BSNC 5000 Maternity Exam Questions
with Correct Answers
Assessment for respiratory distress in newborn - Answer-watch feeds, assess for signs
of distress, monitor O2 and provide supplemental PRN
Assessment for thermal instability in newborn - Answer-monitor temp 30mins PP,
manage stable temp (36.3-37.2)
Assessment for hypoglycemia in newborn - Answer-monitor BG closely (24hrs), initiate
early feeds, monitor suck-swallow reflex, give IV dextrose PRN
Assessment for jaundice in newborn - Answer-bilirubin/TCB testing at 24hrs, assess
extra risks (bruising, ABO compatability), assess feeding intake/meconium/voids
assessment for feeding difficulty in newborn - Answer-assess coordination of suck-
swallow reflex, monitor thermal stability, assess for hypoglycemia, watch for milk
transfer, daily weights
Assessment for infection in newborn - Answer-assess maternal state for risks, monitor
for S/S
Assessment for neurodevelopmental issues in newborn - Answer-newborn screening,
individual development plan, ensure f/u with doctor
Characteristics of post-term - Answer-skinny and long, over 2500g, less vernix, peeling,
meconium staining, long nails, full head of hair, increased SC fat
Complications of post-term - Answer-meconium aspiration, stillbirth, assistance with
delivery, hypoxia, seizures, LGA (macrosomia)
What stimulates breastmilk production? - Answer-decrease in estrogen and
progesterone levels are birth stimulates increased prolactin levels
postpartum hemorrhage - Answer-- over 500mL of blood loss in SVD or over 1000mL in
C/S
- any blood loss that causes hemolytic issues
causes of PPH - Answer-- tone (uterine atony, high parity)
- tissue (retained placenta, abruption, accreta/increta/percreta)
- trauma (tear, episiotomy, traumatic birth)
- thrombin (coagulation disorders, pre-eclampsia)
, - other (obesity, precipitous labour, anemia, overdistension)
placenta accreta - Answer-slight penetration of myometrium
placenta increta - Answer-deep penetration of myometrium
placenta percreta - Answer-perforation of the uterus
placental previa - Answer-placenta implanted over cervix
interventions for PPH - Answer-- notify HCP and stay with patient
- fundal massage
- administer oxygen
- get IV access and start infusion
- insert urinary catheter
- administer oxytocin
- reassess fundus, bleeding, vital signs
- prepare for blood admin
hypovolemic shock - Answer-shock resulting from blood or fluid loss (decrease BP,
increase HR/RR, cool/clammy skin)
shoulder dystocia - Answer-shoulder cannot get under pelvic inlet
nuchal cord - Answer-loops of umbilical cord around the fetal neck
what medication to watch out for with HTN? - Answer-ergovine, hemabate
non-pharm methods for pain - Answer-breathing, position, reduce stimuli, peanut ball,
mobilization, bathing, distraction, aromatherapy, music
pharm methods for labour pain - Answer-benzodiazepine (sedation), opioids (fentanyl,
morphine), local anesthesia, epidural, spinal anesthesia, nitrous oxide, general
anesthesia (emergencies only)
function of placenta - Answer-exchange of nutrients and waste products between fetus
and mother
characteristic of umbilical cord - Answer-2 arteries and 1 vein
umbilical cord arteries - Answer-carry deoxygenated blood and waste products from the
fetus
umbilical cord vein - Answer-carries oxygenated blood and provides oxygen and
nutrients to the fetus
