NM 704 Final Exam - Questions & Clear, Concise Answers

NM 704 Final Exam - Questions & Clear, Concise
Answers

1st stage maternal vs -- b/p, hr, rr Right Ans - every 1 hr

1st stage maternal normal temp & intact membranes vs Right Ans - every
2-4 hrs

1st stage maternal abnormal temp &/or ruptured membranes vs Right Ans
- every 1-2 hrs

2nd stage maternal b/p Right Ans - every 15 min btwn contractions

2nd stage maternal temp, hr, rr Right Ans - every 1 hr

maternal b/p during pushing Right Ans - - increased 10 mmHg

maternal hr during contraction Right Ans - - increased

ACOG cont FHR 1st stage without complications Right Ans - every 30 min

ACOG cont FHR 1st stage with complications Right Ans - every 15 min

ACOG cont FHR 2nd stage without complications Right Ans - every 15 min

ACOG cont FHR 2nd stage with complications Right Ans - every 5 min

ACNM FHR active phase Right Ans - every 15-30 min

ACNM FHR pushing phase Right Ans - every 15 min

AWHONN FHR active phse Right Ans - every 15-30 min

AWHONN FHR 2nd stage Right Ans - every 5-15 min

ACOG intermittent FHR labor without complications Right Ans - no
recommendations

,ACOG intermittent FHR 1st stage with complications Right Ans - every 15
min

ACOG intermittent FHR 2nd stage with complications Right Ans - every 5
min

FHR monitoring in final phase Right Ans - every 2-3 contractions

2nd stage assessment for acidemia in low risk fetus Right Ans - every 15
min

2nd stage assessment for acidemia in high risk fetus Right Ans - every 5
min

old vag exam checks Right Ans - every 2 hrs d/t friedmans arrest of labor if
no change in 2 hrs

vag exams not needed if Right Ans - watching for outward signs of labor
progress

outward signs of labor progress Right Ans - - changes in behavior
- increase in bloody show
- urge to push

vag exams needed if Right Ans - not showing outward signs of labor
progress

vag exams during later part of active labor Right Ans - may need more d/t
labor progressing more quickly

vag exams & interventions Right Ans - closly linked --> if no progress then
intervene

PO intake & 1st stage Right Ans - encouraged --> mom needs energy d/t
increased cardiac output, work of resp, & uterine muscles

PO intake & 2nd stage Right Ans - increase in energy demand d/t work of
pushing

, hypoglycemia in labor Right Ans - - r/t fasting
- can cx production of lactate & ketones

ketonuria Right Ans - - occurs d/t lack of caloric intake

excess ketones has a _______ effect on uterine function Right Ans - negative

ketonuria in 3rd trimester Right Ans - - d/t accelerated starvation cxing
rapid rise in ketones & fall in plasma glucose --> to conserve glucose for fetus

ACNM & PO intake Right Ans - - should NOT restrict

ACOG & PO intake Right Ans - - clear liquids only
- no solids

ACNM & PO intake restriction Right Ans - - if mom gets opiods
- if mom develops likelihood of receiving general anesthetic

empty stomach Right Ans - - makes contents more acidic = increased
aspiration risk

IV access if Right Ans - - need for meds --> antibiotics, pain, oxytocin
- inability to tolerate PO intake
- fluid bolus prior to epidural

IV dextrose & newborn effects Right Ans - - cxes hyperglycemia in mom -->
which cxes hypoglycemia in baby
- cxes jaundice in baby r/t hypoglycemia cxing lethargy leading to poor
feeding

mom supine -- disadvantages Right Ans - - cxes supine hypotension
- increases back pain
- cxes contractions to be more frequent & painful that do NOT improve labor
progress

mom upright Right Ans - - contractions more frequent & stronger =
increased uterine contractility

mom side-lying or upright Right Ans - - decreases severity of pain