Maternal-Child Nursing Exam 1 Study Guide | Comprehensive Review Notes & Key Concepts 2026/2027

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Maternal-Child Nursing
Study Guide – Exam 1 Review




Describe current trends/resources influencing maternal-child healthcare
1. Women’s roles
 Have changed- more women are working now and not stay at home mothers
 No longer the “nuclear family”- divorce, remarriages, cohabitation, women entering
workforce and becoming primary earners. Children raised by grandparents, single
parents, stepparents, aunts, uncles, and foster parents
 Single family structures- both parent and child show increased resilience
 Those who would rather put their career first vs those that dream of becoming a mother
2. Trends
 Community growth
 Home births
o More of a say/voice, birth plan
o Parent voicing concerns
 Maternal age
o Increasing
o Increased age = increased risk, genetics, Down’s syndrome,
co-morbidities/chronic disease
 Infant mortality
o Racial disparity
o All mothers need care
 Maternal mortality rates
o Increasing
o Gestational hypertension
 Dying due to high blood pressure




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–Maternal-Child
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gursing
– Exam
–Maternal-Child
Exam
1 Study
1 Study
GuideNursing
Guide
– Comprehensive
–
–Comprehensive
Exam 1 Study
Review
Guide
Review
Notes
–
Notes
and
Comprehensive
Key
andConcepts.pdf!@(*)(#&*UY&*$($H(&U@*$*$*&U$*H*@$HN$($
Key Concepts.pdf!@(*)(#&*UY&*$($H(&U@*$*$*&U$*H*@$HN$($
Review Notes and Key Concepts10/9/2026, 6:36:34 2026/10/09Page
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Understand lab work needed in each trimester
1. 1st trimester (1-12 weeks)
 Blood type and Rh
 Antibody screen
 CBC
 RPR
 Hep B and C
 HIV
 GC/CT
 Urine and drug screening
2. 2nd trimester (13-27 weeks)
 Labs typically drawn (together) between 24 and 28 weeks:
o Repeat CBC, repeat HIV
o 1 hour glucose tolerance test
o Repeat antibody screen in Rh negative
3. 3rd trimester (28-40 weeks)
 Group Beta Strep (GBS)- rectovaginal cultures at 36 weeks
 Cramping/dysuria = UA
 Prior positive UDS (urinary drug screen) = recollect
 Symptoms or known exposure of STD = repeat STD screening

2020 health goals: nutrition
1. Healthy people 2020 (reviewed/changed every 10 years)
 Focus on:
o Health promotion
o Disease prevention
 LGBT- there has been an emphasis on meeting the needs for this population

Vegan diet deficiency
 Vitamin B12

Function of amniotic fluid (possible select all that apply?)
 Cushions the fetus and protects against mechanical injury
 Helps the fetus to maintain a normal body temperature
 Allows for symmetrical fetal growth
 Prevents adherence of the amnion to the fetus
 Aids in fetal musculoskeletal development by providing freedom of movement
 Essential for normal fetal lung development

Societal changes in maternal-child health issues
 Emphasis on meeting the needs for this vulnerable population.
 Lack of access to non-biased healthcare, disrespectful treatment
 EMR does not always match the situation as described… male vs female, transgender
 Fertility concerns when biological means of fertility is affected
 Fertility preservation with some transgender treatments
 What about ambiguous genitalia? Gender assignment. Gender affirmative care




gursing
– Exam
–Maternal-Child
Exam
1 Study
1 Study
GuideNursing
Guide
– Comprehensive
– Downloaded
–Comprehensive
Exam 1 Study
Review
Guide
Review by
Notes
– madiba
Notes
and andSouth Africa
Comprehensive
Key stuvia ()
Concepts.pdf!@(*)(#&*UY&*$($H(&U@*$*$*&U$*H*@$HN$($
Key Concepts.pdf!@(*)(#&*UY&*$($H(&U@*$*$*&U$*H*@$HN$($
Review Notes and Key Concepts10/9/2026, 6:36:34 2026/10/09Page
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