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NR327 / NR-327 Exam 2 (Latest Update 2024 / 2025): Maternal-Child Nursing | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

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NR327 / NR-327 Exam 2 (Latest Update 2024 / 2025): 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 Question: fetal presenting part related to the maternal pelvis ROP = right occiput posterior LOP = left occiput posterior ROA = right occiput anterior LOA = left occiput anterior Answer:

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Uploaded on
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Written in
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NR327 / NR-327 Exam 2 (Latest
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

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