OB CMS EXAM NGN / CMS OB EXAM WITH NGN LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ANSWERS GRADED A+

OB CMS EXAM NGN / CMS OB EXAM WITH
NGN LATEST 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ANSWERS GRADED A+
OB CMS EXAM NGN / CMS OB EXAM WITH
NGN LATEST 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ANSWERS GRADED A+
hCG (human chorionic gonadotropin) - ANSWER-Pregnancy Hormone - how you test
for pregnancy.
** hCG is the KEY in order to verify PREGNANCY**
Normal Fetal Heart Rate - ANSWER-110-160 bpm
Things to ALWAYS report to the provider - newborn - ANSWER-Nasal Flaring
Grunting
Respiratory Muscular Retractions
Naegel's Rule - ANSWER-subtract 3 months, add 7 days
i.e. LMP January 20th, what is EDD?
October 27th
The Five P's - ANSWER-Passenger (fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position of mother
Psychologic response
Lamaze Method - ANSWER-A method of "prepared" childbirth involving relaxation and
controlled breathing.
Group B Streptococcus (GBS) - ANSWER-@ 35 to 37 weeks.
Prophylactic antibiotics should be given during labor to clients who are GBS +
1-Hour Glucose Test - ANSWER-@ 24-28 weeks
120 mg/dL = expected
What are some nursing considerations for formula feeding? - ANSWER-Hold the bottle,
avoid supine position, hold newborn at 45-degree angle, place nipple on top of tongue
How should nipples and bottles be prepared before using them for the first time? -
ANSWER-Boil them for 5 minutes
What should be done with unused formula after feeding? - ANSWER-Discard it
How should cold bottles be warmed? - ANSWER-Place them under warm running tap
water or in a pan of hot water
What is the danger of propping the bottle during feeding? - ANSWER-Increased risk of
aspiration
When should a parent discontinue swaddling their baby? - ANSWER-Once the baby is
able to roll over (around 2 months of age)
What are the nursing considerations for vacuum-assisted vaginal delivery? - ANSWERIncreased risk of jaundice, caput succedaneum, used for prolonged second stage of
labor or fetal distress
What is gestational hypertension? - ANSWER-Elevated blood pressure at 140/90 mm
Hg or greater recorded on two different occasions after the 20th week of pregnancy
What is preeclampsia? - ANSWER-Gestational hypertension with proteinuria of greater
than or equal to 1+, may present with headache, irritability, and edema
What are the manifestations of severe preeclampsia? - ANSWER-Blood pressure of
160/110 mm Hg or greater, proteinuria greater than 3+, oliguria, elevated blood
creatinine, cerebral or visual disturbance, hyperreflexia with possible ankle clonus,
pulmonary or cardiac involvement, extensive peripheral edema, hepatic dysfunction,
epigastric and right upper-quadrant pain, thrombocytopenia
What is eclampsia? - ANSWER-Severe preeclampsia with the onset of seizure activity
or coma, headache, severe epigastric pain, hyperreflexia, hemoconcentration
What is HELLP syndrome? - ANSWER-Variant of gestational hypertension with severe
preeclampsia involving hepatic dysfunction and coexisting hematologic conditions
How is HELLP syndrome diagnosed? - ANSWER-Through laboratory tests
What is H? - ANSWER-Hemolysis resulting in anemia and jaundice.
What is EL? - ANSWER-Elevated liver enzymes resulting in elevated ALT and AST,
epigastric pain, nausea, and vomiting.
What is LP? - ANSWER-Low platelets (less than 100,000/mm3) resulting in
thrombocytopenia, abnormal bleeding and clotting time, bleeding gums, petechiae, and
possible DIC.
What are some nursing interventions for hypertension/gestational hypertension in
pregnancy? - ANSWER-Assess level of consciousness, obtain pulse oximetry, monitor
urine output, obtain daily weights, monitor blood pressure, encourage lateral positioning,
perform NST and daily kick counts, instruct the client to monitor I&O, administer
antihypertensive medications, and administer magnesium sulfate.