Maternal Newborn Exam 1 Questions And Answers

Maternal Newborn Exam 1 Questions
And Answers
100%ceffacementcmeansc-cCORRECTccANSWER-thinnestcstagecofccervix

1stcdegreeclacerationsc-cCORRECTccANSWER-
perinealcskincandcvaginalcmucouscmembranes

2ndcdegreeclacerationsc-cCORRECTccANSWER-
skin,cmucouscmembranes,cfasciacofcperineacbodyc(mostccommon)

3rdcdegreeclacerationsc-cCORRECTccANSWER-
skin,cmucouscmembranes,cmusclecofcperinealcbodycandcextendctocretailcsphincter

4thcdegreeclacerationsc-cCORRECTccANSWER-
extendscintocthecrectalcmucosacandcexposesclumencofcrectum

abortionc-cCORRECTccANSWER-
terminationcofcpregnancycbeforecviabilitycofc20cweeks;cinducedcorcspontaneous

acrocyanosisc-cCORRECTccANSWER-extremitiescarecbluecincbabyc(common)

activecphasec-cCORRECTccANSWER-
progressivecfetalcdescent,cmorecpainful,cincreasecincstrengthcfrequencycandcdurationcofcco
ntractionsc(3-6cm)

additionalccesareancsectioncneedsc-cCORRECTccANSWER-
positioncclientconcleftcside,cexercises,cearlycambulation,cincreasecPOcintake,cavoidccarbona
tedcbeverages,cavoidcstraws,

antepartumciscconsideredcwhen?c-cCORRECTccANSWER-conceptionctoclabor

APGARcscorecincludescwhat?c-cCORRECTccANSWER-heartcratec(2)
RRceffortc(2)
musclectonec(2)
Reflexcirritabilityc(2)
Colorc(pink,c2)
totalcofc10

,Artificialcrupturecofcmembranesc(AROM)c-cCORRECTccANSWER-
causingcwaterctocbreakccausescprostaglandinsctocbecreleased,ccausingccontractioncwithcox
ytocin,cthereforecinducingclabor

atchowcmanycweekscdoescthecbabycdropcintocthecpelvicccavity?c-cCORRECTccANSWER-
36cweeks

closedcglottisc-cCORRECTccANSWER-providerctellscwhenctocpush,cFHRcissues

contractioncstressctestc-cCORRECTccANSWER-FHRcincrelationctocuterineccontractions.c
Negativecresults-cgoodcthing.ctherescnocabnormalclatecdecelerationscduringccontraction
Positivecresults-cabnormalcdecelerations

disadvantagescofcspinalcblockc-cCORRECTccANSWER-
intensecblockadecofcthecsympatheticcfiberscwhichcmaycresultcinc*hypotension*

durationc-cCORRECTccANSWER-amountcofctimeccontractionclastsc(60-90csecs)

earlycdecelerationcinterventionc-cCORRECTccANSWER-
reassurecthecparentscthatceverythingciscfine

earlycPPchemorrhage?c-cCORRECTccANSWER-occurscinc24chrscofcbirth

exfoliationec-cCORRECTccANSWER-
allowscforchealingcofcplacentacsitecandcimportantcpartcofcinvolution;cmayctakecupctoc6cweeks

falseclaborc-cCORRECTccANSWER-
contractionscarecirregular,cnocchangecincfrequency,cduration,candcwalkingchascnoceffect.cNo
cchangecincdilationcorceffacement




fetalcattitudec-cCORRECTccANSWER-
relationshipcofcfetalcbodycpartsctoceachcotherc(shouldcbecflexed)

Fetalchemoglobincandcoxygenccomparedctocmother?c-cCORRECTccANSWER-
fetalchemoglobinccarriesc20-
30%cmorecoxygen,c50%cmorechemoglobin,candchighercCOcpercweight

fetalcliec-cCORRECTccANSWER-
relationshipcofclongcaxiscofcfetusctoclongcaxiscofcmotherc(longitudinalcorctransverse)

fetalcstationc-cCORRECTccANSWER-relationshipctocischialcspines

firstcstagecofclaborc-cCORRECTccANSWER-fromcbeginningcofcdilationctocfullcdilationc
latent=c0-3cmc
active=c4-7cm

, transition=8-10cm

footlingcbreechc-cCORRECTccANSWER-singlecorcdouble,cfootccomescout

fourthcstagecofcbirthc-cCORRECTccANSWER-
firstc2chrscaftercbirth,cphysiologiccreadjustment,chomeostasisciscreastablished,cuteruscbegin
sctoccontractcdownctocsmallercsize,cpromotingcdecreasecincvaginalcbleeding

frankcbreechc-cCORRECTccANSWER-babycholdingclegscandcbuttccomescoutcfirst

frequencycofccontractionc-cCORRECTccANSWER-amountcofctimecbetweenccontractions

fullccervicalcdilationcmarkscthecbeginningcofcwhatcstage?c-cCORRECTccANSWER-stagec2

GTPAL(M)c-cCORRECTccANSWER-Gravida
Term
Preterm
Abortions
Livingc
Multiple

hematomasc-cCORRECTccANSWER-
Achematomaciscaclocalizedccollectioncofcbloodcoutsidecthecbloodcvessels,cusuallycincliquidcfo
rmcwithincthectissue.c(250-500ml)

hemostasisc-cCORRECTccANSWER-
compressioncofcintramyometrialcbloodcvesselscascthecuterinecmuscleccontractscrathercthanc
plateletcaggregationcandcclotcformation.

homan'scsignc-cCORRECTccANSWER-
paincinctheccalfcofctheclegcuponcdorsiflexioncofcthecfootcwithctheclegcextendedcthatciscdiagnost
iccofcthrombosiscincthecdeepcveinscofcthecarea.

howcdocthesecshuntscwork?c-cCORRECTccANSWER-
Fetalccirculation.cBloodcleavescthecplacentacandcenterscthecfetuscthroughcthecumbilicalcvein
.cAfterccirculatingcthroughcthecfetus,cthecbloodcreturnsctocthecplacentacthroughcthecumbilicalc
arteries.cThecductuscvenosus,cthecforamencovale,candcthecductuscarteriosuscallowcthecbloo
dctocbypasscthecfetalclivercandclungs

howcdocyoucassesscamountcofclochia?c-cCORRECTccANSWER-scant
smallc
moderate
large

howcdocyouctreatcsubcinvolution?c-cCORRECTccANSWER-oralcmetherginecforcupctocacweek