MCN 273 FINAL Exam Study Guide with
Complete Solutions
Birth Trends - Correct Answer 3 year decline
Mean age at first birth is 26.8 (record high)
15-29 birth rate decreasing
35-49 birth rate increasing
How much does it cost to give birth? - Correct Answer Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child? - Correct Answer A sh*t ton
$234,900
CAM examples in pregnancy - Correct Answer Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy
Aromatherapy
Visualization/guided imagery
GPTPAL - Correct Answer Gravida = # of pregnancies
Para = # of births
T = # of term babies
P = # of preterm babies
A = # of abortions
L = # of living children
Anatomy: Uterus - Correct Answer Fundus
Body
,Cervix (dilation, effacement, station)
SVE - Correct Answer Charted with 3 numbers
Dilation, effacement, and station
Dilation - Correct Answer How open the cervix is (0-10)
Effacement - Correct Answer Thickness/thinness of the cervix (0%-100%)
Station - Correct Answer Where the baby's head is in relation to mom's pelvis
Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO - Correct Answer Describes the BOW
T = time
A = amount
C = color
O = odor
Fetal doppler or US - Correct Answer Measures fetal HR/tones
Normal is 110-160
Will have variability
Accelerations are a good thing (15 beats x 15 seconds)
Decelerations are not
Stage One of Labor - Correct Answer Dilation
Stage Two of Labor - Correct Answer Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips
,Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor - Correct Answer Placental Delivery
Placental separation 5-30mins after delivery
Stage Four of Labor - Correct Answer Recovery
1-4hrs
Monitor blood loss (hemodynamic changes)
Uterus must remain contracted
Phases of Dilation: One - Correct Answer Early/latent
0-3cm
UCs q 5-10m
Lasts 30-40sec
~6-9hrs
Phases of Dilation: Two - Correct Answer Active
4-7cm
UCs q 2-5min
Lasts 45-60sec
~4.5-6hrs
Phases of Dilation: Three - Correct Answer Transition
8-10cm
UCs q 1-2min
Lasts 60-90sec
~30min-1hr
Average blood loss for vaginal delivery - Correct Answer 500ccs
Average blood loss for C/S - Correct Answer 1000 ccs
, Post-Partum Assessment: BBUBBLE-EE - Correct Answer Brain
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy/Perineum/Hemorrhoids
Extremities
Emotional
Breastfeeding Tips - Correct Answer Baby alert and rooting
Mom and baby comfortable
Grasp breast in "c-hold"
Observe latch
Watch for suck/swallow
Nose to nipple
Breastfeeding positions - Correct Answer Cradle
Football/clutch
Cross-cradle
Side-lying
Assessment of Newborn - Correct Answer Done in the first 2hrs of life and then continuously until
discharge
H2T assessment (included mom's physical health, health hx, and birth hx)
Immediate Newborn Assessment - Correct Answer Within the first 2hrs of life
Assess need for resuscitation
Place with parents if stable
Gestational age assessment
Complete Solutions
Birth Trends - Correct Answer 3 year decline
Mean age at first birth is 26.8 (record high)
15-29 birth rate decreasing
35-49 birth rate increasing
How much does it cost to give birth? - Correct Answer Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child? - Correct Answer A sh*t ton
$234,900
CAM examples in pregnancy - Correct Answer Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy
Aromatherapy
Visualization/guided imagery
GPTPAL - Correct Answer Gravida = # of pregnancies
Para = # of births
T = # of term babies
P = # of preterm babies
A = # of abortions
L = # of living children
Anatomy: Uterus - Correct Answer Fundus
Body
,Cervix (dilation, effacement, station)
SVE - Correct Answer Charted with 3 numbers
Dilation, effacement, and station
Dilation - Correct Answer How open the cervix is (0-10)
Effacement - Correct Answer Thickness/thinness of the cervix (0%-100%)
Station - Correct Answer Where the baby's head is in relation to mom's pelvis
Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO - Correct Answer Describes the BOW
T = time
A = amount
C = color
O = odor
Fetal doppler or US - Correct Answer Measures fetal HR/tones
Normal is 110-160
Will have variability
Accelerations are a good thing (15 beats x 15 seconds)
Decelerations are not
Stage One of Labor - Correct Answer Dilation
Stage Two of Labor - Correct Answer Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips
,Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor - Correct Answer Placental Delivery
Placental separation 5-30mins after delivery
Stage Four of Labor - Correct Answer Recovery
1-4hrs
Monitor blood loss (hemodynamic changes)
Uterus must remain contracted
Phases of Dilation: One - Correct Answer Early/latent
0-3cm
UCs q 5-10m
Lasts 30-40sec
~6-9hrs
Phases of Dilation: Two - Correct Answer Active
4-7cm
UCs q 2-5min
Lasts 45-60sec
~4.5-6hrs
Phases of Dilation: Three - Correct Answer Transition
8-10cm
UCs q 1-2min
Lasts 60-90sec
~30min-1hr
Average blood loss for vaginal delivery - Correct Answer 500ccs
Average blood loss for C/S - Correct Answer 1000 ccs
, Post-Partum Assessment: BBUBBLE-EE - Correct Answer Brain
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy/Perineum/Hemorrhoids
Extremities
Emotional
Breastfeeding Tips - Correct Answer Baby alert and rooting
Mom and baby comfortable
Grasp breast in "c-hold"
Observe latch
Watch for suck/swallow
Nose to nipple
Breastfeeding positions - Correct Answer Cradle
Football/clutch
Cross-cradle
Side-lying
Assessment of Newborn - Correct Answer Done in the first 2hrs of life and then continuously until
discharge
H2T assessment (included mom's physical health, health hx, and birth hx)
Immediate Newborn Assessment - Correct Answer Within the first 2hrs of life
Assess need for resuscitation
Place with parents if stable
Gestational age assessment
