Family Escape Room Study Guide Exam 3 | Herzing University NU 402 Family Escape Room Study Guide Exam 3 (answered) Latest summer 20/21

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OB Escape Room Study Guide Exam 3 1. What guidelines do maternal-newborn nurses follow? (SATA). a. ANA Code of Ethics b. Call the Midwife Series c. AWHONN Standards of Care d. AWHONN Quality Meas... ures 2. The nurse is taking care of a patient who’s pregnant & has been sexually abused in the past. What’s the most important initial intervention for the nurse? a. Refer to an expert counselor b. Listen & use therapeutic communication techniques c. Empathize with the patient & their situation d. Tell the patient to only disclose the bare minimum 3. The nurse is having difficulty tracing the fetal heart tones with the external ultrasound, so an internal fetal scalp electrode is considered. Which of the following would be a contraindication for the application of an internal fetal scalp electrode? (SATA). a. Maternal uterine infection b. Intact bag of waters c. Patient isn’t dilated d. Maternal obesity 4. A woman in labor requests an epidural. Which of the following lab values would be a contraindication for an epidural placement? a. WBC 12,000/mm3 b. Hematocrit 33% c. Hemoglobin 11.5 g/dl d. Platelets 70,000 5. The labor nurse knows to categorize the fetal heart tones based on baseline, variability, accelerations, decelerations, & trends over time. Which of the following are categories used for classification? (SATA). a. Category 1 b. Reassuring c. Category 2 d. Non-reassuring e. Category 3 6. A woman is 32 weeks pregnant, at the clinic for her regular pregnancy check-up. She complains of heartburn. What could the nurse recommend for this normal finding in pregnancy? a. Eat 3 full meals a day b. Only drink fluid with meals c. Avoid fatty foods d. Eat the last meal right before bedtime 7. Which of the following are PROBABLE signs of pregnancy? (SATA). a. Chadwick’s sign: bluish-purple coloration of the vaginal mucosa, cervix, & vulva seen at 6-8 weeks b. Uterine growth & abdominal growth c. Positive pregnancy test results d. Fetal heart tones noted with doppler 8. The nurse gets report on a laboring patient & is told that her last cervical exam is 2 cm, 50%, & -2. What’s the interpretation of this? a. Cervix is 2 cm dilated, 50% effaced, presenting part is 2 above ischial spines b. Cervix is 2 cm effaced, 50% dilated, presenting part is 2 above ischial spines c. Cervix is 2 cm dilated, 50% effaced, presenting part is 2 below the ischial spines d. Cervix is 2 cm effaced, 50% dilated, presenting part is 2 below ischial spines 9. Hormone levels during pregnancy cause changes in the mother’s integumentary system. Which of the following are normal changes in this system? (SATA). a. Overall darkening of skin tone b. Linea nigra c. Chloasma d. Increased pigmentation of the nipples, areola, vulva, scars, & moles 10. Some IV pain meds, when given to the laboring mom, can cause the FHR to lose variability for a certain length of time. The fetus is neurologically depressed & would have a more difficult time adjusting to the extrauterine environment if birth were to take place within 2 hrs. of administration of these meds. However, labor is far from predictable & sometimes these babies are born during this time. What medication could be given to these babies to combat the pain medication’s adverse effects? a. Diphenhydramine b. Tetracycline c. Morphine d. Naloxone 11. The OB clinic nurse is discussing with the pregnant woman reasons to contact her provider. Which of the following should be included in this? (SATA). a. Decreased fetal movement b. Rupture of membranes c. Frequent urination d. Vaginal bleeding 12. All women should receive an abuse screening when seen in the clinic. Which of the following are appropriate to include with this screening? (SATA). a. Ask if the patient is afraid of her partner b. Ask if the patient has ever been slapped or kicked by her partner c. Ask if she has been forced to perform any sexual acts d. Photograph any bruises or marks as evidence 13. Who owns the embryos? Who decides what will happen to the surplus embryos? Should the resulting child be told of their conception with donor sperm or surrogacy? Does the person who donated sperm have legal rights or financial obligations to the resulting child/children? These are all ethical dilemmas regarding what? a. Assisted Reproductive Technologies b. Artificial Reproductive Technologies c. Reproductively Assisted Technologies d. Assisted Reproductive Services 14. If both parents are carriers of the recessive gene for a disease, what’s the likelihood of each of their offspring being affected by the disease? a. 0% b. 25% c. 50% d. 100% 15. Which of the following are examples of genetically recessive traits? (SATA). a. Tay-Sachs disease b. Cystic fibrosis c. Phenylketonuria (PKU) d. Huntington’s disease 16. A woman comes to the OB clinic because she had a positive pregnancy test. The pregnancy is verified using which POSITIVE SIGNS OF PREGNANCY? (SATA). a. Positive pregnancy test b. Sonographic visualization of the fetus c. Feeling the outline of fetus after 20 weeks gestation d. Hearing a heartbeat with a doppler 17. When should parents or prospective parents seek genetic counseling? (SATA). a. Maternal age over 35 b. Previous pregnancies resulting in newborn abnormalities or genetic disorder c. One or both parents have a genetic disorder d. A family history of a genetic disorder 18. Which of the following are examples of obstetric emergencies that would require immediate nursing intervention? (SATA). a. Bright red bleeding b. Prolapse of the umbilical cord c. Non-reassuring FHR pattern d. Relaxation of the uterus between contractions 19. The nurse is taking a history of a patient who recently found out she was pregnant. Which of the following in the patient’s history should the RN investigate further? (SATA). a. Low pre-birth weight b. Low hematocrit & hemoglobin levels c. Infection d. Post-surgery blood loss requiring RBC replacement e. High blood pressure 20. There are 5 P’s that affect labor progression. Which of the following is NOT one of these 5 P’s? a. Powers b. Passage c. Passenger d. Pregnancy length e. Position 21. A woman comes into L&D, she’s breathing through contractions, which are moderate & irregular. Her significant other is present. The baby measures 7 lbs. 3 oz at last ultrasound. In the clinic, her pelvis shape was found to be gynecoid with no scarring. The baby’s head is down, or in the vertex position. The mother is sitting on the birthing ball in her room. With the next cervical check, the RN finds that the woman’s cervix didn’t make change. Which of the 5 P’s could be considered inadequate for labor progression? a. Powers b. Passage c. Passenger d. Psyche e. Position 22. A 15 y/o goes in labor. She’s term. She’s crying & has no support person present; she says her family locked her out of the house when they found out she was pregnant. Her contractions are strong & close together. Her last ultrasound showed she has a gynecoid shaped pelvis, & the baby weighed 7 lbs. The mother is walking around her room & sitting on a birthing ball. Which of the 5 P’s that affect labor progression does the nurse know is suboptimal at this time? a. Powers b. Passage c. Passenger d. Psyche e. Position 23. A woman comes into L&D with strong & regular contractions after her water broke a few hours ago. Her significant other is present. The last ultrasound showed a platypelloid- shaped pelvis, & the baby measured 6 lbs. 14 oz. The mom is currently on the birthing ball with an epidural. Which of the 5 P’s that affect labor progression does the nurse understand is suboptimal? a. Powers b. Passage c. Passenger d. Psyche e. Position 24. A woman is in labor. Her contractions are strong & regular. Her family is at the bedside & she’s breathing well through contractions. Her most recent ultrasound showed gynecoid- shaped pelvis, & the baby measured 9 lbs. 5 oz. Mom is using a birthing ball & is walking around the room. Which of the 5 P’s that affect labor progression does the nurse understand is suboptimal? a. Powers b. Passage c. Passenger d. Psyche e. Position 25. A new labor nurse is caring for a woman in labor. Her contractions are strong & regular. Her family is at the bedside & she’s comfortably lying in the supine position with an epidural. Her last ultrasound showed a gynecoid-shaped pelvis, & the baby measured 7 lbs. 8 oz. Which of the 5 P’s that affect labor progression does the seasoned labor nurse understand is suboptimal? a. Powers b. Passage c. Passenger d. Psyche e. Position 26. Labor nurses follow the AWHONN guidelines for evidence-based practice. Which of the following are included in AWHONN’s quality measures? (SATA). a. Skin-to-skin initiated immediately after birth b. Freedom of movement during labor c. Continuous labor support d. Mother-initiated spontaneous pushing e. Perinatal grief support 27. A woman is in labor & this is her first child. She’s unsure if she wants to use medications during labor, but doesn’t know what else she can do. The nurse provides her with some nonpharmacological pain options, which include? (SATA). a. Sacrum counter-pressure b. Effleurage over the abdomen c. Aromatherapy d. Hot shower or hot tub 28. The labor nurse is assessing the FHR & notes minimal to absent variability. The nurse understands that this could mean which of the following. (SATA). a. Head compression b. Fetal sleep pattern c. Maternal drug use d. Prematurity 29. A woman in labor is 6 cm dilated & is requesting an epidural. Following the epidural placement, the patient becomes hypotensive & states she feels dizzy. Which of the following actions does the nurse perform immediately? (SATA). a. Place the patient in lateral position b. Call the provider c. Begin fluid bolus d. Apply oxygen via facemask 30. A woman arrives at the clinic after a positive pregnancy test. Her last menstrual period was September 14, 2020. When is her expected due date, using Naegele’s Rule? a. June 21, 2020 b. June 7, 2021 c. June 21, 2021 d. May 30, 2021 31. The use of alcohol in pregnancy carries the following risks. (SATA). a. Fetal death b. Intrauterine growth restriction c. High birth weight d. Fetal alcohol spectrum disorders 32. What are some culturally sensitive behavioral practices that must be considered when providing care? (SATA). a. Does the woman make decisions alone or with a partner or extended family? b. If present-oriented, preventative care may not be a priority c. Eye contact or touch may not be appropriate d. How is illness explained within their culture? 33. The provider tells a pregnant woman to begin taking folic acid supplements, but she doesn’t like taking pills. What foods could be included in her daily diet to increase folic acid? a. Red meat b. Potatoes c. Citrus fruits d. Green leafy vegetables [Show More]

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