Which of the following would the nurse expect to find in a newborn with birth asphyxia
1. Which of the following would the nurse expect to find in a newborn with birth asphyxia? Show A. Hyperoxemia 2. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? A. Muscle flaccidity SITUATION : [P-I/46] Nurses should be aware of the different reproductive problems. 3. When is the best time to achieve pregnancy? A. Midway between periods 4. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: A. Estrogen therapy 5. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed A. 1 week after ovulation 6. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a A. Past infection 7. Which test is commonly used to determine the number, motility and activity of sperm is the A. Rubin test 8. In the female, Evaluation of the pelvic organs of reproduction is accomplished by A. Biopsy 9. When is the fetal weight gain greatest? A. 1st trimester 10. In fetal blood vessel, where is the oxygen content highest? A. Umbilical artery 11. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates A. The woman is in transition stage of labor SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0. 12. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? I - A desire to defecate A. I,II,III 33. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? A. High risk for infection related to membrane rupture 14. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? I - Rubbing the back with a tennis ball A. II,IV 15. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? A. Reposition from side to side 16. Which is NOT the drug of choice for epidural anesthesia? A. Sensorcaine SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid passes through here vagina while doing her holiday shopping. 17. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do first? [2] A. Monitor FHT ever 15 minutes 18. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an alarm to the nurse? A. Greenish 19. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the following response of the nurse is most appropriate? A. Keeping you on bed rest will
prevent possible cord prolapse 20. Alpha wants to know how many fetal movements per hour is normal, the correct response is A. Twice 21. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is true in this state? A. Self-focused SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH Nursing is a quality all nurse should possess. 22. When should be the 2nd visit of a pregnant mother to the RHU? A. Before getting pregnant 23. Which of the following is NOT a standard prenatal physical examination? A. Neck examination for goiter 24. Which of the following is NOT a basic prenatal service delivery done in the BHS? A. Oral / Dental check up 25. How many days and how much dosage will the IRON supplementation be taken? A. 365 days / 300 mg 26. When should the iron supplementation starts and when should it ends? A. 5th month of pregnancy to 2nd month post partum 27. In malaria infested area, how is chloroquine given to pregnant women? A. 300 mg / twice a
month for 9 months 28. Which of the following mothers are qualified for home delivery? A. Pre term 29. Which of the following is not included on the 3 Cs of delivery? A. Clean Surface 30. Which of the following is unnecessary equipment to be included in the home delivery kit? A. Boiled razor blade SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station. 31. On the basis of the data provided above, You can conclude the pillar is in the A. In false
labor 32. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except A. Diuresis 33. The normal range of FHR is approximately A. 90 to 140 bpm 34. A negative 1 [-1] station means that A. Fetus is crowning 35. Which of the following is characteristics of false labor A. Bloody show 36. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR A. Bradley 37. Which sign would alert the nurse that Pillar is entering the second stage of labor? A. Increase frequency and intensity of contraction 38. Nursing care during the second stage of labor should include A. Careful evaluation of prenatal history SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9 respectively. Routine procedures are carried out. 39. When is the APGAR Score taken? A. Immediately after birth and at 30 minutes after birth 40. The best way to position a newboarn during the first week of life is to lay him A. Prone with head slightly elevated 41. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as A. Milia 42. Baby boy perez must be carefully observed for the first 24 hours for A. Respiratory distress 43. According to the WHO , when should the mother starts breastfeeding the infant? A. Within 30 minutes after birth 44. What is the BEST and most accurate method of measuring the medication dosage for infants and children? A. Weight 45. The first postpartum visit should be done by the mother within A. 24 hours 46. The major cause of maternal mortality in the philippines is A. Infection 47. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose
20 g. 48. In preparing ORESOL at home, The correct composition recommnded by the DOH is A. 1
glass of water, 1 pinch of salt and 2 tsp of sugar 49. Milk code is a law that prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its legal basis? [4] A. Senate bill 1044 50. A 40 year old mother in her third trimester should avoid A. Traveling --------------------------------------------------------------------------------
B. Acidosis 2. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? D. Spontaneous respiration 3. When is the best time to achieve pregnancy? C. 14 days before the next period is expected 4. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: D. Na HCO3 Douches 5. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed B. Immediately after menses 6. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a D. Previous injury to a tube 7. Which test is commonly used to determine the number, motility and activity of sperm is the B. Huhner test 8. In the female, Evaluation of the pelvic organs of reproduction is accomplished by D. Hysterosalpingogram 9. When is the fetal weight gain greatest? C. 3rd trimester 10. In fetal blood vessel, where is the oxygen content highest? B. Ductus Venosus 11. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates A. The woman is in transition stage of labor 12. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? I - A desire to defecate B. I,II,III,IV 13. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? A. High risk for infection related to membrane rupture 14. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? I - Rubbing the back with a tennis ball D. I,II 15. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? D. Assess for maternal hypotension 16. Which is NOT the drug of choice for epidural anesthesia? C. Ephedrine 17. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do first? A. Monitor FHT ever 15 minutes 18. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an alarm to the nurse? A. Greenish 19. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the following response of the nurse is most appropriate? C. You need to save your energy so you will be strong enough to push later 20. Alpha wants to know how many fetal movements per hour is normal, the correct response is C. Four times 21. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is true in this state? D. Cervical dilation 1-3 cm SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH Nursing is a quality all nurse should possess. 22. When should be the 2nd visit of a pregnant mother to the RHU? C. Second trimester 23. Which of the following is NOT a standard prenatal physical examination? D. Examination of the legs for varicosities 24. Which of the following is NOT a basic prenatal service delivery done in the BHS? A. Oral / Dental check up 25. How many days and how much dosage will the IRON supplementation be taken? B. 210 days / 200 mg 26. When should the iron supplementation starts and when should it ends? A. 5th month of pregnancy to 2nd month post partum 27. In malaria infested area, how is chloroquine given to pregnant women? C. 150 mg / twice a week for the duration of pregnancy 28. Which of the following mothers are qualified for home delivery? D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy. 29. Which of the following is not included on the 3 Cs of delivery? C. Clean Equipments 30. Which of the following is unnecessary equipment to be included in the home delivery kit? C. Flashlight. 31. On the basis of the data provided above, You can conclude the pillar is in the C. In the latent phase of labor 32. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except A. Diuresis 33. The normal range of FHR is approximately B. 120 to 160 bpm 34. A negative 1 [-1] station means that B. Fetus is floating 35. Which of the following is characteristics of false labor D. None of the above 36. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR A. Bradley 37. Which sign would alert the nurse that Pillar is entering the second stage of labor? D. Vulva encircles the largest diameter of presenting part 38. Nursing care during the second stage of labor should include B. Coach breathing, Bear down with each contraction and encourage patient. 39. When is the APGAR Score taken? C. At 1 minute after birth and at 5 minutes after birth 40. The best way to position a newboarn during the first week of life is to lay him B. On his back, flat 41. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as A. Milia 42. Baby boy perez must be carefully observed for the first 24 hours for A. Respiratory distress 43. According to the WHO , when should the mother starts breastfeeding the infant? A. Within 30 minutes after birth 44. What is the BEST and most accurate method of measuring the medication dosage for infants and children? C. Nomogram 45. The first postpartum visit should be done by the mother within A. 24 hours 46. The major cause of maternal mortality in the philippines is D. Other complications related to labor,delivery and puerperium 47. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose 20 g. 48. In preparing ORESOL at home, The correct composition recommnded by the DOH is A. 1 glass of water, 1 pinch of salt and 2 tsp of sugar 49. Milk code is a law the prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its legal basis? D. EO 51 50. A 40 year old mother in her third trimester should avoid C. Smoking What are the signs and symptoms of birth asphyxia?Symptoms of Birth Asphyxia. Not breathing or very weak breathing.. Skin color that is bluish, gray, or lighter than normal.. Low heart rate.. Poor muscle tone.. Weak reflexes.. Too much acid in the blood (acidosis). Amniotic fluid stained with meconium (first stool). Seizures.. What is birth asphyxia in newborn?Birth asphyxia, defined as the failure to establish breathing at birth, accounts for an estimated 900,000 deaths each year and is one of the primary causes of early neonatal mortality. The most common cause of perinatal asphyxia is complications during childbirth.
What are the complications of birth asphyxia?Perinatal Asphyxia—oxygen deficit at delivery—can lead to severe hypoxic ischaemic organ damage in newborns followed by a fatal outcome or severe life-long pathologies. The severe insults often cause neurodegenerative diseases, mental retardation and epilepsies.
What are 4 common signs of respiratory distress in a newborn?What are the symptoms?. Fast and shallow breathing.. Grunting.. Flaring of the nostrils with each breath.. Bluish tone to a baby's skin and lips.. Pulling inward of the muscles between the ribs when breathing.. |