birth Correct Answers 300-
500ml
Benefits of breastfeeding for mom Correct Answers - decreased
PPH incidence
- uterine involution
- reduced risk of ovarian and breast cancer
- decreased risk of PPD
Benefits of breastfeeding for neonate Correct Answers -
enhanced immunity
- reduced risk of GI infection/celiac/asthma/resp
infection/SIDS/obesity/diabetes
- enhanced development for preterm/weight gain
Benefits of breastfeeding premature infants Correct Answers -
decreased incidence of NEC
- decreased risk for allergy
10 steps for promoting and protecting breastfeeding Correct
Answers 1. Informed decision
2. Establishment and maintenance of milk supply
3. Human milk management
4. Oral care and feeding of human milk
5. skin to skin
6. Non nutritive sucking
7. transition to breast
8. measurement of milk transfer
9. preparation for discharge
10. appropriate follow up
3 sign of response distress Correct Answers grunting, nasal
flaring, indrawing
4 causes of PPH Correct Answers Tone
Thrombin
Tissue
Trauma
4 levels of fetal adaptation Correct Answers 1. physiological
needs
2. motor organization
3. state regulation
4. attention and social interaction
4 phases of maternal role attainment Correct Answers 1.
Commitment: preparation during pregnancy
2. Attachment: learning to care for infant
,3. Moving: towards a new normal
4. Achievement: new found maternal identity
5 Areas of Knowing Correct Answers 1. Knowing the
profession: scope of practice/competencies
2. Knowing the case: theory knowledge
3. Knowing the person: individuals wishes/preferences
4. Knowing the patient: knowledge of their admission/hx/risk
factors
5. Knowing the self: awareness of strengths/limitations
5 P's Correct Answers Passenger, passage, powers, position,
psyche
6 sleep awake states Correct Answers Deep sleep, active sleep,
drowsy, quiet alert, active alert, crying
An organized infant is one who Correct Answers maintains
physiological stability, maintains good tone, can transition
smoothly between states and interact with environment
Anti-infective properties in breast milk Correct Answers
Neutophils are most common WBC
T and B cell lymphocytes:
- create antibodies
- kill infected cells
- strengthen infants immune response
APGAR Correct Answers Appearance
Pulse
, Grimace
Activity
Respiration
Assessed at 1 and 5 minutes a score of 7 or less at 5 minutes
warrants further assessment
Asymmetrical IUGR Correct Answers - often occurs later on
- growth of head and body do not match
- often due to HTN, CVD, renal disease
Average blood loss in a c-section Correct Answers 500-1000ml
Average blood loss in a vaginal birth Correct Answers 300-
500ml
Benefits of breastfeeding for mom Correct Answers - decreased
PPH incidence
- uterine involution
- reduced risk of ovarian and breast cancer
- decreased risk of PPD
Benefits of breastfeeding for neonate Correct Answers -
enhanced immunity
- reduced risk of GI infection/celiac/asthma/resp
infection/SIDS/obesity/diabetes
- enhanced development for preterm/weight gain
Benefits of breastfeeding premature infants Correct Answers -
decreased incidence of NEC
- decreased risk for allergy
