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150+ of the most common OB.Maternity Bundle Questions with Elaborated Answers seen on the NCLEX® The Complete NCLEX OB.Maternity Nursing Bundle Flashcards Updated 2025 Version.R276,12
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150+ of the most common OB.Maternity Bundle Questions with Elaborated Answers seen on the NCLEX® The Complete NCLEX OB.Maternity Nursing Bundle Flashcards Updated 2025 Version.
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Course
Nclex
Institution
Nclex
1. APGAR
Q1: What does the "P" in the APGAR score stand for?
A) Pulse
B) Pressure
C) Position
D) Prolapse
Answer: A) Pulse
Elaboration: The APGAR score evaluates five criteria (Appearance, Pulse, Grimace, Activity, and Respiration) to assess the health of a newborn at one and five minutes ...
150+ of the most common OB/Maternity Bundle Questions
with Elaborated Answers seen on the NCLEX®
The Complete NCLEX OB/Maternity Nursing Bundle Flashcards
Updated 2025 Version
1. APGAR
Q1: What does the APGAR score assess in newborns?
A1: The APGAR score evaluates five criteria: Appearance (skin color), Pulse (heart
rate), Grimace response (reflexes), Activity (muscle tone), and Respiratory effort.
Each criterion is scored from 0 to 2, with a total score ranging from 0 to 10. This
assessment helps determine the newborn's immediate health status and need for
resuscitation.
Q2: At what time intervals is the APGAR score typically assessed?
A2: The APGAR score is usually assessed at 1 minute and 5 minutes after birth. A
score of 7 or above is generally considered normal, while a score below 7 may
indicate the need for further medical intervention.
Q3: What is a score of 0 in the "Pulse" category of the APGAR assessment?
A3: A score of 0 in the "Pulse" category indicates that the newborn has no
detectable heart rate. This is a critical finding that necessitates immediate
resuscitative measures.
Q4: How would a newborn's appearance receive a score of 1 in the APGAR
assessment?
,A4: A score of 1 in the "Appearance" category indicates that the newborn's body
is pink, but their extremities are blue (cyanotic). This suggests some degree of
oxygen deprivation and requires monitoring.
Q5: What does a total APGAR score of 8 indicate?
A5: A total score of 8 indicates that the newborn is generally in good health, with
a strong respiratory effort and adequate heart rate, but may have minor issues,
such as slightly poor muscle tone or color.
Q6: How can the APGAR score guide immediate newborn care?
A6: The APGAR score provides a quick assessment of the newborn’s need for
resuscitation or additional care. For example, a low score may prompt immediate
interventions such as oxygen supplementation or suctioning of the airway.
Q7: What does a "grimace response" score of 2 indicate in a newborn?
A7: A grimace response score of 2 indicates that the newborn has a strong
reflexive response, such as crying or withdrawal when stimulated. This reflects
healthy neurological function.
Q8: If a newborn has a heart rate of 100 beats per minute, what score would they
receive in the "Pulse" category?
A8: A heart rate of 100 beats per minute would receive a score of 2 in the "Pulse"
category, indicating a good heart rate and effective circulation.
Q9: Why is it essential to document the APGAR score?
A9: Documenting the APGAR score is critical for tracking the newborn's health
and progress, enabling healthcare providers to make informed decisions about
ongoing care and interventions.
,Q10: In what scenario might a newborn's APGAR score be assessed again after 5
minutes?
A10: If the newborn has persistent low scores (especially below 7) at 5 minutes,
healthcare providers may reassess the APGAR score again at 10 minutes to
evaluate the effectiveness of interventions.
2. Acronyms
Q11: What does the acronym "GTPAL" stand for in obstetric history?
A11: "GTPAL" stands for Gravida (number of pregnancies), Term (number of term
births), Preterm (number of preterm births), Abortions (number of pregnancies
lost before 20 weeks), and Living children (number of living offspring). This
acronym helps summarize a woman's obstetric history.
Q12: How does "Naegele's Rule" assist in determining estimated due dates?
A12: Naegele's Rule calculates the estimated due date by taking the first day of
the last menstrual period (LMP), adding one year, subtracting three months, and
adding seven days. This helps healthcare providers predict when the baby is likely
to be born.
Q13: What does the acronym "PUSH" refer to during the labor process?
A13: "PUSH" stands for "Position, Uterine contractions, Support, and Help." It
emphasizes the essential components for effective labor and delivery, guiding
mothers on how to assist their labor progression.
Q14: In prenatal care, what does "TPAL" signify?
, A14: "TPAL" is an abbreviation used to summarize a woman's pregnancy history: T
for Term births, P for Preterm births, A for Abortions, and L for Living children. It is
a simplification of GTPAL.
Q15: What does the acronym "VBAC" represent?
A15: "VBAC" stands for Vaginal Birth After Cesarean. It refers to the option for
women who have previously delivered via cesarean section to attempt a vaginal
delivery in subsequent pregnancies.
Q16: What is the significance of the acronym "L&D"?
A16: "L&D" stands for Labor and Delivery, referring to the department in a
hospital where pregnant women are monitored and assisted during the labor
process and childbirth.
Q17: What does the acronym "ROM" stand for, and why is it important?
A17: "ROM" stands for Rupture of Membranes, indicating that the amniotic sac
has broken. This can signal the onset of labor and requires monitoring for
potential complications such as infection.
Q18: How is the acronym "SVD" relevant in obstetrics?
A18: "SVD" stands for Spontaneous Vaginal Delivery, referring to a non-surgical
method of delivering a baby through the vaginal canal without medical
interventions such as forceps or vacuum assistance.
Q19: What does "TOLAC" stand for, and how does it relate to obstetric care?
A19: "TOLAC" stands for Trial of Labor After Cesarean, referring to the process of
allowing a woman who has had a previous cesarean to attempt a vaginal delivery.
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