Labor & Delivery Exam Practice questions and (VERIFIED) answers rated A

Normal FHT - 110-160bpm Fetal monitoring monitors FHR in response to - Uterine contractions Associated with contractions and fetal head compression - Early deceleration Variable decelerations are caused by - Cord compression List 4 possible reasons for late deceleration - 1. Tachysystole 2. Anesthesia 3. Abruption 4. HTN Additional... 5. IUGR 6. Diabetes 7. Infection Water therapy, couterpressure, and acupressure are all forms of - Nonpharmacological cutaneous pain management strategies An epidural block will eliminate all pain associated with the labor and delivery process - FALSE!! Procedure used to treat postdural puncture headaches - Blood patch Anesthesia placed into the subarachnoid space useful for cesarean sections - Spinal anesthesiaA primary nursing intervention when preparing a woman for spinal or epidural anesthesia is - Maternal fluid balance Because a prolonged deceleration is caused by head compression, it is not considered an obstetric emergency - FALSE AROM when the fetal head is not engaged in the maternal pelvis could cause what obstetrical emergency? - Cord prolapse Leading cause of maternal mortality in the US - Postpartum hemorrhage Assessment made after ROM indicating passing of first stool in utero - Meconium-stained fluid Leading cause of postpartum hemorrhage - Uterine Atony When the nurse is performing initial newborn care, gloves are not necessary because the infant is born with vernix, which is sterile protective coating - FALSE The APGAR assessment evaluates heart rate, respiratory rate, muscle tone, reflex, and - Color At delivery, the infant is vigorous. What would be the initial actions of the nurse? - Provide warm blankets to dry and stimulate, suction secretions with bulb syringe The normal resting position of the neonate is 1. Extension of UE with flexion of LE 2. General flexion 3. General extension 4. Flexion of UE with extension of LE - 2. General FlexionAssessment of newborn: Heart rate of 105 Lusty cry RR 44 Well flexed Extremities blue, trunk is pink What is the APGAR score - 9