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Finall Exam:l NRl 327/l NR327l (Latestl
2026/l 2027l Update)l Maternal-Childl Nursingl Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain
Q:l Lochia
Answer:
Vaginal drainage,l usuallyl rubral (brightl red)l andl heavierl forl al fewl daysl beforel graduallyl lessen.l Continuel tol flowl forl al fewl weeksl postpartum.l Increasedl withl activityl (sit,l lying,l feeding,l etc).l Somel clotsl arel expected.l Largel clotsl largerl thanl al quarterl shouldl bel furtherl evaluated.l Foull smellingl indicatel infection.l Al perineall padsl saturatedl inl 15l minutesl indicatedl heavyl bloodl loss.
Q:l Nursingl Carel forl perineall tissues:
Answer:
-icel packsl arel usedl forl thel firstl 24hrsl afterl birthl tol decreasel perineall swellingl andl pain.l -Sitzl bathsl (warmthl waterl bath)l arel usedl afterl thel firstl 24hl tol promotel circulationl andl decreasel pain.
Q:l Nitrazinel paper
Answer:
isl usedl atl thel bedsidel tol determinel thel presencel ofl amnioticl fluid.l Leakingl amnioticl fluidl feelsl likel leakingl urine.l Ifl itl turnsl blue,l itl isl reactivel andl positivel forl amnioticl fluid.l Ifl itl doesl notl changel color,l thel fluidl isl probablyl urine.l Clientl mayl complainl aboutl waterl break..nitrazinel paper.
Q:l Moderatel Variability
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Answer:
definedl asl fluctuationsl inl fetall heartl ratel betweenl 6-25l bpml froml thel baseline,l isl generallyl indicativel ofl fetall well-being.Minimall orl absentl variabilityl mayl indicatel fetall distress,l althoughl itl doesl notl necessarilyl confirml it,l asl minimall variabilityl can,l forl example,l occurl duringl fetall sleep.l Markedl variabilityl occursl asl anl autonomicl nervousl system'sl responsel tol fetall hypoxia.
Q:l Whichl ofl thel followingl variabilityl classificationsl isl generallyl indicativel ofl fetall well-being?A)l Minimum B)l Marked C)l Absent D)l Moderate
Answer:
l Moderate.l
Explains:l
Fetall heartl ratel variabilityl refersl tol fluctuationsl inl thel baselinel FHRl thatl arel irregularl inl amplitudel andl frequency.l Itl reflectsl thel balancel betweenl thel sympatheticl andl parasympatheticl nervousl systems.Absent:l Undetectable.Abnormal:l Mayl suggestl fetall hypoxia/acidemia Minimal:l ≤5l bpm:l Possiblel concern:l Couldl bel fetall sleep,l drugs,l orl hypoxia Moderate:l 6-25l bpm.l l Normal/Reassuring:l Indicatesl healthyl oxygenationl andl CNSl activity Marked:l >25l bpm.l Indeterminate:l Mayl bel duel tol fetall stressl orl stimulation
Q:l Whatl isl Leopoldsl maneuver?
Answer:
Isl anl assessmentl usingl handsl tol palpatel thel gravidl abdomenl andl suprapubicl areal tol determinel fetall presentationl andl position.
Q:l Bestl placel tol placel thel ultrasoundl transducerl tol listenl tol thel Fetall heartl tracing?
Answer: 2 / 4
Upperl back,l afterl youl havel identifiedl thel locationl ofl thel babyl usingl Leopoldl Maneuver.l Ensurel Moml emptyl bladder,l inl al comfortablel supinel positionl withl kneel slightlyl flexedl withl onel pillowl underl onel hip.
Q:l Whatl toolsl arel usel tol auscultatel thel Fetall heartl tone?
Answer:
l Fetoscopel andl doppler Fetoscope:l Usel tol auscultatel fetall heartl soundl atl 18-20l weeksl gestation.l
Doppler:l Usel tol auscultatel fetall heartl soundl atl 6l weeksl gestation.
Q:l Whatl isl Internall Fetall Monitoring?
Answer:
Internall EFMl isl usedl afterl thel waterl breaksl andl thel cervixl isl dilatedl 2-3l cm.l Itl givesl morel accuratel informationl aboutl thel baby'sl heartl ratel andl thel strengthl ofl contractionsl thanl externall monitors.
Q:l Whichl ofl thel followingl clientsl isl al candidatel forl internall fetall monitoring?A.l Intactl membranes B.l Cervixl dilatedl tol 1l cm C.l Activel vaginall bleeding D.l Cervixl dilatedl tol 4l cml withl rupturedl membranes
Answer:
l D.l Cervixl dilatedl tol 4l cml withl rupturedl membranes
Q:l Externall electronicl fetall monitoringl consistl ofl thel following:
Answer:
Ultrasoundl Transducersl andl Tocotransducerl ultrasoundl transducers:l placedl inl al locationl onl thel abdomenl wherel fetall heartl tonesl arel bestl heardl andl locatel onl upperl partl ofl thel readingl /l strip.l Tocotransducerl isl placedl overl thel uterinel fundusl forl timingl andl uterinel activityl andl isl representedl byl thel patternl onl thel lowerl partl ofl thel readingl strip.
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Q:l Whichl devicel canl assessl thel intensityl ofl contractions?
A)l Fetoscope B)l Doppler C)l Externall fetall monitor D)l Internall fetall monitor
Answer:
l D Fetoscope Al stethoscope-likel devicel usedl tol listenl tol fetall heartl tones.Doesl notl assessl contractionsl atl all.Doppler Usesl ultrasoundl tol detectl fetall heartl rate.It'sl oftenl usedl duringl prenatall visits.Cannotl measurel contractions.Externall Fetall Monitorl (Tocotransducer) Measuresl frequencyl andl durationl ofl contractions.Cannotl measurel intensity—itl onlyl sensesl pressurel changesl onl thel mother'sl abdomen.Thel strengthl ofl contractionsl mustl bel estimatedl byl palpationl (manuall touch).
Correctl
Answer:l Internall Fetall Monitor
Specificallyl refersl tol thel Intrauterinel Pressurel Catheterl (IUPC).It'sl insertedl intol thel uterus,l betweenl thel fetusl andl thel uterinel wall.Itl measuresl thel actuall strengthl (intensity)l ofl uterinel contractionsl inl millimetersl ofl mercuryl (mmHg).Itl alsol measuresl uterinel restingl tonel (howl relaxedl thel uterusl isl betweenl contractions).Mostl accuratel wayl tol measurel contractionl intensity.
Q:l Threel categoriesl ofl Fetall Heartl Rate:
Answer:
Categoryl 1:l Normall andl stronglyl predictivel ofl normall fetall acid-basel statusl atl thel timel ofl observation.l l -l Normall baseline l -l Accelerationsl presentl orl absentl l -l Absencel ofl variablel orl latel decelerations l -l Earlyl decelerationsl presentl orl absent
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