NRl 327/l NR327l Examl 2: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
Precipitousl Labor
Answer:
Laborl thatl lastsl 3l hoursl orl lessl froml onsetl ofl contractionsl tol timel ofl deliveryl (riskl forl
pneumothorax,l tears,l hemorrhage)
QUESTION
Prel Terml Laborl Interventions
Answer:
-l continuousl fetall monitoring
-l leftl sidel lying,l bedrest
-l betamethasonel (promotel fetall lungl maturity/surfactant)
2l dosesl 24l hrsl apart
-l magl sulfate/foleyl (neuroprotectivel forl baby,l stopl contractions)
QUESTION
Tocolytics
Answer:
Relaxl thel uterus,l stopl contractionsl
(Itsl Notl Myl Time!)
Indomethecinl (NSAID)
Nifedipinel (Calciuml channell blocker)
,Magl Sulfate
Terbutaunel (Adrengergicl agonist)
QUESTION
Prematurel Rupturel ofl Membranesl (PROM)
Answer:
rupturel ofl thel amnioticl sacl andl leakagel ofl amnioticl fluidl beginningl beforel thel onsetl ofl
laborl atl anyl gestationall age
(PPROMl isl preterm/20-36l weeks)
ALWAYSl THINKl INFECTIONl ANDl UMBILICALl CORDl PROLAPSEl RISK-l
prophylacticl antibiotics
QUESTION
Chorioamnionitis
Answer:
Infectionl ofl thel amnioticl membranesl
-l Checkl vitalsl Q2H
IFl MEMBRANEl RUPTURESl OVERl 24l HRSl AGO,l HUGEl INFECTIONl RISKl
ALWAYS
QUESTION
Vacuuml Assistedl Delivery
Answer:
Thisl typel ofl deliveryl assistancel involvesl usingl al cupl likel suctionl devicel thatl isl
attachedl tol thel headl usuallyl whenl motherl isl tiredl andl canl notl pushl effectivelyl
Fetusl mustl bel crowning
Fetall Risk:l faciall bruising,l hematoma,l bruising,l swelling
,QUESTION
Forcepsl Assistedl Delivery
Answer:
Usedl whenl motherl canl nol longerl pushl orl whenl fetusl isl deterioratingl andl cesareanl
sectionl cannotl bel done
Nursingl considerations:l informl motherl notl tol pushl unlessl instructed;l assessl newbornl forl
bruising,l abrasions,l subdurall hematoma,l orl faciall nervel palsy;l assessl motherl forl vaginall
orl cervicall lacerationsl orl hematomas,l bladderl orl urethrall injuries
QUESTION
Episiotomy
Answer:
surgicall incisionl ofl thel perineuml tol enlargel thel vaginal andl sol facilitatel deliveryl duringl
childbirth
increasesl infectionl risk,l bloodl loss,l scarring,l etc.
QUESTION
Twol Typesl ofl Cesareanl Section
Answer:
1.)l Vertical/Classic
-l quicker,l morel room,l obesel women
-l visiblel whenl healed,l greaterl complication
2.)l Transverse/Pfannenstiel
-l lessl visibilityl postl partum,l lessl complication
-l takesl morel time,l willl complicatel futurel Cl sections
ALWAYSl GIVINGl FLUID
*uncomplicatedl Cl sectionl isl atl hospitall 72hrsl postpartum
, QUESTION
Terbutalinel (Brethine)
Answer:
Usesl tol relaxl uterinel smoothl musclel tol inhibitl uterinel activity
-l CONTINUOUSl EFM
-l WILLl RAISEl HRl OFl MOTHERl ANDl BABY
QUESTION
Cesareanl Sectionl Indications
Answer:
fetall compromise,l maternall compromise,l macrosomia/bigl baby,l cordl prolapse,l failurel tol
progress,l CPD/smalll pelvis,l Malpresentation/Breech,l Previousl C-section,l Activel Herpes,l
Placental Previa,l Placental Abruptionl andl multiplel Gestation
QUESTION
Normall Deliveryl Bloodl Loss
Answer:
-l 500mLl Vaginal
-l 1000mLl Cl Section
QUESTION
VTOL
Answer:
Vaginall Triall ofl Labor
Ptl isl tol getl al Cl sectionl butl Ptl isl beingl startedl onl Pitocinl andl thel providerl isl seeingl
ifl thel patientl canl progressl welll enoughl tol deliverl vaginallyl andl avoidl Cl sectionl (higherl
risk)l usuallyl duel tol thel motherl wantingl al vaginall delivery
Nursingl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Precipitousl Labor
Answer:
Laborl thatl lastsl 3l hoursl orl lessl froml onsetl ofl contractionsl tol timel ofl deliveryl (riskl forl
pneumothorax,l tears,l hemorrhage)
QUESTION
Prel Terml Laborl Interventions
Answer:
-l continuousl fetall monitoring
-l leftl sidel lying,l bedrest
-l betamethasonel (promotel fetall lungl maturity/surfactant)
2l dosesl 24l hrsl apart
-l magl sulfate/foleyl (neuroprotectivel forl baby,l stopl contractions)
QUESTION
Tocolytics
Answer:
Relaxl thel uterus,l stopl contractionsl
(Itsl Notl Myl Time!)
Indomethecinl (NSAID)
Nifedipinel (Calciuml channell blocker)
,Magl Sulfate
Terbutaunel (Adrengergicl agonist)
QUESTION
Prematurel Rupturel ofl Membranesl (PROM)
Answer:
rupturel ofl thel amnioticl sacl andl leakagel ofl amnioticl fluidl beginningl beforel thel onsetl ofl
laborl atl anyl gestationall age
(PPROMl isl preterm/20-36l weeks)
ALWAYSl THINKl INFECTIONl ANDl UMBILICALl CORDl PROLAPSEl RISK-l
prophylacticl antibiotics
QUESTION
Chorioamnionitis
Answer:
Infectionl ofl thel amnioticl membranesl
-l Checkl vitalsl Q2H
IFl MEMBRANEl RUPTURESl OVERl 24l HRSl AGO,l HUGEl INFECTIONl RISKl
ALWAYS
QUESTION
Vacuuml Assistedl Delivery
Answer:
Thisl typel ofl deliveryl assistancel involvesl usingl al cupl likel suctionl devicel thatl isl
attachedl tol thel headl usuallyl whenl motherl isl tiredl andl canl notl pushl effectivelyl
Fetusl mustl bel crowning
Fetall Risk:l faciall bruising,l hematoma,l bruising,l swelling
,QUESTION
Forcepsl Assistedl Delivery
Answer:
Usedl whenl motherl canl nol longerl pushl orl whenl fetusl isl deterioratingl andl cesareanl
sectionl cannotl bel done
Nursingl considerations:l informl motherl notl tol pushl unlessl instructed;l assessl newbornl forl
bruising,l abrasions,l subdurall hematoma,l orl faciall nervel palsy;l assessl motherl forl vaginall
orl cervicall lacerationsl orl hematomas,l bladderl orl urethrall injuries
QUESTION
Episiotomy
Answer:
surgicall incisionl ofl thel perineuml tol enlargel thel vaginal andl sol facilitatel deliveryl duringl
childbirth
increasesl infectionl risk,l bloodl loss,l scarring,l etc.
QUESTION
Twol Typesl ofl Cesareanl Section
Answer:
1.)l Vertical/Classic
-l quicker,l morel room,l obesel women
-l visiblel whenl healed,l greaterl complication
2.)l Transverse/Pfannenstiel
-l lessl visibilityl postl partum,l lessl complication
-l takesl morel time,l willl complicatel futurel Cl sections
ALWAYSl GIVINGl FLUID
*uncomplicatedl Cl sectionl isl atl hospitall 72hrsl postpartum
, QUESTION
Terbutalinel (Brethine)
Answer:
Usesl tol relaxl uterinel smoothl musclel tol inhibitl uterinel activity
-l CONTINUOUSl EFM
-l WILLl RAISEl HRl OFl MOTHERl ANDl BABY
QUESTION
Cesareanl Sectionl Indications
Answer:
fetall compromise,l maternall compromise,l macrosomia/bigl baby,l cordl prolapse,l failurel tol
progress,l CPD/smalll pelvis,l Malpresentation/Breech,l Previousl C-section,l Activel Herpes,l
Placental Previa,l Placental Abruptionl andl multiplel Gestation
QUESTION
Normall Deliveryl Bloodl Loss
Answer:
-l 500mLl Vaginal
-l 1000mLl Cl Section
QUESTION
VTOL
Answer:
Vaginall Triall ofl Labor
Ptl isl tol getl al Cl sectionl butl Ptl isl beingl startedl onl Pitocinl andl thel providerl isl seeingl
ifl thel patientl canl progressl welll enoughl tol deliverl vaginallyl andl avoidl Cl sectionl (higherl
risk)l usuallyl duel tol thel motherl wantingl al vaginall delivery
