2024 NU 170 MATERNAL BABY
NURSING EXAM 4 WITH CORRECT
ANSWERS
The Puerperium period refers to the what - CORRECT-ANSWERS6 weeks
following birth
The increase in blood volume in pregnancy is what percentage? - CORRECT-
ANSWERS50 percent
1. Signs and symptoms of Newborn respiratory distress - CORRECT-
ANSWERSa. Retraction
b. Nasal flaring
c. Grunting
d. Use of accessory muscles
Signs and symptoms of hypovolemic shock - CORRECT-ANSWERSa.
Tachycardia
b. Change in blood pressure
c. Anxiety
d. Confusion
e. Restlessness
f. Lethargy
What is included in the neurovascular check? - CORRECT-ANSWERSa.
Capillary refill
b. Pulses check
c. Temperature check
d. Check for color
e. Sensation
f. Peripheral pulse rate
g. Movement
3 side effects of oral contraceptives - CORRECT-ANSWERSa. Weight gain
b. Amenorrhea
c. Headache
d. Breast tenderness
e. Nausea
, When over 35 and taking oral contraceptives what should you not ever do? -
CORRECT-ANSWERSSmoke
Signs and symptoms of Down syndrome. - CORRECT-ANSWERSa. Smaller
round head
b. Low set ears
c. Flat nose
d. Tongue that is protruding
e. Semian crease
f. Hands are short thick and curved
g. Prone to respiratory and ear infections
h. Hypotonicity of the muscles - decreased muscle tone.
i. Require special car seats
j. Bad posture
What are afterpains? - CORRECT-ANSWERSa. Uterine cramping- which is
good because the uterus needs to cramp and contract
b. Breastfeeding makes after pains worse- releases oxytocin and makes
uterus cramp
1. What do you document about fundus after birth? - CORRECT-ANSWERSa.
Should be firm, midline with umbilicus
1. Lochia after birth - CORRECT-ANSWERSa. Color should be rubra, should be
small, scant, document for clots, normal odor
1. What to teach about breast feeding? - CORRECT-ANSWERSa. 2-3 hours 15
mins each breast
1. Bottle feeding - CORRECT-ANSWERSa. 2-3 hours hold bottle, so nipple is
always filled with formula. Less gas and burping
1. Nursing care for episiotomy - CORRECT-ANSWERSa. REEDA
b. Signs of infection
c. Perineal care- wiping front to back
d. Use ice packs for first 12-24 hours
e. Sitz baths
f. Spray perineal area with warm water using the peri bottle
Use witch hazel pads
1. What is the treatment/tx for subinvolution-slow contraction of the uterus? -
CORRECT-ANSWERSa. If causes by retained placental fragments- manually
take them out, or D & C, if causes by infection then use antibiotics
1. 4 methods of heat loss by newborns - CORRECT-ANSWERSa. Conduction-
baby is placed on a cold surface- heat is conducted away from baby's body
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