CCPR - OB Exam 1

CCPR - OB Exam 1 1. A gravida 2, para 1 in active labor just reported spontaneous rupture of membranes. Ten minutes later, she suddenly complains of severe shortness of breath and lightheadedness. The nurse should suspect a. anaphylactoid syndrome b. extreme anxiety c. hyperventilation - anaphylactoid syndrome 2. Betamethasone given to the mother can transiently affect the fetal heart rate by a. decreasing the variability b. increasing the variability c. lowering the baseline - decreasing the variability 3. When Cervidil is used for induction of labor, at what point can oxytocin be initiated after removal of the Cervidil? a. 1 hour b. 2 hours c. 4 hours - 1 hour 5. When fundal pressure is used during a shoulder dystocia, the nurse is aware that it will potentially a. abrupt the placenta b. assist the provider with delivery of the shoulders c. impact the fetal shoulder - c. impact the fetal shoulder 6. A postpartum mother who would like to breastfeed her baby is diagnosed with Hepatitis B surface-antigen positive. What is the recommendation regarding breastfeeding for this mother? a. Administer HBIG and hepatitis B vaccine to the newborn and then allow breastfeeding b. Breastfeeding is absolutely contraindicated c. Pump and discard milk for 1 week following vaccine administration to the newborn - a. Administer HBIG and hepatitis B vaccine to the newborn and then allow breastfeeding 7. Stimulation of the sympathetic nervous system causes the fetal heart rate to a. decrease b. increase c. remain the same - increase 8. A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after admission for severe gastric discomfort with nausea and vomiting. Her blood pressure is 156/100 mmHg. She complains of blurred vision. These findings are consistent with a diagnosis of a. gestational hypertension b. preeclampsia c. preeclampsia with severe features - preeclampsia with severe features 9. What maternal disease results in damage to the fetal heart conduction system? a. Alpha thalassemia major b. Rh isoimmunization c. Systemic lupus erythematosus - Systemic lupus erythematosus 10. The most appropriate instruction to give parents about what breastfeeding frequency to expect during the first few weeks after birth is a. cluster feedings with 8 to 12 feedings in 24 hours b. regularly spaced feedings every 2 to 3 hours c. six to eight feedings in 24 hours with a longer stretch of sleep during the night - a. cluster feedings with 8 to 12 feedings in 24 hours 11. A woman at 28 weeks gestation reports to the labor and delivery with painless vaginal bleeding that started this morning. The nurse's first step in caring for this woman is to determine a. cervical dilation b. placental location c. rupture of membranes - b. placental location 12. A series of sine waves with similar duration and amplitude develop on the electronic fetal monitor 10 minutes after stadol (butorphanol) is administered to a patient with previously normal tracings. The appropriate response to this fetal heart rate pattern would be to a. administer oxygen b. continue to observe c. prepare for cesarean delivery - b. continue to observe 13. Increased perfusion of the newborn liver is initiated by closure of the a. ductus arteriosus.