Maternal-Newborn Nursing Exam 2 Blueprint
1. normal physiologic functions that occurs with maturity or with a breech presentation
2. result of hypoxia induced peristalsis and sphincter relaxation
3. sequel to umbilical cord compression, induced vagal stimulation in mature fetuses -
ANS-What causes meconium stained amniotic fluid?
110-160bpm; 140 average - ANS-Average fetal heart rate
1st stage of labor - ANS-Onset of regular contractions to full effacement and dilation
2nd stage of labor - ANS-Full dilation to birth of fetus
3rd stage of labor - ANS-Birth of fetus to delivery of placenta
4th stage of labor - ANS-Delivery of placenta to 2 hours after birth
ABC, suction secretions, give 02, IV, fetal status and UA (contractions and ROM can result) -
ANS-Assessments of eclampsia
abnormal FHR tracing, variable or prolonged decelerations or bradycardia, loss of fetal station
can also occur
mom can experience constant abd. pain, uterine tenderness, change in uterine shape, and
cessation of contra ions, hypovalemic shock caused by hemorrhage - ANS-How does uterine
rupture affect mom/baby?
accelerations are >=15 bpm above baseline for 15 seconds - ANS-Reassuring fetal tracings
apparent change in FHR below baseline. caused by a dominance of a parasympathetic
response. described by their visual relation to the onset and end of contraction by their shape. -
ANS-What are decelerations?
apparent increase in FHR above baseline. peak at least 15 beats/minute above baseline with
return to baseline less than 2 minutes - ANS-What are accelerations?
bacterial infection of the amniotic cavity, major cause of complications for mothers and
newborns. most often occurs after membranes rupture or labor begins - ANS-What is
choriamnionitis?
bed rest, limitation of activity, tocolytic meds, IV fluids, blood transfusion - ANS-Placental previa
intervention
, bed rest, tocolytics, antibiotics, delivery of baby - ANS-Interventions of preterm labor
cervical softening and dilation by using 2 fingers to determine cm. dilation, effacement, and
station - ANS-What is measured in a cervical exam?
Class A1: has 2 or more abnormal values on OGT with normal fasting blood sugar, blood
glucose levels and diet controlled
Class A2: not known to have diabetes before pregnancy but requires medication for blood
glucose control - ANS-Classes of gestational diabetes
Class B: oneset on disease occurs after age 20 and duration of illness <10 years
Class C: " " between 10 and 19 years of age or duration of illness for 10 to 19 years or both
Class D: " " <10 years of age or duration of illness >20 years or both
Class F: client has developed diabetic nephropathy
Class R: developed retinitis proliferates
Class T: had a renal transplant - ANS-Classes of pregestational diabetes
complete nonsurgical disruption of all uterine laters, rare but life threatening injury - ANS-What
is uterine rupture?
condition in which blood sugar levels become high during pregnancy - ANS-Gestational
diabetes
condition where the head is born, but the anterior shoulder cannot pass under the pubic arch
increases the risk for fetal and maternal morbidity and mortality - ANS-What is shoulder
dystocia?
contraction of all body muscles then tonic clonic
signs: headache, blurred vision, severe epigastric pain, alt. mental status - ANS-Findings of
eclampsia
correction of underlying disease - ANS-Intervention for DIC
cutaneous stimulation strategies:
-counterpressure, therapeutic touch, walking, rocking, changing positions, acupressure
sensory stimulation strategies:
-aromatherapy, breathing techniques, music, imagery, use of focal points
cognitive strategies:
-childbirth education, hypnosis, biofeedback - ANS-Nonpharmacologic options for labor
deliver, pain relief, blood transfusion - ANS-Placental abruption interventions
detachment of part or all of a normally implanted placenta from the uterus - ANS-Placental
abruption
1. normal physiologic functions that occurs with maturity or with a breech presentation
2. result of hypoxia induced peristalsis and sphincter relaxation
3. sequel to umbilical cord compression, induced vagal stimulation in mature fetuses -
ANS-What causes meconium stained amniotic fluid?
110-160bpm; 140 average - ANS-Average fetal heart rate
1st stage of labor - ANS-Onset of regular contractions to full effacement and dilation
2nd stage of labor - ANS-Full dilation to birth of fetus
3rd stage of labor - ANS-Birth of fetus to delivery of placenta
4th stage of labor - ANS-Delivery of placenta to 2 hours after birth
ABC, suction secretions, give 02, IV, fetal status and UA (contractions and ROM can result) -
ANS-Assessments of eclampsia
abnormal FHR tracing, variable or prolonged decelerations or bradycardia, loss of fetal station
can also occur
mom can experience constant abd. pain, uterine tenderness, change in uterine shape, and
cessation of contra ions, hypovalemic shock caused by hemorrhage - ANS-How does uterine
rupture affect mom/baby?
accelerations are >=15 bpm above baseline for 15 seconds - ANS-Reassuring fetal tracings
apparent change in FHR below baseline. caused by a dominance of a parasympathetic
response. described by their visual relation to the onset and end of contraction by their shape. -
ANS-What are decelerations?
apparent increase in FHR above baseline. peak at least 15 beats/minute above baseline with
return to baseline less than 2 minutes - ANS-What are accelerations?
bacterial infection of the amniotic cavity, major cause of complications for mothers and
newborns. most often occurs after membranes rupture or labor begins - ANS-What is
choriamnionitis?
bed rest, limitation of activity, tocolytic meds, IV fluids, blood transfusion - ANS-Placental previa
intervention
, bed rest, tocolytics, antibiotics, delivery of baby - ANS-Interventions of preterm labor
cervical softening and dilation by using 2 fingers to determine cm. dilation, effacement, and
station - ANS-What is measured in a cervical exam?
Class A1: has 2 or more abnormal values on OGT with normal fasting blood sugar, blood
glucose levels and diet controlled
Class A2: not known to have diabetes before pregnancy but requires medication for blood
glucose control - ANS-Classes of gestational diabetes
Class B: oneset on disease occurs after age 20 and duration of illness <10 years
Class C: " " between 10 and 19 years of age or duration of illness for 10 to 19 years or both
Class D: " " <10 years of age or duration of illness >20 years or both
Class F: client has developed diabetic nephropathy
Class R: developed retinitis proliferates
Class T: had a renal transplant - ANS-Classes of pregestational diabetes
complete nonsurgical disruption of all uterine laters, rare but life threatening injury - ANS-What
is uterine rupture?
condition in which blood sugar levels become high during pregnancy - ANS-Gestational
diabetes
condition where the head is born, but the anterior shoulder cannot pass under the pubic arch
increases the risk for fetal and maternal morbidity and mortality - ANS-What is shoulder
dystocia?
contraction of all body muscles then tonic clonic
signs: headache, blurred vision, severe epigastric pain, alt. mental status - ANS-Findings of
eclampsia
correction of underlying disease - ANS-Intervention for DIC
cutaneous stimulation strategies:
-counterpressure, therapeutic touch, walking, rocking, changing positions, acupressure
sensory stimulation strategies:
-aromatherapy, breathing techniques, music, imagery, use of focal points
cognitive strategies:
-childbirth education, hypnosis, biofeedback - ANS-Nonpharmacologic options for labor
deliver, pain relief, blood transfusion - ANS-Placental abruption interventions
detachment of part or all of a normally implanted placenta from the uterus - ANS-Placental
abruption
