Exam 1

• The school nurse talking with a high school

  class about the difference between growth

  and development would best describe growth

  as:

  A. processes by which early cells specialize.

  B. psychosocial and cognitive changes

  C. qualitative changes associated with aging.

  D. quantitative changes in size or weight.

  D
• HEADSS assessment


  Home, Education, Activities, Drugs, Sexuality, Suicide
• What is the very common assessment tool for gross and fine motor skills for 1-6 years old?

  Denver II
• What population group is at the highest risk for impaired development?

  pediatrics
• developmental arrest


  not developing further
• developmental milestones


  measurable key skills, such as learning to walk
• developmental regression


  loss of developmental milestones
• What is the last stage of the first stage of labor?

  transition phase
• What is the increase to the peak of a contraction?

  Increment
• What is the beginning of one contraction to the end?

  Duration
• What is the beginning of one contraction to the beginning of the next?

  Frequency
• What are 3 findings that should not be found in a pregnancy urine sample?

  protein, glucose, bacteria
• 2 leading causes of death in women after labor?

  hemorrhage, infection
• What is the sacral counter pressure used for?


  Pushes baby's head off of back nerves
• If a patent is 2 cm/50%/-2, what stage of labor is she in?

  Latent
• Urge to bear down during labor

  Ferguson reflex
• Bearing down efforts during labor

  Valsalva maneuver
• What maneuver is used to prevent tearing during delivery?

  Ritgen maneuver
• T or F: fundal pressure in encouraged during labor

  False
• What laceration extends through the skin and vaginal mucous membrane but not the underlying fascia and muscle?

  first degree
• What laceration extends completely through the rectal mucosa, disrupting both the external and internal anal sphincters?

  fourth degree
• T or F: the higher the number in degree of laceration, the worse it is


  True
• What is an incision in the perineum used to enlarge the vaginal outlet?

  Episiotomy
• IUPC


  intrauterine pressure catheter
• How long should the baseline FHR be read for?

  at least 2 minutes
• What is the ideal variability range for FHR?

  6-25 bpm (average/moderate)
• What FHR pattern indicates fetal distress?

  Sinusoidal pattern
• When do periodic changes occur with FHR?

  With contractions
• What type of decelerations in FHR should be intervened immediately?

  prolonged decelerations
• T or F: early decelerations are in response to fetal head compression and are usually benign


  True
• The well-being of the fetus is monitored by what 2 things during labor?

  FHR, UCs
• Term for a women who has never given birth

  nulliparous
• Doulas


  A trained professional who isn't a healthcare worker but provides support during labor
• What type of pushing during labor is encouraged due to no restriction of oxygen to the fetus?

  open-glottis pushing
• Why should closed-glottis pushing be avoided during labor?

  Cuts off oxygen to fetus
• episiotomy


  surgical incision of the perineum to enlarge the vagina and so facilitate delivery during childbirth
• Signs that placenta is ready to deliver (2)

  uterus rises upward, umbilical cord lengthens
• After an emergency birth, the nurse encourages the woman to breastfeed her newborn. The primary purpose of this activity is to:

  a. Facilitate maternal-newborn interaction

  b. Stimulate the uterus to contract

  c. Prevent neonatal hypoglycemia

  d. Initiate the lactation cycle

  B
• Category I FHR (3)

  FHR baseline is 110-160 bpm, variability is moderate, early decelerations may be present
• Category II FHR (3)

  Bradycardia or tachycardia, minimal or no baseline variability, no accelerations with fetal stimulation