NP230 Exam 2 Questions and Answers
Graded A+
Labor dystocia More than 5 contractions in 10 minutes, indicated hypertonic labor, you
need to decrease or stop oxytocin
Preterm labor, what order do you question? Bed rest
For preterm PROM, between 24-34 weeks, intramuscular corticosteroids are given to the mother
to reduce the risk of neonatal respiratory distress syndrome, intraventricular hemorrhage and
necrotizing enterocolitis
After birth, your patient has SOB, what do you do? Elevate HOB
Take vitals
Administer O2
Notify provider
Postpartum hemorrhage, what can happen with the urine Decreased amount of urine- less
than 30mL/hr
,Your patient is 2 days postpartum and has chills, fever and fatigue, what should you tell them to
do? Go to ED
Nursing care for DVT postpartum Ambulation when pain and edema are under control
Compression stockings
Elevate affected limbs
Inspect
Palpate pedal pulses and measure circumference
Watch for fever
When you give Heparin always have the antidote, protamine sulfate
DO NOT MASSAGE
Indication that the newborn is post-term Dry skin- no leguena
Creases in the feet
Thick ear cartilage with stiff pinna
Premature infants, there's an alarm that goes off (apnea monitor), what do you do? Gentle
stimulation
, Fetal alcohol syndrome, what do you do? Limit environmental stimuli
Dark room
Supine position
Small frequent feedings
What is a definitive indication of Hydrocephalus (fluid in the brain)? Widening of the
cranial sutures
Coarctation of the aorta Upper= hypertension
Lower= hypotension
Radial pulses are easily palpable while femoral pulses may be absent
Unilateral cleft pallet, how do you help the baby suck properly? Aim the nipple to the
unaffected side
Frequent small feedings
Larger nipple opening
Position in upright position
Graded A+
Labor dystocia More than 5 contractions in 10 minutes, indicated hypertonic labor, you
need to decrease or stop oxytocin
Preterm labor, what order do you question? Bed rest
For preterm PROM, between 24-34 weeks, intramuscular corticosteroids are given to the mother
to reduce the risk of neonatal respiratory distress syndrome, intraventricular hemorrhage and
necrotizing enterocolitis
After birth, your patient has SOB, what do you do? Elevate HOB
Take vitals
Administer O2
Notify provider
Postpartum hemorrhage, what can happen with the urine Decreased amount of urine- less
than 30mL/hr
,Your patient is 2 days postpartum and has chills, fever and fatigue, what should you tell them to
do? Go to ED
Nursing care for DVT postpartum Ambulation when pain and edema are under control
Compression stockings
Elevate affected limbs
Inspect
Palpate pedal pulses and measure circumference
Watch for fever
When you give Heparin always have the antidote, protamine sulfate
DO NOT MASSAGE
Indication that the newborn is post-term Dry skin- no leguena
Creases in the feet
Thick ear cartilage with stiff pinna
Premature infants, there's an alarm that goes off (apnea monitor), what do you do? Gentle
stimulation
, Fetal alcohol syndrome, what do you do? Limit environmental stimuli
Dark room
Supine position
Small frequent feedings
What is a definitive indication of Hydrocephalus (fluid in the brain)? Widening of the
cranial sutures
Coarctation of the aorta Upper= hypertension
Lower= hypotension
Radial pulses are easily palpable while femoral pulses may be absent
Unilateral cleft pallet, how do you help the baby suck properly? Aim the nipple to the
unaffected side
Frequent small feedings
Larger nipple opening
Position in upright position
