NR465 Maternal Newborn Nursing
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) Exam Questions
And Detailed Answers.
What does fetal circulation consist of? - Answer Two umbilical Arteries and One umbilical vein.
What is the normal heart rate of the fetus? - Answer 110 - 160 bpm
What is the purpose of estrogen during pregnancy? - Answer It stimulates uterine
development to provide an environment for the fetus, and stimulates the breast to prepare for
lactation.
List 4 functions of amniotic fluid. - Answer 1. Allows for fetal movement
2. It is a measure of kidney function
3. Surrounds, cushions and protects the fetus
4. Maintains the body temperature of the fetus
Using Nagele's Rule, what is the estimated date of birth if a woman tells you the first day of her
LMP was October 20, 2012? - Answer July 27, 2013
Give the GTPAL if a pregnant woman that reports having a child that is 5 (born at 38 weeks), and
no other pregnancy history? - Answer G2- T0- P0 - A0 -L1
Goodell's sign is indicative of what? - Answer A softening of the cervix
If a pregnant client is 28 weeks gestation. Where would you expect to measure the fundal
height in centimeters? - Answer 28 cm
What is quickening? - Answer Fetal movement that is felt by the mother
Ballottement, Chadwicks sign, Uterine enlargement and Braxton Hicks contractions are what
kind of sign of pregnancy? - Answer Probable
,3. Generalized edema
After a client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and
observes a spurt of blood from the vagina. The nurse recognizes these findings as a sign of: -
Answer Placental separation
What color would you expect lochia to be in the 4th stage of labor? - Answer Red
Where should a nurse expect the fundus to be immediately after delivery? - Answer At the
level of the umbilicus
Name 4 self care instructions for a post postpartum woman diagnosed with Mastitis. - Answer
1. Wear a supportive, non-underwire bra
2. Rest during the acute phase
3. Maintain 3000mL of fluid intake
4. Continue to breast feed if the breast are not too sore
What is a serious adverse effect associated with Oxytocin (Pitocin)? - Answer Tetanic
contractions
How frequent are contractions during the 2nd stage of labor? - Answer Every 15 mins
When does the 3rd stage of labor end? - Answer After the birth of the placenta
How can a nurse most effectively determine the duration of a clients contractions? - Answer
By timing the period from the onset of uterine tightening to uterine relaxation.
What finding indicates impending placental separation? - Answer Umbilical cord lengthening
During the 4th stage of labor, the nurse notes that the clients fundus is boggy and located above
the umbilicus. How should the nurse intervene? - Answer Massage the client's fundus
A client is experiencing TRUE labor, when her contractions are: - Answer Regular and increase
in frequency and duration
, What intervention should the nurse take for a client in the 2nd stage of labor that experiences
membrane rupture? - Answer Check for a prolapsed cord
What are the cardinal movements of labor? - Answer Fetal decent
Flexion
Internal rotation
Extension
External rotation
Expulsion
Why should a client be instructed NOT to push until the cervix is completely dilated? - Answer
Early pushing may cause edema and impede fetal descent
What carries oxygen to the fetus? - Answer The umbilical vein carries oxygenated blood to the
fetus.
The nurse assesses the initial lochia postdelivery, which is: - Answer Rubra
Rationale:
The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately heavy.
Lochia rubra lasts for up to 3 days postpartum.
Used for pregnancy test; the earliest biological marker? - Answer Human Chorionic
Gonadotropin (HCG)
What is GTPAL? - Answer G: Gravidity- includes all pregnancies, including present
T: Term pregnancies (38+weeks)
P: Preterm pregnancies (20-37 weeks)
A: Abortions/miscarried pregnancies (<20 weeks)
L: Living children to date (Decrease if child dies)
What is PICA? - Answer Non-food cravings such as ice, clay and laundry starch
-Should evaluate for deficiencies
(Antepartum, Labor and Delivery, Pain in
Labor, Postpartum) Exam Questions
And Detailed Answers.
What does fetal circulation consist of? - Answer Two umbilical Arteries and One umbilical vein.
What is the normal heart rate of the fetus? - Answer 110 - 160 bpm
What is the purpose of estrogen during pregnancy? - Answer It stimulates uterine
development to provide an environment for the fetus, and stimulates the breast to prepare for
lactation.
List 4 functions of amniotic fluid. - Answer 1. Allows for fetal movement
2. It is a measure of kidney function
3. Surrounds, cushions and protects the fetus
4. Maintains the body temperature of the fetus
Using Nagele's Rule, what is the estimated date of birth if a woman tells you the first day of her
LMP was October 20, 2012? - Answer July 27, 2013
Give the GTPAL if a pregnant woman that reports having a child that is 5 (born at 38 weeks), and
no other pregnancy history? - Answer G2- T0- P0 - A0 -L1
Goodell's sign is indicative of what? - Answer A softening of the cervix
If a pregnant client is 28 weeks gestation. Where would you expect to measure the fundal
height in centimeters? - Answer 28 cm
What is quickening? - Answer Fetal movement that is felt by the mother
Ballottement, Chadwicks sign, Uterine enlargement and Braxton Hicks contractions are what
kind of sign of pregnancy? - Answer Probable
,3. Generalized edema
After a client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and
observes a spurt of blood from the vagina. The nurse recognizes these findings as a sign of: -
Answer Placental separation
What color would you expect lochia to be in the 4th stage of labor? - Answer Red
Where should a nurse expect the fundus to be immediately after delivery? - Answer At the
level of the umbilicus
Name 4 self care instructions for a post postpartum woman diagnosed with Mastitis. - Answer
1. Wear a supportive, non-underwire bra
2. Rest during the acute phase
3. Maintain 3000mL of fluid intake
4. Continue to breast feed if the breast are not too sore
What is a serious adverse effect associated with Oxytocin (Pitocin)? - Answer Tetanic
contractions
How frequent are contractions during the 2nd stage of labor? - Answer Every 15 mins
When does the 3rd stage of labor end? - Answer After the birth of the placenta
How can a nurse most effectively determine the duration of a clients contractions? - Answer
By timing the period from the onset of uterine tightening to uterine relaxation.
What finding indicates impending placental separation? - Answer Umbilical cord lengthening
During the 4th stage of labor, the nurse notes that the clients fundus is boggy and located above
the umbilicus. How should the nurse intervene? - Answer Massage the client's fundus
A client is experiencing TRUE labor, when her contractions are: - Answer Regular and increase
in frequency and duration
, What intervention should the nurse take for a client in the 2nd stage of labor that experiences
membrane rupture? - Answer Check for a prolapsed cord
What are the cardinal movements of labor? - Answer Fetal decent
Flexion
Internal rotation
Extension
External rotation
Expulsion
Why should a client be instructed NOT to push until the cervix is completely dilated? - Answer
Early pushing may cause edema and impede fetal descent
What carries oxygen to the fetus? - Answer The umbilical vein carries oxygenated blood to the
fetus.
The nurse assesses the initial lochia postdelivery, which is: - Answer Rubra
Rationale:
The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately heavy.
Lochia rubra lasts for up to 3 days postpartum.
Used for pregnancy test; the earliest biological marker? - Answer Human Chorionic
Gonadotropin (HCG)
What is GTPAL? - Answer G: Gravidity- includes all pregnancies, including present
T: Term pregnancies (38+weeks)
P: Preterm pregnancies (20-37 weeks)
A: Abortions/miscarried pregnancies (<20 weeks)
L: Living children to date (Decrease if child dies)
What is PICA? - Answer Non-food cravings such as ice, clay and laundry starch
-Should evaluate for deficiencies
