MATERNAL CHILD NURSING TEST PAPER
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● lightening
Answer: - "dropping"
- the descent of the fetus into the true pelvis which places a lot of
pressure on the amniotic sac
●● SROM (spontaneous rupture of membranes)
Answer: - The breaking of the "water" or membranes marked by the
expulsion of amniotic fluid from the vagina.
●● AROM (artificial rupture of membranes)
Answer: - when the membrane is broken artificially (usually by MD),
procedure is referred to as AMNIOTOMY
●● presentation
Answer: - fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
●● What are questions you'd ask a woman coming into stating that her
water broke?
,Answer: - How long ago did your water break?
- What color was the fluid that you saw?
- Was there any odor?
- About how much fluid did you see?
●● effacement
Answer: - Shortening, softening and thinning of the cervix
●● mucus plug
Answer: - aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various
times before or during labor
●● When during pregnancy can supine hypotension occur?
Answer: - anytime during the last trimester and even after delivery
●● What is the normal blood loss for vaginal delivery?
Answer: - 500mL
●● What is the normal blood loss for a C-section?
Answer: - 800 to 1000mL
, ●● What would increase the expected amount of blood loss during
delivery?
Answer: - an episiotomy or vacuum assisted birth
●● What are the four P's of the birth process that must work together in
order for labor to progress normally?
Answer: - passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
●● Which type of pelvis is most favorable for a successful labor and
birth?
Answer: - gynecoid
●● What is the rule for administering pain medicine during labor?
Answer: - 1-4cm close the door
- 5-7cm mother can have meds
- 8-10cm its too late
●● Why are pain medicines not administered during the first 4cm of
dilation?
Answer: - can stop or slow labor
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● lightening
Answer: - "dropping"
- the descent of the fetus into the true pelvis which places a lot of
pressure on the amniotic sac
●● SROM (spontaneous rupture of membranes)
Answer: - The breaking of the "water" or membranes marked by the
expulsion of amniotic fluid from the vagina.
●● AROM (artificial rupture of membranes)
Answer: - when the membrane is broken artificially (usually by MD),
procedure is referred to as AMNIOTOMY
●● presentation
Answer: - fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
●● What are questions you'd ask a woman coming into stating that her
water broke?
,Answer: - How long ago did your water break?
- What color was the fluid that you saw?
- Was there any odor?
- About how much fluid did you see?
●● effacement
Answer: - Shortening, softening and thinning of the cervix
●● mucus plug
Answer: - aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various
times before or during labor
●● When during pregnancy can supine hypotension occur?
Answer: - anytime during the last trimester and even after delivery
●● What is the normal blood loss for vaginal delivery?
Answer: - 500mL
●● What is the normal blood loss for a C-section?
Answer: - 800 to 1000mL
, ●● What would increase the expected amount of blood loss during
delivery?
Answer: - an episiotomy or vacuum assisted birth
●● What are the four P's of the birth process that must work together in
order for labor to progress normally?
Answer: - passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
●● Which type of pelvis is most favorable for a successful labor and
birth?
Answer: - gynecoid
●● What is the rule for administering pain medicine during labor?
Answer: - 1-4cm close the door
- 5-7cm mother can have meds
- 8-10cm its too late
●● Why are pain medicines not administered during the first 4cm of
dilation?
Answer: - can stop or slow labor
