GUIDE | MATERNAL-NEWBORN NURSING
FINAL EXAM GUIDE| 100% CORRECTLY
ANSWERED FOR A GUARANTEED A+ |
LATEST 2025/2026 GUIDE | FORTIS
Fetal distress - Correct Answer - HR below 110 or above 160, shows
decreased or no variability, and is hyperactive or no activity
Nursing care for fetal distress - Correct Answer - Position client in left
side lying reclining position with legs elevated, 8-10 liters of 02
Dystocia - Correct Answer - Abnormal labor related to the 5 P's.
Hypotonic or hypertonic contractions, with failure to efface and dilate the
cervix
What to do with hypertonic contractions? - Correct Answer - Maintain
hydration, promote rest and relaxation, and place client in lateral position
and provide 02 by mask
,Precipitous labor - Correct Answer - Labor that lasts 3 hours or less from
onset of contractions to time of delivery
Anaphylactoid Syndrome - Correct Answer - Amniotic fluid embolism.
Rupture of amniotic sac causing infiltration of amniotic fluid into the
maternal circulation. Amniotic fluid travels to and obstructs pulmonary
vessels
Sign of anaphylactoid syndrome - Correct Answer - Sudden chest pain,
cyanosis, dyspnea, pulmonary edema, respiratory arrest
Care for anaphylactoid syndrome - Correct Answer - Administer 02,
intubate, cardiopulmonary resuscitation as necessary, administer fluids,
position client on side with pelvis tilted 30 degrees to displace uterus,
administer blood products
Greatest risks during postpartum period - Correct Answer - Hemorrhage,
shock, and infection
Decreased estrogen - Correct Answer - Breast engorgement,
diaphoresis, diuresis, diminished vaginal lubrication
Decreased progesterone - Correct Answer - Increase in muscle tone
,Decreased placental enzyme insulinase - Correct Answer - Blood sugar
lowers immediately after birth
Kleihauer-Betke test - Correct Answer - Determined amount of fetal
blood in maternal circulation if large fetomaternal transfusion is
suspected
When is Rho-GAM administered - Correct Answer - Within 72 hrs to
women who are Rh-negative and gave birth to an infant who is Rh-
positive
Postpartum focused exam- BUBBLE - Correct Answer - Breasts, uterus,
bowel, bladder, lochia, episiotomy
Postpartum fundus - Correct Answer - Decreased in size from 1,000 g to
60 g in two weeks
Fundus location postpartum - Correct Answer - 1 cm above umbilicus 12
hours postpartum
Oxytocics - Correct Answer - Oxytocin, methylergonovine maleate, and
carboprost
, Methylergonovine (Methergine) - Correct Answer - 140/90 and above
BP- don't give. Also assess for n/v and headache
Lochia rubra - Correct Answer - Bright red, clots, 1-3 days after delivery
Lochia serosa - Correct Answer - Pinkish/brown, serosanguineous. Lasts
day 4-10 postpartum
Lochia alba - Correct Answer - Yellowish, white cream color. Lasts
approx 11 days-6 weeks postpartum
Scant - Correct Answer - Less than 2.5 cm
Light - Correct Answer - Less than 10 cm
Moderate - Correct Answer - More than 10 cm
Heavy - Correct Answer - One pad saturated within 2 hr
Excessive blood loss - Correct Answer - One pad saturated in 15 min or
less or pooling of blood under buttocks