NCLEX_CRUSADE_ACADEMY TEST- 3 ANTEPARTUM_FETAL_MONITORING_+_Q&A

1. A pregnancy loss at 16 weeks is classified as: Delivery. Parity. Abortion. Stillbirth.

2. Placenta previa is characterized by: Painful bleeding. Painless bright red bleeding. Rigid abdomen. Board-like uterus.

3. Placenta previa contraindication includes: IV fluids. Vaginal exam. Ultrasound. Oxygen.

4. Abruptio placentae presents with: Soft uterus. Bright red bleeding. Rigid board-like uterus. No pain.

5. Chronic hypertension is diagnosed: After 20 weeks. Before 20 weeks. With proteinuria. With seizures.

6. Preeclampsia requires: Hypertension before 20 weeks. Hypertension after 20 weeks plus proteinuria/organ damage. Seizures. Chronic HTN only.

7. Eclampsia is defined by: Proteinuria. Hypertension. Seizures. Edema.

8. Magnesium sulfate is NOT used as: Anticonvulsant. Smooth muscle relaxant. Antihypertensive. Tocolytic.

9. Magnesium toxicity sign includes: RR 20/min. Hyperreflexia. Absent DTRs. Urine 60 mL/hr.

10. First priority in active eclamptic seizure is: Magnesium. Oxygen via mask. Lateral positioning. Suction airway.

11. External fetal monitoring uses: IUPC. Fetal scalp electrode. Ultrasound & toco. Central line.

12. Internal monitoring requires: Intact membranes. Ruptured membranes & dilation. HIV positive. Placenta previa.

13. Normal fetal baseline is: 90-110. 100-140. 110-160. 160-180.

14. Moderate variability indicates: Hypoxia. Intact CNS. Acidosis. Distress.

15. Variable decelerations are caused by: Head compression. Placental insufficiency. Cord compression. Oxygen excess.

16. Late decelerations correspond to: Head compression. Cord compression. Placental insufficiency. Fetal movement.

17. LION protocol first step is: IV fluids. Oxygen. Lateral positioning. Notify provider.

18. If Pitocin is infusing with late decels, first action is: Oxygen. Stop Pitocin. IV fluids. Call provider.

19. In cord prolapse, first action is to: Call provider. Insert gloved hand to lift presenting part. Push cord back. Start IV.

20. True labor differs from false labor because true labor has: Irregular contractions. No cervical change. Progressive dilation. Pain relieved by walking.

21. Unstable > Stable rule means prioritize: Chronic HTN. 42 wks yellow amniotic fluid. Routine baseline check. Documentation.

22. Routine tasks during crisis are: Priority. Secondary. Never priority. Required.

23. UAP can: Interpret FHR. Assess variability. Report data. Decide interventions.

24. RN must: Delegate all data. Validate abnormal findings from UAP. Avoid assessment. Ignore UAP report.