RASMUSSEN MATERNAL CHILD FINAL
EXAM | COMPREHENSIVE MATERNAL-
NEWBORN & PEDIATRIC NURSING
STUDY GUIDE 2026| GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,Heart tones audible by Doppler at 10-12 weeks
Fundal height palpable at 12-14 weeks pubis symphysis
Fundal height palpable at 20 weeks umbilicus
Fetal movement to mother is felt at 16-18 weeks for multi or 18-20 for prima
What is responsible for providing gas exchange to a fetus the placenta
Anemia becomes a problem in pregnancy - can you Low hem = low oxygen = poor perfusion = smaller babies
discuss the maternal and fetal risks
Iron supplement = constipation = fix with increase fluids and fibers and exercise
Hyper emesis gravid excessive vomiting that leads to electrolyte imbalances. HYDRATION is vital. IV
fluids and antiemetic if can't keep anything down.
Hypertension = preeclampsia o Subjective = headache, epigastric pain, visual changes, bloated
o Objective = edema, high BP, proteinuria
o Interventions = bed rest, dim lights, mag sulfate 4gm bolus and 2gm
maintenance, fetal heart monitoring, laying on left side, monitor for respiratory
depression/check urine (increased urine with mag bc relaxes vessels to organs),
monitor LOC, hourly vitals
o 32 week delivery = give steroids (betamethasone) for lungs in fetus
Pre term labor - define it, signs and symptoms, treatment S+S = pelvic pressure, baby dropped, cramps or contractions, lower back pain,
modalities and nursing interventions. increased discharge, increased urine output
Interventions = Fundal check. Fetal heart monitoring. GIVE FLUIDS. Still
contracting = possible infection/uti so get UA and treat with IV antibiotics. FFN =
test to determine preterm labor test. Check these 3 things before a vaginal exam.
No cervical change = NOT labor
Has cervical change = 2cm/80% effaced = aggressively treat by terbutaline
(maternal tachycardia), then mag sulfate (4gm bolus/2 gm maintenance), no
seizure precautions
, Diabetes Mellitus - Type 1, Type 2 and Gestational DM all Type 1.) patient on insulin coming into pregnancy (a vascular disease) so we are
have issues that are common to all and specific to each. concerned with circulation. on insulin in the first stage of pregnancy = multiple
Note the concerns specific to each, management and ANOMALIES. baby may not grow, CARDIAC problems, CNS problems, skeletal
fetal surveillance problems.
will do a lot of ultrasounds and FETAL ECHO'S to monitor.
most common defect for baby of someone with IDDM in pregnancy is a
ventricular septal defect (hole between the 2 ventricles), and poor lung maturity
Type 2.) Surveillance- Manage with diet only! Mom must keep sugars under
control, then risks are minimal
Risks to baby: Minimal risks to baby unless insulin comes on board. As long as
sugars are under control and macrosomia isn't an issue then baby should be
healthy!
Gestational.) *Optimal glycemic goals for GDM include a fasting venous plasma
glucose concentration less than or equal to 95 mg/dL and a one-hour
postprandial plasma glucose of less than or equal to 140 mg/dL. Blood glucose
self-monitoring is recommended. Although diet and exercise are the mainstays of
care for the woman with GDM, up to 20% will require insulin during pregnancy to
maintain euglycemia. If fasting blood glucose levels exceed 105 mg/dL, insulin
therapy is initiated.
*Risks to baby: As long as sugars are controlled, risks are minimal. Fetal
macrosomia and hypoglycemia are possible outcomes if mom doesn't control
sugars. If insulin comes on board, then perfusion will be an issue and all concerns
form IDDM will come in to play.
Does a diabetic woman require more or less insulin in the less but needs increase over second and thrid trimester. ** daily kick counts are
first trimester? important to watch for fetal demise becuase this could happen very fast**
pregnant type 2 diabetics that aren't using insulin there are no fetal abnormalities seen, try to control by diet
EXAM | COMPREHENSIVE MATERNAL-
NEWBORN & PEDIATRIC NURSING
STUDY GUIDE 2026| GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,Heart tones audible by Doppler at 10-12 weeks
Fundal height palpable at 12-14 weeks pubis symphysis
Fundal height palpable at 20 weeks umbilicus
Fetal movement to mother is felt at 16-18 weeks for multi or 18-20 for prima
What is responsible for providing gas exchange to a fetus the placenta
Anemia becomes a problem in pregnancy - can you Low hem = low oxygen = poor perfusion = smaller babies
discuss the maternal and fetal risks
Iron supplement = constipation = fix with increase fluids and fibers and exercise
Hyper emesis gravid excessive vomiting that leads to electrolyte imbalances. HYDRATION is vital. IV
fluids and antiemetic if can't keep anything down.
Hypertension = preeclampsia o Subjective = headache, epigastric pain, visual changes, bloated
o Objective = edema, high BP, proteinuria
o Interventions = bed rest, dim lights, mag sulfate 4gm bolus and 2gm
maintenance, fetal heart monitoring, laying on left side, monitor for respiratory
depression/check urine (increased urine with mag bc relaxes vessels to organs),
monitor LOC, hourly vitals
o 32 week delivery = give steroids (betamethasone) for lungs in fetus
Pre term labor - define it, signs and symptoms, treatment S+S = pelvic pressure, baby dropped, cramps or contractions, lower back pain,
modalities and nursing interventions. increased discharge, increased urine output
Interventions = Fundal check. Fetal heart monitoring. GIVE FLUIDS. Still
contracting = possible infection/uti so get UA and treat with IV antibiotics. FFN =
test to determine preterm labor test. Check these 3 things before a vaginal exam.
No cervical change = NOT labor
Has cervical change = 2cm/80% effaced = aggressively treat by terbutaline
(maternal tachycardia), then mag sulfate (4gm bolus/2 gm maintenance), no
seizure precautions
, Diabetes Mellitus - Type 1, Type 2 and Gestational DM all Type 1.) patient on insulin coming into pregnancy (a vascular disease) so we are
have issues that are common to all and specific to each. concerned with circulation. on insulin in the first stage of pregnancy = multiple
Note the concerns specific to each, management and ANOMALIES. baby may not grow, CARDIAC problems, CNS problems, skeletal
fetal surveillance problems.
will do a lot of ultrasounds and FETAL ECHO'S to monitor.
most common defect for baby of someone with IDDM in pregnancy is a
ventricular septal defect (hole between the 2 ventricles), and poor lung maturity
Type 2.) Surveillance- Manage with diet only! Mom must keep sugars under
control, then risks are minimal
Risks to baby: Minimal risks to baby unless insulin comes on board. As long as
sugars are under control and macrosomia isn't an issue then baby should be
healthy!
Gestational.) *Optimal glycemic goals for GDM include a fasting venous plasma
glucose concentration less than or equal to 95 mg/dL and a one-hour
postprandial plasma glucose of less than or equal to 140 mg/dL. Blood glucose
self-monitoring is recommended. Although diet and exercise are the mainstays of
care for the woman with GDM, up to 20% will require insulin during pregnancy to
maintain euglycemia. If fasting blood glucose levels exceed 105 mg/dL, insulin
therapy is initiated.
*Risks to baby: As long as sugars are controlled, risks are minimal. Fetal
macrosomia and hypoglycemia are possible outcomes if mom doesn't control
sugars. If insulin comes on board, then perfusion will be an issue and all concerns
form IDDM will come in to play.
Does a diabetic woman require more or less insulin in the less but needs increase over second and thrid trimester. ** daily kick counts are
first trimester? important to watch for fetal demise becuase this could happen very fast**
pregnant type 2 diabetics that aren't using insulin there are no fetal abnormalities seen, try to control by diet
