NGN OB MATERNAL NEWBORN ATI PROCTORED//WITH RATIONALE Q & A | NEW REVISION ( SOLUTION /A+)
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NGN OB MATERNAL NEWBORN
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NGN OB MATERNAL NEWBORN
NGN OB MATERNAL NEWBORN ATI PROCTORED//WITH
RATIONALE Q & A | NEW REVISION ( SOLUTION
/A+)
Fetal descent and cervical dilation are caused by - CORRECT ANSWERS-Frequency,
duration, and strength of contractions
What is the sensation the patient will feel when completion of dilation and fetal de...
NGN OB MATERNAL NEWBORN ATI PROCTORED//WITH
RATIONALE Q & A | NEW REVISION 2024-2025 ( SOLUTION
/A+)
Fetal descent and cervical dilation are caused by - CORRECT ANSWERS-Frequency,
duration, and strength of contractions
What is the sensation the patient will feel when completion of dilation and fetal descent?
- CORRECT ANSWERS-She will feel like she needs to take a big ole poooo!
First degree laceration extends through: - CORRECT ANSWERS-skin of perineum
Second degree laceration extends through: - CORRECT ANSWERS-skin of perineum
muscles of perineum
Third degree laceration extends through: - CORRECT ANSWERS-skin of perineum
muscles of perineum
anal sphincter
Fourth degree laceration extends through: - CORRECT ANSWERS-skin of perineum
muscles of perineum
anal sphincter
anterior rectal wall
Third stage:
Signs of placental separation from the uterus are indicated by: - CORRECT ANSWERS-
fundus firmly contracting
swift gush from introitus of dark blood
umbilical cord appears to lengthen as placenta descends
vaginal fullness of exam
There is a high risk of _________ surrounding external cephalic version. - CORRECT
ANSWERS-Cord prolapse
Regarding BISHOP scoring, when is a woman ready for labor? - CORRECT
ANSWERS-A score of
9 for nulliparas
5 or more for multiparas
Mechanical methods to ripen cervix: - CORRECT ANSWERS-balloon caths
hydroscopic dilators and sponges
laminara tents
synthetic dilators and sponges
Methods of induction - CORRECT ANSWERS-prostaglandins applied cervically
,admin of IV oxytocin
amniotomy
stripping of membranes
nipple stimulation
Before administering pitocin, where should the fetus be? - CORRECT ANSWERS-
engaged in the birth canal at a minimum of 0 station.
Discontinue oxytocin if: - CORRECT ANSWERS-contraction frequency more often than
every 2 mins
contraction duration longer than 90 seconds
no relaxation of uterus between contractions
uterine resting tone greater than 20 mmHg between ctx
Labor typically begins within ___ hours after ROM. - CORRECT ANSWERS-12
An amnioinfusion can be used to: - CORRECT ANSWERS-Reduce severity of variable
decelerations (cord compression)
Dilute meconium-stained amniotic fluid
Caput Succedaneum is: - CORRECT ANSWERS-Normal
Should resolve within 24 hrs
For breast engorgement: - CORRECT ANSWERS-apply cool compresses b/t feedings
apply warm compresses
take warm shower b4 breast feeding
Cold cabbage leaves - CORRECT ANSWERS-may also be applied to breasts to
decrease swelling and relive discomfort
Postpartum the mother should not lift anything that is heavier than: - CORRECT
ANSWERS-the infant
PP the mom should consume ______ to_______ ml of water each day. - CORRECT
ANSWERS-2000-3000
Encourage women who are lactating to add an additional ___ calories/day to their
prepregnancy diet. - CORRECT ANSWERS-500
Teach the clent to avoid sexual intercourse until: - CORRECT ANSWERS-
episiotomy/laceration is healed
&
vaginal discharge has turned white
, Postpartum disorders are: - CORRECT ANSWERS-unexpected events or occurrences
that may happen during the PP period
Deep Vein Thrombosis S&S - CORRECT ANSWERS-Leg pain
Chills
FHR can be heard by Doppler at: - CORRECT ANSWERS-10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWERS-
After > 12 weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWERS-It should equal the week of gestation
MSAFP screening is done: - CORRECT ANSWERS-15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests,
which screen for genetic problems, called the quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
Smoking tobacco during pregnancy is associated with : - CORRECT ANSWERS-Low
Birth Weight
Pregnant mothers should consume how much water each day? - CORRECT
ANSWERS-2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWERS-Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWERS-
25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWERS-Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT
ANSWERS-600
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