PN COMPREHENSIVE EXAM Q AND A 2026
STUDY SHEET COMPLETE SOLUTION VIEW
AHEAD
◉ Pheochromocytoma
Answer: hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress,
frequent bathing and rest breaks, avoid cold and stimulating foods
(surgery to remove tumor)
◉ Tetrology of Fallot
Answer: DROP (Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis)
◉ Autonomic Dysreflexia
Answer: (potentially life threatening emergency!) HOB elevate 90
degrees, loosen constrictive clothing, assess for full bladder or bowel
impaction, (trigger) administer antihypertensives (may cause
stroke, MI, seizure)
◉ FHR patterns for OB
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
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
Answer: Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
◉ Ventilatory alarms
Answer: HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
◉ ICP and Shock
Answer: ICP- Increased BP, decreased pulse, decreased resp
STUDY SHEET COMPLETE SOLUTION VIEW
AHEAD
◉ Pheochromocytoma
Answer: hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress,
frequent bathing and rest breaks, avoid cold and stimulating foods
(surgery to remove tumor)
◉ Tetrology of Fallot
Answer: DROP (Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis)
◉ Autonomic Dysreflexia
Answer: (potentially life threatening emergency!) HOB elevate 90
degrees, loosen constrictive clothing, assess for full bladder or bowel
impaction, (trigger) administer antihypertensives (may cause
stroke, MI, seizure)
◉ FHR patterns for OB
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
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
Answer: Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
◉ Ventilatory alarms
Answer: HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
◉ ICP and Shock
Answer: ICP- Increased BP, decreased pulse, decreased resp
