Update ): Maternal-Child
Nursing | Complete Guide with
Questions and Verified Answers |
100% Correct - Chamberlain
Question:
What are preludes to labor?
- fetal lightening
- nesting (tell mom to conserve energy)
- loss of a pound or two
- braxton hicks (irregular contractions that does not lead to cervical change)
- loss of mucous plug (indicates softer and ripening of cervix)
- diarrhea (hydrate)
Answer:
signs that the patient is going into labor very soon
,Question:
What are the 5 P's that must be assessed for any woman in labor?
Answer:
1. passage (cervix and vagina)
2. passenger (fetus and placenta)
3. powers (uterine contractions)
4. position (longitudinal or transverse, flexed or extended, cephalic or breech,
LOA, ROA, LOP, ROP)
5. psyche
Question:
What must be determined to know if the fetus will be able to pass through
the vagina and cervix?
Answer:
the pelvis size.. if the patient does not have a large enough pelvis, the mother
will need to be scheduled for an early induction or C section
Question:
In what case is cephalo pelvic disproportion (CPD) seen?
Answer:
in mothers who have gestational diabetes.. these babes are big and their head
is often too big to fit through the pelvis
,Question:
sutures allows overlap of skull bones of the fetal head during movement
through the pelvis so the baby can fit
Answer:
molding
** head will go back to normal after 24-48. hours after birth
Question:
What are the two directions of fetal lie?
Answer:
transverse = baby's spine is perpendicular to mom's spine
longitudinal = baby's spine is parallel to mom's spine
Question:
What does fetal presentation mean, and what are the two types?
Answer:
the body part that will be seen first when the mom delivers the baby
cephalic (vertex) = head is down
breech = feet, butt, or shoulder is down
, Question:
What landmark allows the nurse to find the fetal heart rate?
Answer:
the fetal head
Question:
What does fetal attitude mean?
Answer:
extension or flexion of the fetal head
Question:
What is the ideal position of the fetal head when delivery is approaching?
Answer:
fully flexed.. you want to see the back of the head when crowning because it
has the smallest diameter, whereas in extended, the face as the largest
diameter
Question:
What may be performed for a patient who has fetal face presenting?
Answer:
episiotomy