Examl 3:l NU170/l NUl 170l (NEWl 2025/l
2026l Update)l Maternal-Childl Nursingl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Explainl thel differencel betweenl truel andl falsel labor.
Answer:
Falsel labor-contractionsl arel irregular,l nol changel inl frequency,l duration,l andl intensity,l
walkingl relievesl contractions,l discomfortl feltl inl groinl andl abdomen,l bloodyl showl isl
usuallyl notl presentl andl nol changel inl effacementl orl dilationl ofl cervix.
Truel labor-l contractionsl graduallyl developl al regularl patternl andl becomel morel frequent,l
longer,l andl morel intense,l stronger,l andl morel effectivel withl walking.
Progressivel effacementl andl dilationl ofl thel cervixl occur.
QUESTION
Explainl thel stagesl andl phasesl ofl thel laborl andl deliveryl processl withl nursingl carel forl
each.
Answer:
Firstl stage-dilationl andl effacementl lastl 24l hrsl (12l hrsl forl primagrava)
Cutl timel inl halfl forl multigrava
Latentl phasel 4-6hrl dilationl 4-6l cm
Activel phasel 2-6hrs,l 4-7cm.
Transitionl phase-l 30min-2hrs,l 7-10cm
(Primagrava🡪Contractionsl needl tol bel 5minl consecutivel forl 2hrs/l closel together,l orl ifl
waterl breaks
Secondl stage-Expulsionl (pushing)l ofl fetusl (30min-2hrs)babyl isl born
Thirdl stage-Expulsionl ofl placental (5-30min)
Nursingl care:Numberl onel thingl inl secondl stagel isl thermoregulation,l dryl offl andl warmer.
Maintainl thermoregulation-criticall factorl forl minimall heatl lossl andl oxygenl consumptionl
needsl arel lowest.
,Skinl tol skinl orl underl warmer
Fourthl stage-Recoveryl (postpartum)
NC:l VSl q15m,l maternall voiding,l Monitorl HRl andl templ ofl newborn,l providel warmthl
andl assessl forl anomalies,l fundus(Firm)l andl lochial (scant),changel mother'sl gownl andl
underpants,l encouragel breastl feedingl andl bonding
QUESTION
Whatl causesl fetall accelerations
Answer:
appropriatelyl oxygenatedl andl goodl fetall welll being
QUESTION
whatl stimulatesl cervicall effacement
Answer:
ambulationl andl changel positions
QUESTION
Explainl nursingl carel afterl birthl forl thel newbornl baby.
Answer:
Performl briefl assessment-l Apgarl evaluation
Apgarl Scorel ofl 8l orl higherl meansl normal
Anythingl lowerl thanl thatl transferl tol NICU
Forl someonel whol isl rupturedl earlyl 7l cml forl al longl timel andl notl inl transitionl labor-
Checkl forl infection/providel antibiotic/preventl infection/checkl pads/perineall care/watchl
temp
Al 100.4l templ inl motherl willl increasel heartl ratel ofl fetus
,QUESTION
Explainl nonpharmacological/l pharmacologicall childbirthl painl management
Answer:
Nonpharmacological
Advantages
Nonpharmacologicl methodsl dol notl harml thel motherl orl fetus.
Theyl dol notl slowl laborl ifl theyl providel adequatel painl control.
Theyl carryl nol riskl forl allergyl orl adversel drugl effects.
Limitations
Forl bestl resultsl non-pharmacologicall measuresl shouldl bel rehearsedl beforel laborl begins.
Pharmacological
Advantages
Morel comfortablel andl relaxed
Relaxationl willl aidl abilityl tol workl throughl contractions
Lessonsl "stressl response,l "l which,l ifl notl controlled,l couldl leadl tol fetall acidosis
Limitations
Motherl andl babyl willl bel medicate
Effectsl arel prolongedl inl infants
Mayl delayl progressl ofl labor
Analgesicsl feelsl affectsl immediatelyl afterl admin/systemicl forl child
Durationsl arel shorterl onlyl lastl forl al couplel hours
Dol notl givel inl transitionl labor/precipitousl ptsl (tool latel tol givel meds),l duel tol causingl
respl depressionl inl newborns
IVl narcoticl epidurall arel contraindicatedl inl precipitousl birth
QUESTION
Gatel controll theory
Answer:
Somel ofl thel techniquesl ifl youl blockl painl withl al differentl stimulil likel message,l heatl
packsl orl icel packs,l touchl willl closel thel gatel tol painfull stimuli.
QUESTION
Epidurall orl spinall blockl youl Havel tol havel al plateletl countl first,l putl patientl onl monitorl
forl 30min,
, Answer:
Givel fluidsl beforel epidurall tol preventl hypotension
Ifl motherl BPl dropsl childl BPl drops,l givel Bolusl 500ccl orl 100cc
Priorityl #1:l Measurel BP
Thisl isl donel continuously,l 2l minl incrementsl firstl 5l minutesl incrementsl forl 15l minl upl
untill theyl deliver
QUESTION
Generall Anesthesia
Answer:
Foods/fluidsl arel restrictedl inl laborl tol preventl aspirationl especiallyl underl generall
anesthesia.
Forl someonel whol hasl anl analgesicl onl bolusl andl goesl intol respiratoryl depressionl froml
eitherl analgesics,l morphinel orl somethingl likel magnesiuml sulfate,l whatl isl thel Narcoticl
thatl wel givel forl respiratoryl depression?
Naloxone
QUESTION
Laborl andl Deliveryl Complications
Answer:
Thel morel thel ripenl thel cervixl isl thel betterl thel inductionl willl be.
Dol notl givel medicall induction'sl tol someonel whenl itl isl notl medicallyl necessary.
QUESTION
Ifl someonel hasl al badl bishopl scorel andl theresl notl al medicall reason
Answer:
inductionl isl frownedl upon
2026l Update)l Maternal-Childl Nursingl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Explainl thel differencel betweenl truel andl falsel labor.
Answer:
Falsel labor-contractionsl arel irregular,l nol changel inl frequency,l duration,l andl intensity,l
walkingl relievesl contractions,l discomfortl feltl inl groinl andl abdomen,l bloodyl showl isl
usuallyl notl presentl andl nol changel inl effacementl orl dilationl ofl cervix.
Truel labor-l contractionsl graduallyl developl al regularl patternl andl becomel morel frequent,l
longer,l andl morel intense,l stronger,l andl morel effectivel withl walking.
Progressivel effacementl andl dilationl ofl thel cervixl occur.
QUESTION
Explainl thel stagesl andl phasesl ofl thel laborl andl deliveryl processl withl nursingl carel forl
each.
Answer:
Firstl stage-dilationl andl effacementl lastl 24l hrsl (12l hrsl forl primagrava)
Cutl timel inl halfl forl multigrava
Latentl phasel 4-6hrl dilationl 4-6l cm
Activel phasel 2-6hrs,l 4-7cm.
Transitionl phase-l 30min-2hrs,l 7-10cm
(Primagrava🡪Contractionsl needl tol bel 5minl consecutivel forl 2hrs/l closel together,l orl ifl
waterl breaks
Secondl stage-Expulsionl (pushing)l ofl fetusl (30min-2hrs)babyl isl born
Thirdl stage-Expulsionl ofl placental (5-30min)
Nursingl care:Numberl onel thingl inl secondl stagel isl thermoregulation,l dryl offl andl warmer.
Maintainl thermoregulation-criticall factorl forl minimall heatl lossl andl oxygenl consumptionl
needsl arel lowest.
,Skinl tol skinl orl underl warmer
Fourthl stage-Recoveryl (postpartum)
NC:l VSl q15m,l maternall voiding,l Monitorl HRl andl templ ofl newborn,l providel warmthl
andl assessl forl anomalies,l fundus(Firm)l andl lochial (scant),changel mother'sl gownl andl
underpants,l encouragel breastl feedingl andl bonding
QUESTION
Whatl causesl fetall accelerations
Answer:
appropriatelyl oxygenatedl andl goodl fetall welll being
QUESTION
whatl stimulatesl cervicall effacement
Answer:
ambulationl andl changel positions
QUESTION
Explainl nursingl carel afterl birthl forl thel newbornl baby.
Answer:
Performl briefl assessment-l Apgarl evaluation
Apgarl Scorel ofl 8l orl higherl meansl normal
Anythingl lowerl thanl thatl transferl tol NICU
Forl someonel whol isl rupturedl earlyl 7l cml forl al longl timel andl notl inl transitionl labor-
Checkl forl infection/providel antibiotic/preventl infection/checkl pads/perineall care/watchl
temp
Al 100.4l templ inl motherl willl increasel heartl ratel ofl fetus
,QUESTION
Explainl nonpharmacological/l pharmacologicall childbirthl painl management
Answer:
Nonpharmacological
Advantages
Nonpharmacologicl methodsl dol notl harml thel motherl orl fetus.
Theyl dol notl slowl laborl ifl theyl providel adequatel painl control.
Theyl carryl nol riskl forl allergyl orl adversel drugl effects.
Limitations
Forl bestl resultsl non-pharmacologicall measuresl shouldl bel rehearsedl beforel laborl begins.
Pharmacological
Advantages
Morel comfortablel andl relaxed
Relaxationl willl aidl abilityl tol workl throughl contractions
Lessonsl "stressl response,l "l which,l ifl notl controlled,l couldl leadl tol fetall acidosis
Limitations
Motherl andl babyl willl bel medicate
Effectsl arel prolongedl inl infants
Mayl delayl progressl ofl labor
Analgesicsl feelsl affectsl immediatelyl afterl admin/systemicl forl child
Durationsl arel shorterl onlyl lastl forl al couplel hours
Dol notl givel inl transitionl labor/precipitousl ptsl (tool latel tol givel meds),l duel tol causingl
respl depressionl inl newborns
IVl narcoticl epidurall arel contraindicatedl inl precipitousl birth
QUESTION
Gatel controll theory
Answer:
Somel ofl thel techniquesl ifl youl blockl painl withl al differentl stimulil likel message,l heatl
packsl orl icel packs,l touchl willl closel thel gatel tol painfull stimuli.
QUESTION
Epidurall orl spinall blockl youl Havel tol havel al plateletl countl first,l putl patientl onl monitorl
forl 30min,
, Answer:
Givel fluidsl beforel epidurall tol preventl hypotension
Ifl motherl BPl dropsl childl BPl drops,l givel Bolusl 500ccl orl 100cc
Priorityl #1:l Measurel BP
Thisl isl donel continuously,l 2l minl incrementsl firstl 5l minutesl incrementsl forl 15l minl upl
untill theyl deliver
QUESTION
Generall Anesthesia
Answer:
Foods/fluidsl arel restrictedl inl laborl tol preventl aspirationl especiallyl underl generall
anesthesia.
Forl someonel whol hasl anl analgesicl onl bolusl andl goesl intol respiratoryl depressionl froml
eitherl analgesics,l morphinel orl somethingl likel magnesiuml sulfate,l whatl isl thel Narcoticl
thatl wel givel forl respiratoryl depression?
Naloxone
QUESTION
Laborl andl Deliveryl Complications
Answer:
Thel morel thel ripenl thel cervixl isl thel betterl thel inductionl willl be.
Dol notl givel medicall induction'sl tol someonel whenl itl isl notl medicallyl necessary.
QUESTION
Ifl someonel hasl al badl bishopl scorel andl theresl notl al medicall reason
Answer:
inductionl isl frownedl upon
