NU170/t NUt 170t Examt 3:t Maternal-Childt
Nursingt Reviewt (Latestt 2025/t 2026t
Update)t |t Qst &t As|t Gradet A|t 100%t
Correctt (Verifiedt Answers)-t Galen
QUESTION
Explaint nonpharmacological/t pharmacologicalt childbirtht paint management
Answer:
Nonpharmacological
Advantages
Nonpharmacologict methodst dot nott harmt thet mothert ort fetus.
Theyt dot nott slowt labort ift theyt providet adequatet paint control.
Theyt carryt not riskt fort allergyt ort adverset drugt effects.
Limitations
Fort bestt resultst non-pharmacologicalt measurest shouldt bet rehearsedt beforet labort begins.
Pharmacological
Advantages
Moret comfortablet andt relaxed
Relaxationt willt aidt abilityt tot workt throught contractions
Lessonst "stresst response,t "t which,t ift nott controlled,t couldt leadt tot fetalt acidosis
Limitations
Mothert andt babyt willt bet medicate
Effectst aret prolongedt int infants
Mayt delayt progresst oft labor
Analgesicst feelst affectst immediatelyt aftert admin/systemict fort child
Durationst aret shortert onlyt lastt fort at couplet hours
Dot nott givet int transitiont labor/precipitoust ptst (toot latet tot givet meds),t duet tot causingt
respt depressiont int newborns
IVt narcotict epiduralt aret contraindicatedt int precipitoust birth
QUESTION
Gatet controlt theory
,Answer:
Somet oft thet techniquest ift yout blockt paint witht at differentt stimulit liket message,t heatt
packst ort icet packs,t toucht willt closet thet gatet tot painfult stimuli.
QUESTION
Epiduralt ort spinalt blockt yout Havet tot havet at platelett countt first,t putt patientt ont monitort
fort 30min,
Answer:
Givet fluidst beforet epiduralt tot preventt hypotension
Ift mothert BPt dropst childt BPt drops,t givet Bolust 500cct ort 100cc
Priorityt #1:t Measuret BP
Thist ist donet continuously,t 2t mint incrementst firstt 5t minutest incrementst fort 15t mint upt
untilt theyt deliver
QUESTION
Generalt Anesthesia
Answer:
Foods/fluidst aret restrictedt int labort tot preventt aspirationt especiallyt undert generalt
anesthesia.
Fort someonet whot hast ant analgesict ont bolust andt goest intot respiratoryt depressiont fromt
eithert analgesics,t morphinet ort somethingt liket magnesiumt sulfate,t whatt ist thet Narcotict
thatt wet givet fort respiratoryt depression?
Naloxone
QUESTION
Labort andt Deliveryt Complications
Answer:
Thet moret thet ripent thet cervixt ist thet bettert thet inductiont willt be.
Dot nott givet medicalt induction'st tot someonet whent itt ist nott medicallyt necessary.
,QUESTION
Ift someonet hast at badt bishopt scoret andt therest nott at medicalt reason
Answer:
inductiont ist frownedt upon
QUESTION
Witht Meconiumt stainedt fluid,t whatt wouldt yout lookt outt for?
Answer:
Ultimatelyt anticipatet fetalt compromise
Callt NICUt team
Amniofusiont tot dilutet thet meconium
QUESTION
Knowt riskt factorst witht forcepst andt vacuums,t willt havet tot callt NICUt fort deliveryt
becauset infantt willt havet fetalt distress.
Answer:
Traumat tot maternalt ort fetalt tissuest ist thet maint risk
Mothert mayt havet lacerationt ort hematomat (collectiont oft bloodt int tissue)t int hert vagina
Infantt mayt havet bruising,t facialt ort scalpt lacerationst ort abrasions,t cephalhematoma,t ort
intracranialt hemorrhage.
QUESTION
Indicationst fort at cesareant birth
Answer:
, Abnormalt labor
Inabilityt oft thet fetust tot passt throught thet mother'st pelvist (cephalopelvict disproportion)
Maternalt conditionst sucht ast gestationalt hypertensiont ort diabetest mellitus
Activet maternalt herpesvirust infection,t whicht mayt causet serioust ort fatalt infection
Previoust surgeryt ont thet uterus,t includingt thet classict typet oft cesareant incision
Fetalt compromise,t includingt prolapsedt umbilicalt cordt andt abnormalt presentations
Placentat previat (painlesst bleeding)t ort abruptiot placentae.
QUESTION
Riskst fort cesareant birth
Answer:
Respiratoryt complications
Hemorrhage
Bloodt clots
Damaget tot organs
Scarringt oft thet uterust thatt mayt influencet progresst oft futuret pregnancies
QUESTION
Explaint thet differencet betweent truet andt falset labor.
Answer:
Falset labor-contractionst aret irregular,t not changet int frequency,t duration,t andt intensity,t
walkingt relievest contractions,t discomfortt feltt int groint andt abdomen,t bloodyt showt ist
usuallyt nott presentt andt not changet int effacementt ort dilationt oft cervix.
Truet labor-t contractionst graduallyt developt at regulart patternt andt becomet moret frequent,t
longer,t andt moret intense,t stronger,t andt moret effectivet witht walking.
Progressivet effacementt andt dilationt oft thet cervixt occur.
QUESTION
Explaint thet stagest andt phasest oft thet labort andt deliveryt processt witht nursingt caret fort
each.
Nursingt Reviewt (Latestt 2025/t 2026t
Update)t |t Qst &t As|t Gradet A|t 100%t
Correctt (Verifiedt Answers)-t Galen
QUESTION
Explaint nonpharmacological/t pharmacologicalt childbirtht paint management
Answer:
Nonpharmacological
Advantages
Nonpharmacologict methodst dot nott harmt thet mothert ort fetus.
Theyt dot nott slowt labort ift theyt providet adequatet paint control.
Theyt carryt not riskt fort allergyt ort adverset drugt effects.
Limitations
Fort bestt resultst non-pharmacologicalt measurest shouldt bet rehearsedt beforet labort begins.
Pharmacological
Advantages
Moret comfortablet andt relaxed
Relaxationt willt aidt abilityt tot workt throught contractions
Lessonst "stresst response,t "t which,t ift nott controlled,t couldt leadt tot fetalt acidosis
Limitations
Mothert andt babyt willt bet medicate
Effectst aret prolongedt int infants
Mayt delayt progresst oft labor
Analgesicst feelst affectst immediatelyt aftert admin/systemict fort child
Durationst aret shortert onlyt lastt fort at couplet hours
Dot nott givet int transitiont labor/precipitoust ptst (toot latet tot givet meds),t duet tot causingt
respt depressiont int newborns
IVt narcotict epiduralt aret contraindicatedt int precipitoust birth
QUESTION
Gatet controlt theory
,Answer:
Somet oft thet techniquest ift yout blockt paint witht at differentt stimulit liket message,t heatt
packst ort icet packs,t toucht willt closet thet gatet tot painfult stimuli.
QUESTION
Epiduralt ort spinalt blockt yout Havet tot havet at platelett countt first,t putt patientt ont monitort
fort 30min,
Answer:
Givet fluidst beforet epiduralt tot preventt hypotension
Ift mothert BPt dropst childt BPt drops,t givet Bolust 500cct ort 100cc
Priorityt #1:t Measuret BP
Thist ist donet continuously,t 2t mint incrementst firstt 5t minutest incrementst fort 15t mint upt
untilt theyt deliver
QUESTION
Generalt Anesthesia
Answer:
Foods/fluidst aret restrictedt int labort tot preventt aspirationt especiallyt undert generalt
anesthesia.
Fort someonet whot hast ant analgesict ont bolust andt goest intot respiratoryt depressiont fromt
eithert analgesics,t morphinet ort somethingt liket magnesiumt sulfate,t whatt ist thet Narcotict
thatt wet givet fort respiratoryt depression?
Naloxone
QUESTION
Labort andt Deliveryt Complications
Answer:
Thet moret thet ripent thet cervixt ist thet bettert thet inductiont willt be.
Dot nott givet medicalt induction'st tot someonet whent itt ist nott medicallyt necessary.
,QUESTION
Ift someonet hast at badt bishopt scoret andt therest nott at medicalt reason
Answer:
inductiont ist frownedt upon
QUESTION
Witht Meconiumt stainedt fluid,t whatt wouldt yout lookt outt for?
Answer:
Ultimatelyt anticipatet fetalt compromise
Callt NICUt team
Amniofusiont tot dilutet thet meconium
QUESTION
Knowt riskt factorst witht forcepst andt vacuums,t willt havet tot callt NICUt fort deliveryt
becauset infantt willt havet fetalt distress.
Answer:
Traumat tot maternalt ort fetalt tissuest ist thet maint risk
Mothert mayt havet lacerationt ort hematomat (collectiont oft bloodt int tissue)t int hert vagina
Infantt mayt havet bruising,t facialt ort scalpt lacerationst ort abrasions,t cephalhematoma,t ort
intracranialt hemorrhage.
QUESTION
Indicationst fort at cesareant birth
Answer:
, Abnormalt labor
Inabilityt oft thet fetust tot passt throught thet mother'st pelvist (cephalopelvict disproportion)
Maternalt conditionst sucht ast gestationalt hypertensiont ort diabetest mellitus
Activet maternalt herpesvirust infection,t whicht mayt causet serioust ort fatalt infection
Previoust surgeryt ont thet uterus,t includingt thet classict typet oft cesareant incision
Fetalt compromise,t includingt prolapsedt umbilicalt cordt andt abnormalt presentations
Placentat previat (painlesst bleeding)t ort abruptiot placentae.
QUESTION
Riskst fort cesareant birth
Answer:
Respiratoryt complications
Hemorrhage
Bloodt clots
Damaget tot organs
Scarringt oft thet uterust thatt mayt influencet progresst oft futuret pregnancies
QUESTION
Explaint thet differencet betweent truet andt falset labor.
Answer:
Falset labor-contractionst aret irregular,t not changet int frequency,t duration,t andt intensity,t
walkingt relievest contractions,t discomfortt feltt int groint andt abdomen,t bloodyt showt ist
usuallyt nott presentt andt not changet int effacementt ort dilationt oft cervix.
Truet labor-t contractionst graduallyt developt at regulart patternt andt becomet moret frequent,t
longer,t andt moret intense,t stronger,t andt moret effectivet witht walking.
Progressivet effacementt andt dilationt oft thet cervixt occur.
QUESTION
Explaint thet stagest andt phasest oft thet labort andt deliveryt processt witht nursingt caret fort
each.
