2019 MATERNAL NEWBORN PROCTORED TEST
BANK VERSION 1,2,3,4 AND 5 (V1-V5) COMPLETE
VERSIONS 60 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GARDED A+
Where do you assess fetal heart tones in vertex presentation? - ans -Below
umbilicus in either the right or left lower quadrant of the abdomen
Where do you assess fetal heart tones in breech presentation? - ans -Above
umbilicus in either the right or left upper quadrant of abdomen
Epidural block - ans -- given at 4/5th vertebrae
- eliminates pain from level of umbilicus to thighs
- relives discomofrt of UC, fetal descent, stretching of perineum (might not
remove pressure sensations)
- active labor and dilated at least 4cm
- monitor for hypotension, respiratry depression, and decreased O2 sat
Amniocentesis - postprocedure nursing actions - ans -- monitor V/s, FHR, UC
- have client rest for 30 minutes
- aminister Rho(D) if they are Rh -
amniocentesis - ans -needle puncture of the amniotic sac to withdraw amniotic
fluid for analysis
- use ultrasound to confirm baby's location
terbutaline maternal effects - ans -- tachycardia (120>)
- palpitations
- chest pain
- hypotension (<90/60)
- hypokalemia
- hyperglycemia
Assessing uterus during postpartum - ans -- gentle massage until it is firm
- lie in supine position prior to checking the uterus
, - place 1 hand at base of uterus for support. 2nd hand at the umbilicus and should
be pushed downward and inward against uterine fundus
- measure height of fundus in fingerbreadths in relation to the umbilicus (expect
to decrease 1 fingerbreadth in height every day; ex: 3 days Postpartum = 3
fingerbreadths below umbilicus)
Why should parents avoid using antimicrobial agents on the cord - ans -can cause
delayed cord seperation
Newborn cord pain - ans -- tissue of cord is no longer functioning so the cord does
not cause pain
circumcision care - 24 hrs. after - ans -- report bright red bleeding, inconsoluble
crying, edema or odor!!
- scant amount of serosanguineous drainage is expected
- yellow exudate is normal for next 2-3 days
- Should void 2-6 times; if only once in 24 hours then call doctor
Positive signs of pregnancy - ans -- fetal heart tones
presumptive signs of pregnancy - ans -- positive pregnancy test
- amenorrhea
- Chadwick's sign
Newborn signs for septic shock - ans -- hypotension
- tachypnea
- tachycardia
- mottled/grey colored skin
- cool extremities
Nursing interventions for placenta previa - ans -- no vaginal exams
- start a large-bore IV catheter
- obtain blood sample for labs
- continuous external fetal monitoring
pelvis shape - gynecoid - ans -- ideal for vaginal childbirth
- well rounded with wide public arch
BANK VERSION 1,2,3,4 AND 5 (V1-V5) COMPLETE
VERSIONS 60 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GARDED A+
Where do you assess fetal heart tones in vertex presentation? - ans -Below
umbilicus in either the right or left lower quadrant of the abdomen
Where do you assess fetal heart tones in breech presentation? - ans -Above
umbilicus in either the right or left upper quadrant of abdomen
Epidural block - ans -- given at 4/5th vertebrae
- eliminates pain from level of umbilicus to thighs
- relives discomofrt of UC, fetal descent, stretching of perineum (might not
remove pressure sensations)
- active labor and dilated at least 4cm
- monitor for hypotension, respiratry depression, and decreased O2 sat
Amniocentesis - postprocedure nursing actions - ans -- monitor V/s, FHR, UC
- have client rest for 30 minutes
- aminister Rho(D) if they are Rh -
amniocentesis - ans -needle puncture of the amniotic sac to withdraw amniotic
fluid for analysis
- use ultrasound to confirm baby's location
terbutaline maternal effects - ans -- tachycardia (120>)
- palpitations
- chest pain
- hypotension (<90/60)
- hypokalemia
- hyperglycemia
Assessing uterus during postpartum - ans -- gentle massage until it is firm
- lie in supine position prior to checking the uterus
, - place 1 hand at base of uterus for support. 2nd hand at the umbilicus and should
be pushed downward and inward against uterine fundus
- measure height of fundus in fingerbreadths in relation to the umbilicus (expect
to decrease 1 fingerbreadth in height every day; ex: 3 days Postpartum = 3
fingerbreadths below umbilicus)
Why should parents avoid using antimicrobial agents on the cord - ans -can cause
delayed cord seperation
Newborn cord pain - ans -- tissue of cord is no longer functioning so the cord does
not cause pain
circumcision care - 24 hrs. after - ans -- report bright red bleeding, inconsoluble
crying, edema or odor!!
- scant amount of serosanguineous drainage is expected
- yellow exudate is normal for next 2-3 days
- Should void 2-6 times; if only once in 24 hours then call doctor
Positive signs of pregnancy - ans -- fetal heart tones
presumptive signs of pregnancy - ans -- positive pregnancy test
- amenorrhea
- Chadwick's sign
Newborn signs for septic shock - ans -- hypotension
- tachypnea
- tachycardia
- mottled/grey colored skin
- cool extremities
Nursing interventions for placenta previa - ans -- no vaginal exams
- start a large-bore IV catheter
- obtain blood sample for labs
- continuous external fetal monitoring
pelvis shape - gynecoid - ans -- ideal for vaginal childbirth
- well rounded with wide public arch
