NRl 327/l NR327l Finall Exam:l Maternal-
Childl Nursingl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Nursingl interventionl forl maternall onl epidurall andl unablel tol ambulate:
Answer:
-regularl rotationl ofl variousl positionl (typicallyl side-lying).
-Remainingl urightl tol improvel circulation.
QUESTION
Whatl complicationsl couldl precipitousl laborl orl birthl resultl forl thel motherl andl fetus?
Answer:
Complicationl suchl as:
l -l uterinel rupture
l -l birthl canall lacerations
l -l amnioticl fluidl embolism
l -l postpartuml hemorrhage
l -l fetall hypoxia
l -l fetall intracraniall hemorrhage
l -l meconiuml stainingl orl aspiration
QUESTION
Whatl interventionl canl bel donel forl precipitousl labor?
Answer:
-treatedl withl al tocolyticl tol stopl uterinel contractionl
-promotel fetall oxygenationl
-maternall comfort
-l safety
-positionl changel tol sidel lyingl forl placentall bloodl flow.
,QUESTION
Whatl doesl magnesiuml sulfatel IVl medicationl usel forl inl preterml labor?
Answer:
-usedl tol relaxl thel smoothl musclel ofl thel uterusl tol preventl orl reducel contractionsl inl
preterml labor.
-alsol usedl tol treatl gerstationl hypertensionl andl preventl subsequentl seizures
QUESTION
Whatl isl Cordl Prolapse?
Answer:
Amnioticl rupturedl canl causel al cordl prolapsel duringl thel firstl stagel ofl laborl ifl thel fetall
presentingl partl isl notl engagedl andl thel umbilicall cordl propelsl outl aheadl ofl orl underl
thel fetall presentingl part.
QUESTION
Signl ofl cordl prolapse:
Answer:
-FHRl patternl willl showl al decelerationl andl orl bradycardia.l
-Canl causel fetall hypoxial duel tol compressionl ofl thel umbilicall cord.
QUESTION
Cordl Prolapsel risksl withl hydramnios:
Answer:
Hydraminosl meansl tool muchl amnioticl fluid.l
Riskl forl cordl prolapsel isl whenl thel fetall presentingl partl isl notl engagedl inl thel pelvisl
duel tol hydramnios,l thel fetusl isl atl riskl forl breechl orl transversel presentation.
QUESTION
Treatmentl forl Cordl Prolapse?
,Answer:
Cordl Prolapsel isl anl emergencyl requiringl actionl tol reducel thel amountl ofl timel thatl thel
cordl Isl compressedl andl thel fetall hypoxial lastsl beforel pressurel canl bel relieved.l
Treatmentl includes:l
l -l Pressurel relievedl byl thel nursel orl doctorl byl liftingl thel presentingl partl ofl thel cordl inl
thel vaginal usingl al sterilel glovedl handl andl assistingl thel moml intol al knee-chestl positionl
untill deliveryl canl bel achieved.l
l -l Calml thel motherl andl herl familyl inl thisl highl stressl timel
l -l Anl emergencyl Cesarianl mayl bel needed
QUESTION
Followingl al client'sl rupturel ofl membranes,l thel nursel findsl anl umbilicall cordl inl thel
vagina.l Whatl arel thel twol priorityl actionsl forl thel nurse?
A)l Monitorl thel intensityl ofl contractions.
B)l Obtainl fetall heartl tones.
C)l Placel thel patientl inl al knee-chestl position.
D)l Relievel pressurel onl thel cordl byl liftingl thel presentingl partl offl thel cord
Answer:
AnswerLl Cl andl D
explains:l
Cordl prolapsel occursl whenl thel umbilicall cordl slipsl beneathl thel presentingl partl afterl
thel membranesl rupture,l leadingl tol cordl compressionl andl reducedl oxygenl tol thel fetus.l
Promptl intervention—withinl 5l minutes—isl vitall tol preventl fetall hypoxia,l brainl injury,l
orl death.l Thel nursel shouldl immediatelyl usel al sterilel glovedl handl tol liftl thel presentingl
partl offl thel cordl andl positionl thel motherl inl al knee-chestl (all-fours)l positionl tol relievel
pressure.l Ifl thel cervixl isl fullyl dilated,l assistedl deliveryl withl vacuuml orl forcepsl mayl bel
performed;l otherwise,l anl emergencyl cesareanl sectionl isl necessary.
QUESTION
Whatl isl Uterinel Rupture?
Answer:
Occursl whenl thel uterinel walll tearsl partiallyl orl completelyl duel tol pressurel thatl exceedsl
itl abilityl tol withstandl thel pressure.
QUESTION
, Riskl factorl forl uterinel rupture?
Answer:
-Previousl Cesareanl birthl withl al classicl incisionl (verticall intol thel upperl uterinel segment)l
weakensl thel uterusl acrossl thel scarl underl highl pressure.l
-Vaginall birthl afterl cesarianl (VBAC)l willl likelyl notl bel attemptedl forl thesel women.l
-Womenl whol havel hadl severall pregnanciesl (highl parity)l mayl resultl inl thinl uterinel
wall.l
-Bluntl abdominall pressurel (examplel carl accident)l mayl causel uterinel rupture.
-Excessivel strongl contractions,l usuallyl froml medicationl suchl asl oxytocinl andl orl
misprostoll forl inductionl orl augmentationl ofl laborl canl causel uterinel rupture.
QUESTION
Signl ofl Uterinel Rupture:
Answer:
Painl isl thel usuall sign,l butl itl couldl bel maskedl byl epidurall orl mistakenl forl uterinel
contraction.l
Sign:l
-Abdominall painl andl tendernessl feell likel "gavel way"l prl "ripped"
-Chestl pain,l painl betweenl thel shoulderl bladesl orl whenl breathingl inl duel tol bloodl
causesl irritationl inl thosel area.l
-Hemorrhagel andl hypovolemicl shockl mayl occurs.l Checkl Vitall signs.l Usuallyl happenedl
withl completel rupturel andl notl partiall rupture.l
-Fetall distressl mayl bel noted.l FHRl patternl mayl showl latel decelerations,l reducedl
variability,l tachycardia,l andl bradycardia.
QUESTION
Uterinel Rupturel Nursingl Care:
Answer:
-Monitorl vitall sign
-Focusl onl maternall andl fetall stabilizationl
-Uterinel rupturel willl bel surgicallyl repairedl ifl possible,l otherwisel hysterectomyl mayl bel
required.
QUESTION
Childl Nursingl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Nursingl interventionl forl maternall onl epidurall andl unablel tol ambulate:
Answer:
-regularl rotationl ofl variousl positionl (typicallyl side-lying).
-Remainingl urightl tol improvel circulation.
QUESTION
Whatl complicationsl couldl precipitousl laborl orl birthl resultl forl thel motherl andl fetus?
Answer:
Complicationl suchl as:
l -l uterinel rupture
l -l birthl canall lacerations
l -l amnioticl fluidl embolism
l -l postpartuml hemorrhage
l -l fetall hypoxia
l -l fetall intracraniall hemorrhage
l -l meconiuml stainingl orl aspiration
QUESTION
Whatl interventionl canl bel donel forl precipitousl labor?
Answer:
-treatedl withl al tocolyticl tol stopl uterinel contractionl
-promotel fetall oxygenationl
-maternall comfort
-l safety
-positionl changel tol sidel lyingl forl placentall bloodl flow.
,QUESTION
Whatl doesl magnesiuml sulfatel IVl medicationl usel forl inl preterml labor?
Answer:
-usedl tol relaxl thel smoothl musclel ofl thel uterusl tol preventl orl reducel contractionsl inl
preterml labor.
-alsol usedl tol treatl gerstationl hypertensionl andl preventl subsequentl seizures
QUESTION
Whatl isl Cordl Prolapse?
Answer:
Amnioticl rupturedl canl causel al cordl prolapsel duringl thel firstl stagel ofl laborl ifl thel fetall
presentingl partl isl notl engagedl andl thel umbilicall cordl propelsl outl aheadl ofl orl underl
thel fetall presentingl part.
QUESTION
Signl ofl cordl prolapse:
Answer:
-FHRl patternl willl showl al decelerationl andl orl bradycardia.l
-Canl causel fetall hypoxial duel tol compressionl ofl thel umbilicall cord.
QUESTION
Cordl Prolapsel risksl withl hydramnios:
Answer:
Hydraminosl meansl tool muchl amnioticl fluid.l
Riskl forl cordl prolapsel isl whenl thel fetall presentingl partl isl notl engagedl inl thel pelvisl
duel tol hydramnios,l thel fetusl isl atl riskl forl breechl orl transversel presentation.
QUESTION
Treatmentl forl Cordl Prolapse?
,Answer:
Cordl Prolapsel isl anl emergencyl requiringl actionl tol reducel thel amountl ofl timel thatl thel
cordl Isl compressedl andl thel fetall hypoxial lastsl beforel pressurel canl bel relieved.l
Treatmentl includes:l
l -l Pressurel relievedl byl thel nursel orl doctorl byl liftingl thel presentingl partl ofl thel cordl inl
thel vaginal usingl al sterilel glovedl handl andl assistingl thel moml intol al knee-chestl positionl
untill deliveryl canl bel achieved.l
l -l Calml thel motherl andl herl familyl inl thisl highl stressl timel
l -l Anl emergencyl Cesarianl mayl bel needed
QUESTION
Followingl al client'sl rupturel ofl membranes,l thel nursel findsl anl umbilicall cordl inl thel
vagina.l Whatl arel thel twol priorityl actionsl forl thel nurse?
A)l Monitorl thel intensityl ofl contractions.
B)l Obtainl fetall heartl tones.
C)l Placel thel patientl inl al knee-chestl position.
D)l Relievel pressurel onl thel cordl byl liftingl thel presentingl partl offl thel cord
Answer:
AnswerLl Cl andl D
explains:l
Cordl prolapsel occursl whenl thel umbilicall cordl slipsl beneathl thel presentingl partl afterl
thel membranesl rupture,l leadingl tol cordl compressionl andl reducedl oxygenl tol thel fetus.l
Promptl intervention—withinl 5l minutes—isl vitall tol preventl fetall hypoxia,l brainl injury,l
orl death.l Thel nursel shouldl immediatelyl usel al sterilel glovedl handl tol liftl thel presentingl
partl offl thel cordl andl positionl thel motherl inl al knee-chestl (all-fours)l positionl tol relievel
pressure.l Ifl thel cervixl isl fullyl dilated,l assistedl deliveryl withl vacuuml orl forcepsl mayl bel
performed;l otherwise,l anl emergencyl cesareanl sectionl isl necessary.
QUESTION
Whatl isl Uterinel Rupture?
Answer:
Occursl whenl thel uterinel walll tearsl partiallyl orl completelyl duel tol pressurel thatl exceedsl
itl abilityl tol withstandl thel pressure.
QUESTION
, Riskl factorl forl uterinel rupture?
Answer:
-Previousl Cesareanl birthl withl al classicl incisionl (verticall intol thel upperl uterinel segment)l
weakensl thel uterusl acrossl thel scarl underl highl pressure.l
-Vaginall birthl afterl cesarianl (VBAC)l willl likelyl notl bel attemptedl forl thesel women.l
-Womenl whol havel hadl severall pregnanciesl (highl parity)l mayl resultl inl thinl uterinel
wall.l
-Bluntl abdominall pressurel (examplel carl accident)l mayl causel uterinel rupture.
-Excessivel strongl contractions,l usuallyl froml medicationl suchl asl oxytocinl andl orl
misprostoll forl inductionl orl augmentationl ofl laborl canl causel uterinel rupture.
QUESTION
Signl ofl Uterinel Rupture:
Answer:
Painl isl thel usuall sign,l butl itl couldl bel maskedl byl epidurall orl mistakenl forl uterinel
contraction.l
Sign:l
-Abdominall painl andl tendernessl feell likel "gavel way"l prl "ripped"
-Chestl pain,l painl betweenl thel shoulderl bladesl orl whenl breathingl inl duel tol bloodl
causesl irritationl inl thosel area.l
-Hemorrhagel andl hypovolemicl shockl mayl occurs.l Checkl Vitall signs.l Usuallyl happenedl
withl completel rupturel andl notl partiall rupture.l
-Fetall distressl mayl bel noted.l FHRl patternl mayl showl latel decelerations,l reducedl
variability,l tachycardia,l andl bradycardia.
QUESTION
Uterinel Rupturel Nursingl Care:
Answer:
-Monitorl vitall sign
-Focusl onl maternall andl fetall stabilizationl
-Uterinel rupturel willl bel surgicallyl repairedl ifl possible,l otherwisel hysterectomyl mayl bel
required.
QUESTION
