MATERNAL CHILD NURSING EXAM 2025-2026 WITH
ELABORATE QUESTIONS AND ANSWERS GRADED A+
What would increase the expected amount of blood loss during delivery?
- an episiotomy or vacuum assisted birth
What are the four Ps of the birth process that must work together in order for labour to
progress normally?
- passage (the true pelvis)
- passenger (foetus)
- powers (contractions)
- psyche (mothers’ mentality)
Which type of pelvis is most favourable for a successful labour and birth?
- gynecoid
What is the rule for administering pain medicine during labor?
- 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?
- can stop or slow labor
Why are pain medicines not administered once a labouring woman has reached 8cm of
dilation?
,- foetus can be born affected by the medicine including but not limited to respiratory
depression
What is necessary for birth to happen?
- good, rhythmic, regular, full peaking contractions
lightening
- "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)
- The breaking of the "water" or membranes marked by the expulsion of amniotic fluid from
the vagina.
AROM (artificial rupture of membranes)
- when the membrane is broken artificially (usually by MD), procedure is referred to as
AMNIOTOMY
presentation
- foetal part entering the pelvis first
- it is ideal for foetus to be full flexion so triangle can be felt
What are questions you'd ask a woman coming into stating that her water broke?
- 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
- Shortening, softening and thinning of the cervix
mucus plug
- 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?
- anytime during the last trimester and even after delivery
What is the normal blood loss for vaginal delivery?
- 500mL
What is the normal blood loss for a C-section?
- 800 to 1000mL
What is the foetal attitude?
- The relationship of the fetal parts to one another. The fetal attitude can be flexion or
extension.
ELABORATE QUESTIONS AND ANSWERS GRADED A+
What would increase the expected amount of blood loss during delivery?
- an episiotomy or vacuum assisted birth
What are the four Ps of the birth process that must work together in order for labour to
progress normally?
- passage (the true pelvis)
- passenger (foetus)
- powers (contractions)
- psyche (mothers’ mentality)
Which type of pelvis is most favourable for a successful labour and birth?
- gynecoid
What is the rule for administering pain medicine during labor?
- 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?
- can stop or slow labor
Why are pain medicines not administered once a labouring woman has reached 8cm of
dilation?
,- foetus can be born affected by the medicine including but not limited to respiratory
depression
What is necessary for birth to happen?
- good, rhythmic, regular, full peaking contractions
lightening
- "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)
- The breaking of the "water" or membranes marked by the expulsion of amniotic fluid from
the vagina.
AROM (artificial rupture of membranes)
- when the membrane is broken artificially (usually by MD), procedure is referred to as
AMNIOTOMY
presentation
- foetal part entering the pelvis first
- it is ideal for foetus to be full flexion so triangle can be felt
What are questions you'd ask a woman coming into stating that her water broke?
- 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
- Shortening, softening and thinning of the cervix
mucus plug
- 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?
- anytime during the last trimester and even after delivery
What is the normal blood loss for vaginal delivery?
- 500mL
What is the normal blood loss for a C-section?
- 800 to 1000mL
What is the foetal attitude?
- The relationship of the fetal parts to one another. The fetal attitude can be flexion or
extension.
