MATERNAL CHILD NURSING EXAM 2 QUESTIONS AND CORRECT ANSWERS

MATERNAL CHILD NURSING EXAM 2
QUESTIONS AND CORRECT
ANSWERS



What is necessary for birth to happen? - ans--
ww ww ww ww ww ww ww ww


good, rhythmic, regular, full peaking contractions
ww ww ww ww ww ww




lightening - ans-- "dropping" ww ww ww


-
wwthe descent of the fetus into the true pelvis which places a lot of pressure on th
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


e amniotic sac
ww ww




SROM (spontaneous rupture of membranes) - ans--
ww ww ww ww ww ww


The breaking of the "water" or membranes marked by the expulsion of amniotic fl
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


uid from the vagina.
ww ww ww




AROM (artificial rupture of membranes) - ans--
ww ww ww ww ww ww


when the membrane is broken artificially (usually by MD), procedure is referred to
ww ww ww ww ww ww ww ww ww ww ww ww ww


as AMNIOTOMY
ww ww




presentation - ans-- fetal part entering the pelvis first
ww ww ww ww ww ww ww ww


- it is ideal for fetus to be full flexion so triangle can be felt
ww ww ww ww ww ww ww ww ww ww ww ww ww ww




What are questions you'd ask a woman coming into stating that her water broke?
ww ww ww ww ww ww ww ww ww ww ww ww ww


- ans-- How long ago did your water break?
ww ww ww ww ww ww ww ww ww


- What color was the fluid that you saw?
ww ww ww ww ww ww ww ww


- Was there any odor?
ww ww ww ww


- About how much fluid did you see?
ww ww ww ww ww ww ww




effacement - ans-- Shortening, softening and thinning of the cervix
ww ww ww ww ww ww ww ww ww




mucus plug - ans-- aka "show"
ww ww ww ww ww ww


-
wwmucus that forms a thick barrier in the cervix that is expelled at various times be
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


fore or during labor
ww ww ww




When during pregnancy can supine hypotension occur? - ans--
ww ww ww ww ww ww ww ww


anytime during the last trimester and even after delivery
ww ww ww ww ww ww ww ww ww

, What is the normal blood loss for vaginal delivery? - ans-- 500mL
ww ww ww ww ww ww ww ww ww ww ww




What is the normal blood loss for a C-section? - ans-- 800 to 1000mL
ww ww ww ww ww ww ww ww ww ww ww ww ww




What would increase the expected amount of blood loss during delivery? - ans--
ww ww ww ww ww ww ww ww ww ww ww ww


an episiotomy or vacuum assisted birth
ww ww ww ww ww ww




What are the four P's of the birth process that must work together in order for lab
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


or to progress normally? - ans-- passage (the true pelvis)
ww ww ww ww ww ww ww ww ww


- passenger (fetus
ww ww


- powers (contractions)
ww ww


- psyche (mothers mentality)
ww ww ww




Which type of pelvis is most favorable for a successful labor and birth? - ans--
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


gynecoid
ww




What is the rule for administering pain medicine during labor? - ans-- 1-
ww ww ww ww ww ww ww ww ww ww ww ww


4cm close the door
ww ww ww


- 5-7cm mother can have meds
ww ww ww ww ww


- 8-10cm its too late
ww ww ww ww




Why are pain medicines not administered during the first 4cm of dilation? - ans--
ww ww ww ww ww ww ww ww ww ww ww ww ww


can stop or slow labor
ww ww ww ww ww




Why are pain medicines not administered once a laboring woman has reached 8c
ww ww ww ww ww ww ww ww ww ww ww ww


m of dilation? - ans--
ww ww ww ww


fetus can be born affected by the medicine including but not limited to respiratory
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


depression
ww




What is the fetal lie? - ans-
ww ww ww ww ww ww


The relationship of the fetal spine to the maternal spine
ww ww ww ww ww ww ww ww ww


- longitudinal
ww


- Transverse
ww




What is the fetal attitude? - ans--
ww ww ww ww ww ww


The relationship of the fetal parts to one another. The fetal attitude can be flexio
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


n or extension.
ww ww




What is fetal presentation? - ans-- part of the fetus that enters the pelvic inlet first
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


- vertex (cephalic with full flexion)
ww ww ww ww ww


- military presentation (moderate flexion)
ww ww ww ww


- brow presentation (poor flexion)
ww ww ww ww


- face presentation (full extension)
ww ww ww ww




What is contraction frequency? - ans-- measured in minutes
ww ww ww ww ww ww ww ww ww