Maternal / Child Nursing Latest Exam
2024
1st stage of labor - ANSWER-begins with ionset of labor ending with dilation
2nd stage of labor - ANSWER-begins with complete dilation, ending with birth
3rd stage of labor - ANSWER-birth of baby, ending with delivery of placenta
4th stage of labor - ANSWER-delivery of placenta, ending with maternal stabilization of vital signs
a cervix for a primigravida will - ANSWER-usually bend completely then dilate
a multigravida will - ANSWER-dilate and thin when the cervix is nearly complete dilated.
a position above the ischial spines - ANSWER-is (-) and below is (+)
active phase - ANSWER-cervix 4-7 cm, rapid cervical change may occur, fetus descends, personality
changes as contractions intensify
adequate contraction pattern - ANSWER-is 1 to 2 min apart
anxiety can contribute to - ANSWER-pain slow progress of labor and reduce blood flow to placenta
and fetus
augmentation - ANSWER-the stimulation of contractions after they have began naturally
backpain - ANSWER-low constant , caused by the relaxing of pelvic muscle
Bishop's score - ANSWER-evaluates the cervical response to induction
a score of 6 or higher is predictive of successful labor induction
bloody show - ANSWER-cervix changes, sticky ,stingy blood
bony pelvis - ANSWER-true labor, pelvis begins to open
C-section risk (mother) - ANSWER-respiratoy complication
hemorrhage
blood clots
injury to urinary tract
infection
delayed intestinal peristalsis
C-section risk (newborn) - ANSWER-respiratory problems
injury
cephalic - ANSWER-(vertex) fetal head is down and is the presenting part
cervical dilation - ANSWER-stretching of the cervical os to allow fetal passage
cervical ripen - ANSWER-protaglandians in a gel or vaginal insert form(Cervidil,Prepidil)
cervicle efface - ANSWER-thining and shortening of the cervix
, Maternal / Child Nursing Latest Exam
2024
ceserean section - ANSWER-surgical delivery of the fetus through incision made in the mother's
abdomen and uterus
complication in labor - amniotic fluid embolism - ANSWER-occurs when amniotic fluid enters the
mother's circulation and obstructs small blood vessels in the lungs
manifestations are like that of a PE (pulmonary embolism)- SOB, chest pains
complication in labor - prolapsed cord - ANSWER-occurs when the umbilical cord is displaced,
preeding part of the fetus or protruding through the cervix
results in cord compression and compromised fetal circulation
complication in labor - shoulder dystocia - ANSWER-occurs when fetus is too large
after delivery, both mother and baby should be assessed for injury
** uterine atopy, perineal tear, postpartum hemorrhage
** fractured clavical on the newborn
# head and shoulder delivered but the body is stuck
complication in labor - uterine inversion - ANSWER-uterus turns inside out after delivery of fetus
occurs if uterus is not firmly contacting and with vigorous fundal massage
complication in labor -fetal distress - ANSWER-FHR is below 110bpm or above 160bpm
FHR shows decreased or no variability
fetal blood pH less than 7.2
components of birth process - ANSWER-power, passage, passenger,psyche
components of birth process : passage - ANSWER-the patients pelvis
components of birth process : power - ANSWER-whatever influences labor and causes the cervix to
dilate and move the fetus
*uterine contractions and pushing efforts by the woman
components of birth process: passenger - ANSWER-the fetus
components of birth process: psyche - ANSWER-mindset of the patient. can impact the labor
progress or outcome
culture values - ANSWER-can influence how one cope's with the labor
decrease or loss of FHR variability - ANSWER-medications that depress the CNS
Fetal hypoxemia
fetal sleep cycle
congenital anomalies
2024
1st stage of labor - ANSWER-begins with ionset of labor ending with dilation
2nd stage of labor - ANSWER-begins with complete dilation, ending with birth
3rd stage of labor - ANSWER-birth of baby, ending with delivery of placenta
4th stage of labor - ANSWER-delivery of placenta, ending with maternal stabilization of vital signs
a cervix for a primigravida will - ANSWER-usually bend completely then dilate
a multigravida will - ANSWER-dilate and thin when the cervix is nearly complete dilated.
a position above the ischial spines - ANSWER-is (-) and below is (+)
active phase - ANSWER-cervix 4-7 cm, rapid cervical change may occur, fetus descends, personality
changes as contractions intensify
adequate contraction pattern - ANSWER-is 1 to 2 min apart
anxiety can contribute to - ANSWER-pain slow progress of labor and reduce blood flow to placenta
and fetus
augmentation - ANSWER-the stimulation of contractions after they have began naturally
backpain - ANSWER-low constant , caused by the relaxing of pelvic muscle
Bishop's score - ANSWER-evaluates the cervical response to induction
a score of 6 or higher is predictive of successful labor induction
bloody show - ANSWER-cervix changes, sticky ,stingy blood
bony pelvis - ANSWER-true labor, pelvis begins to open
C-section risk (mother) - ANSWER-respiratoy complication
hemorrhage
blood clots
injury to urinary tract
infection
delayed intestinal peristalsis
C-section risk (newborn) - ANSWER-respiratory problems
injury
cephalic - ANSWER-(vertex) fetal head is down and is the presenting part
cervical dilation - ANSWER-stretching of the cervical os to allow fetal passage
cervical ripen - ANSWER-protaglandians in a gel or vaginal insert form(Cervidil,Prepidil)
cervicle efface - ANSWER-thining and shortening of the cervix
, Maternal / Child Nursing Latest Exam
2024
ceserean section - ANSWER-surgical delivery of the fetus through incision made in the mother's
abdomen and uterus
complication in labor - amniotic fluid embolism - ANSWER-occurs when amniotic fluid enters the
mother's circulation and obstructs small blood vessels in the lungs
manifestations are like that of a PE (pulmonary embolism)- SOB, chest pains
complication in labor - prolapsed cord - ANSWER-occurs when the umbilical cord is displaced,
preeding part of the fetus or protruding through the cervix
results in cord compression and compromised fetal circulation
complication in labor - shoulder dystocia - ANSWER-occurs when fetus is too large
after delivery, both mother and baby should be assessed for injury
** uterine atopy, perineal tear, postpartum hemorrhage
** fractured clavical on the newborn
# head and shoulder delivered but the body is stuck
complication in labor - uterine inversion - ANSWER-uterus turns inside out after delivery of fetus
occurs if uterus is not firmly contacting and with vigorous fundal massage
complication in labor -fetal distress - ANSWER-FHR is below 110bpm or above 160bpm
FHR shows decreased or no variability
fetal blood pH less than 7.2
components of birth process - ANSWER-power, passage, passenger,psyche
components of birth process : passage - ANSWER-the patients pelvis
components of birth process : power - ANSWER-whatever influences labor and causes the cervix to
dilate and move the fetus
*uterine contractions and pushing efforts by the woman
components of birth process: passenger - ANSWER-the fetus
components of birth process: psyche - ANSWER-mindset of the patient. can impact the labor
progress or outcome
culture values - ANSWER-can influence how one cope's with the labor
decrease or loss of FHR variability - ANSWER-medications that depress the CNS
Fetal hypoxemia
fetal sleep cycle
congenital anomalies
