NUR 2513 MATERNAL
CHILD NURSING EXAM 1
TESTBANK LATEST WITH
QUESTIONS AND
ANSWERS 2024
1. What is the significance of folic acid during pregnancy?
● Answer: Folic acid is crucial for preventing neural tube defects in the fetus. It is
recommended that women take 400-800 mcg of folic acid daily before and during
pregnancy to reduce the risk of birth defects like spina bifida and anencephaly.
2. Explain the stages of labor.
● Answer:
○ First stage: Begins with the onset of regular contractions and ends with
complete cervical dilation (10 cm). It has three phases: latent, active, and
transition.
○ Second stage: Begins with full cervical dilation and ends with the birth of the
baby.
○ Third stage: Begins with the birth of the baby and ends with the delivery of the
placenta.
○ Fourth stage: The postpartum period, focusing on maternal stabilization and
observation for complications.
3. What are the common signs and symptoms of preeclampsia?
● Answer:
○ High blood pressure (≥140/90 mmHg)
○ Proteinuria
○ Severe headaches
○ Visual disturbances (blurred vision, seeing spots)
○ Edema (especially in the hands and face)
, ○ Upper right abdominal pain.
4. What is the APGAR score and what does it assess?
● Answer: The APGAR score assesses the newborn's health immediately after birth,
focusing on five criteria:
○ Appearance (skin color)
○ Pulse (heart rate)
○ Grimace (reflex irritability)
○ Activity (muscle tone)
○ Respiration (breathing effort) Each category is scored from 0-2, with a maximum
score of 10. Scores are usually taken at 1 minute and 5 minutes after birth.
5. Describe the signs of fetal distress.
● Answer:
○ Abnormal fetal heart rate (below 110 or above 160 bpm)
○ Meconium-stained amniotic fluid
○ Reduced or absent fetal movements
○ Decelerations in the fetal heart rate, especially late decelerations.
6. What is gestational diabetes and how is it managed?
● Answer: Gestational diabetes is a form of diabetes that develops during pregnancy. It is
managed through:
○ Diet and exercise
○ Monitoring blood glucose levels
○ Medication, such as insulin, if necessary
○ Regular prenatal check-ups to monitor the baby's growth and the mother's
health.
7. What are the indications for a Cesarean section?
● Answer: Indications for a C-section include:
○ Fetal distress
○ Placenta previa
○ Breech or transverse fetal position
○ Failure to progress in labor
○ Previous C-section with a vertical uterine incision.
8. What are the common postpartum complications?
● Answer:
○ Hemorrhage
○ Infection (e.g., endometritis)
○ Thromboembolic disease
○ Postpartum depression or psychosis
○ Mastitis (breast infection).
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