PN 3006 Quiz 3 – Questions With A+ Solutions
A woman arrives in the clinic for her prenatal visit she states that she is
currently 28 weeks pregnant with twins she has; 5 year old son born at 39
weeks, 3 year old daughter born at 34 weeks and her last pregnancy was
ended at 16 weeks what is her obstetrical history Right Ans - G4 T1 P1 A1
L2
Exercise during pregnancy should be practiced to achieve which of the
following goals? Right Ans - Improving obstetrical outcomes
at a 30 week prenatal visit, a woman is lying on her back on the examination
table and suddenly states she feels dizzy and faint the best action by the nurse
is: Right Ans - Turn the woman on her side (preferably her left side)
A woman is being seen for her first prenatal care appointment. the chart
shows her ob HX to be: G4 T3 P0 A1 L2. What can the nurse anticipate given
this HX Right Ans - The patient may need assistance planning care of her
other children during labour and birth
a woman's LMP is april 1 2019 she has been keeping upwell on her prenatal
appointments but states the dates of the coming appt needs to be changed
because she is going on a cruise Dec 30-Jan17 2020 the nurse should respond
by saying: Right Ans - Perhaps you many consider moving the date of your
cruise to end earlier so it is not as close to you due date.
a nurse is explaining probable signs of pregnancy some of these would
include: Right Ans - Abdominal enlargement, Braxton Hicks contractions
and the header sign
what are the 4 p's of labour Right Ans - Powers, Passage, Passenger,
position and Psyche
what is the key difference between pre labour and true labour Right Ans -
the presence of cervical change (effacement or dilation)
Effacement is? Right Ans - thinning of the cervix
, contractions should be how far apart when the mother should go to the
hospital Right Ans - Nuliparas : 4-5 mins apart Multiparas 5-7 minutes
apart
first stage of labour Right Ans - dilation of the cervix until the cervix
reaches 10 centimetres
latent (0-3cm) Active (4-10cm)
the second stage of labour Right Ans - expulsion or pushing phase this
phase extends from the the total dilation of the cervix until the baby has been
born
Third stage of labour Right Ans - expulsion of the placenta (afterbirth)
fourth stage of labour Right Ans - begins with the delivery of the placenta
and includes at least the first 2 hours after birth
what is the baseline fetal hear rate (FHR) Right Ans - 110-160 bpm
what is the main fetal risk during first and second phase of labour Right
Ans - fetal compromise due to interruption of fetal oxygen supply
main maternal risk in the fourth stage Right Ans - Hemorrhage caused by
Uterine relaxation
top priorities for newborn immediately after delivery Right Ans - maintain
warmth, maintain cardiorespiratory function, maintain skin to skin contact,
assess for major abnormalities encouragement of parent-infant bonding and
breastfeeding
to determine the frequency of uterine contractions the nurse should note the
time from: Right Ans - Beginning of one contraction to the beginning of the
next contraction
excessive anxiety and fear during labour may result in what? Right Ans -
ineffective labour patterns
woman pregnant with her first child Right Ans - primigravida
A woman arrives in the clinic for her prenatal visit she states that she is
currently 28 weeks pregnant with twins she has; 5 year old son born at 39
weeks, 3 year old daughter born at 34 weeks and her last pregnancy was
ended at 16 weeks what is her obstetrical history Right Ans - G4 T1 P1 A1
L2
Exercise during pregnancy should be practiced to achieve which of the
following goals? Right Ans - Improving obstetrical outcomes
at a 30 week prenatal visit, a woman is lying on her back on the examination
table and suddenly states she feels dizzy and faint the best action by the nurse
is: Right Ans - Turn the woman on her side (preferably her left side)
A woman is being seen for her first prenatal care appointment. the chart
shows her ob HX to be: G4 T3 P0 A1 L2. What can the nurse anticipate given
this HX Right Ans - The patient may need assistance planning care of her
other children during labour and birth
a woman's LMP is april 1 2019 she has been keeping upwell on her prenatal
appointments but states the dates of the coming appt needs to be changed
because she is going on a cruise Dec 30-Jan17 2020 the nurse should respond
by saying: Right Ans - Perhaps you many consider moving the date of your
cruise to end earlier so it is not as close to you due date.
a nurse is explaining probable signs of pregnancy some of these would
include: Right Ans - Abdominal enlargement, Braxton Hicks contractions
and the header sign
what are the 4 p's of labour Right Ans - Powers, Passage, Passenger,
position and Psyche
what is the key difference between pre labour and true labour Right Ans -
the presence of cervical change (effacement or dilation)
Effacement is? Right Ans - thinning of the cervix
, contractions should be how far apart when the mother should go to the
hospital Right Ans - Nuliparas : 4-5 mins apart Multiparas 5-7 minutes
apart
first stage of labour Right Ans - dilation of the cervix until the cervix
reaches 10 centimetres
latent (0-3cm) Active (4-10cm)
the second stage of labour Right Ans - expulsion or pushing phase this
phase extends from the the total dilation of the cervix until the baby has been
born
Third stage of labour Right Ans - expulsion of the placenta (afterbirth)
fourth stage of labour Right Ans - begins with the delivery of the placenta
and includes at least the first 2 hours after birth
what is the baseline fetal hear rate (FHR) Right Ans - 110-160 bpm
what is the main fetal risk during first and second phase of labour Right
Ans - fetal compromise due to interruption of fetal oxygen supply
main maternal risk in the fourth stage Right Ans - Hemorrhage caused by
Uterine relaxation
top priorities for newborn immediately after delivery Right Ans - maintain
warmth, maintain cardiorespiratory function, maintain skin to skin contact,
assess for major abnormalities encouragement of parent-infant bonding and
breastfeeding
to determine the frequency of uterine contractions the nurse should note the
time from: Right Ans - Beginning of one contraction to the beginning of the
next contraction
excessive anxiety and fear during labour may result in what? Right Ans -
ineffective labour patterns
woman pregnant with her first child Right Ans - primigravida
