CNUR 303 MATERNITY| QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST
UPDATE GUARANTEED PASS
occiputposterior positioning -babys head towards moms spine, must rotate 135 degrees.
-mom at risk for 3+4 degree tears
shoulder dystocia -Head is delivered but shoulders become impacted above mother's
symphysis pubis.
ALARMER (shoulder dystocia) A- ask for help
L- lift/hyperflex leg
A- anterior shoulder disimpaction
R- rotate posterior shoulder
M- manual removal of posterior arm
E- episiotomy
R- roll onto all 4s
Prolapsed umbilical cord -portion of the cord falls in front, ,lies beside, or hangs below the
fetal position following ROM
-Overt = precedes the fetus and can be seen protruding from the maternal vagina
Types of Forcep Applications - 3 types Outlet- fetal head is at or on the perineum, scalp is
visible at the vagina opening
Low- leading edge of the fetal skull is at +2 station or lower but not at pelvic floor
Mild- leading edge of fetal skull is between station 0 and +2
Intermittent FHM -recommended for healthy woman
,-less restrictive, easier for position changes
-q30mins in 1st and 2nd stage of labor
Continous FHM -used with epidurals
-restricts position changes
Frequency how often contractions occur
Duration how long are contractions
Strength -how string contractions are
-weak, moderate, strong
Accelerations -abrupt increase in FH
-atleast 15 bpm above baseline for atleast 15secs
-indicates good oxygenation
Decelerations -decrease in fetal heart rate
-gradual >30secs
-abrupt <30secs
Early decels -shallow, bowl shaped dips
-mirror moms contractions
-indicates head compression during labor
-normal finding
, Variable decels -very deep "V" shape dips, rapid return
-indicates cord compression
-re-position mom
Late decels -HR dips after contractions
-indicate slow fetal oxygen
-placenta insufficiency
Absent variability -amplitude range undetectable
-not good
-c/s
Minimal variability < 5bpm
-baby is sleeping or could indicate problems
Moderate variability -6-25 bpm
-normal desired finding
Marked variability > 25bpm
-stressed baby, seen in delivery
ROADI intervention -used for fetal bradycardia and late decels
R- reposition mom
O- oxygen
A- alert HCP
D- discontinue oxytocin
UPDATE GUARANTEED PASS
occiputposterior positioning -babys head towards moms spine, must rotate 135 degrees.
-mom at risk for 3+4 degree tears
shoulder dystocia -Head is delivered but shoulders become impacted above mother's
symphysis pubis.
ALARMER (shoulder dystocia) A- ask for help
L- lift/hyperflex leg
A- anterior shoulder disimpaction
R- rotate posterior shoulder
M- manual removal of posterior arm
E- episiotomy
R- roll onto all 4s
Prolapsed umbilical cord -portion of the cord falls in front, ,lies beside, or hangs below the
fetal position following ROM
-Overt = precedes the fetus and can be seen protruding from the maternal vagina
Types of Forcep Applications - 3 types Outlet- fetal head is at or on the perineum, scalp is
visible at the vagina opening
Low- leading edge of the fetal skull is at +2 station or lower but not at pelvic floor
Mild- leading edge of fetal skull is between station 0 and +2
Intermittent FHM -recommended for healthy woman
,-less restrictive, easier for position changes
-q30mins in 1st and 2nd stage of labor
Continous FHM -used with epidurals
-restricts position changes
Frequency how often contractions occur
Duration how long are contractions
Strength -how string contractions are
-weak, moderate, strong
Accelerations -abrupt increase in FH
-atleast 15 bpm above baseline for atleast 15secs
-indicates good oxygenation
Decelerations -decrease in fetal heart rate
-gradual >30secs
-abrupt <30secs
Early decels -shallow, bowl shaped dips
-mirror moms contractions
-indicates head compression during labor
-normal finding
, Variable decels -very deep "V" shape dips, rapid return
-indicates cord compression
-re-position mom
Late decels -HR dips after contractions
-indicate slow fetal oxygen
-placenta insufficiency
Absent variability -amplitude range undetectable
-not good
-c/s
Minimal variability < 5bpm
-baby is sleeping or could indicate problems
Moderate variability -6-25 bpm
-normal desired finding
Marked variability > 25bpm
-stressed baby, seen in delivery
ROADI intervention -used for fetal bradycardia and late decels
R- reposition mom
O- oxygen
A- alert HCP
D- discontinue oxytocin
