NCLEX_CRUSADE_ACADEMY TEST- 9 COMPLICATED_INTRAPARTUM_CARE

1. Normal amniotic fluid color is typically: Green. Straw-colored / pale yellow. Dark brown. Bright red.

2. Amniotic fluid volume is primarily a reflection of: Maternal hydration. Placental size. Fetal renal function. Maternal BP.

3. Oligohydramnios is defined as AFI: >25 cm. 1020 cm. <5 cm. 15 cm.

4. Polyhydramnios is commonly associated with: Renal agenesis. Maternal diabetes mellitus. Hypotension. Cord prolapse only.

5. Before amniotomy (AROM), prerequisite includes: Cervix closed. Head unengaged. Cervix dilated ~2 cm & head engaged. No FHR monitoring.

6. Priority immediately before and after AROM is: Check BP. Fetal Heart Rate monitoring. Pain assessment. Fundal height.

7. PROM is defined as rupture of membranes: <37 weeks with labor. >37 weeks without contractions. <37 weeks without labor. During active labor.

8. PPROM refers to rupture of membranes: After 37 weeks. Before 37 weeks without labor. With contractions present. During delivery.

9. Nitrazine test turning blue indicates: Urine. Amniotic fluid (alkaline). Infection only. Blood.

10. First intervention in umbilical cord prolapse is to: Push cord back. Call family. Relieve pressure manually. Perform vaginal exam.

11. Appropriate position for cord prolapse is: Supine. High Fowlers. Trendelenburg or knee-chest. Prone.

12. Oxygen in cord prolapse should be administered via: Nasal cannula. Face mask 810 L/min. Room air. Blow-by only.

13. Uterine rupture is suggested by: Regular contractions. Cessation of contractions. Mild discomfort. Soft uterus.

14. Late decelerations are caused by: Head compression. Cord compression. Uteroplacental insufficiency. Fetal movement.

15. First step in intrauterine resuscitation if Pitocin running: Oxygen. Stop Oxytocin. IV bolus. Notify provider.

16. If Pitocin NOT running and late decels occur, priority is: Oxygen first. Reposition patient left lateral. IV bolus only. Call anesthesia.

17. Rupture >18 hours with fever and FHR 170180 suggests: Placenta previa. Cord prolapse. Intra-amniotic infection (chorioamnionitis). Normal labor.

18. In infection vs induction dilemma, priority is: Oxytocin first. Emergency C-section. Administer antibiotics first. Delay treatment.

19. UAP in L&D; may: Assess FHR patterns. Transport unstable patient. Measure output & take vitals on stable patients. Apply newborn ID bands independently.

20. Golden rule for late decelerations is LION, which stands for: Left side, IV fluids, Oxygen, Notify. Lift, Inspect, Oxygen, Notify. Lower BP, Increase O2, Observe, Notify. Labor, Induce, Oxygen, Notify.