Maternal Child Nursing Exam 2
Questions with Verified Answers
What is necessary for birth to happen? - ANSWERS- good, rhythmic, regular, full
peaking contractions
lightening - ANSWERS- "dropping"
- the descent of the fetus into the true pelvis which places a lot of pressure on the
amniotic sac
SROM (spontaneous rupture of membranes) - ANSWERS- The breaking of the "water"
or membranes marked by the expulsion of amniotic fluid from the vagina.
AROM (artificial rupture of membranes) - ANSWERS- when the membrane is broken
artificially (usually by MD), procedure is referred to as AMNIOTOMY
presentation - ANSWERS- fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
What are questions you'd ask a woman coming into stating that her water broke? -
ANSWERS- How long ago did your water break?
- What color was the fluid that you saw?
- Was there any odor?
- About how much fluid did you see?
effacement - ANSWERS- Shortening, softening and thinning of the cervix
mucus plug - ANSWERS- aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various times before or
during labor
When during pregnancy can supine hypotension occur? - ANSWERS- anytime during
the last trimester and even after delivery
What is the normal blood loss for vaginal delivery? - ANSWERS- 500mL
What is the normal blood loss for a C-section? - ANSWERS- 800 to 1000mL
What would increase the expected amount of blood loss during delivery? - ANSWERS-
an episiotomy or vacuum assisted birth
What are the four P's of the birth process that must work together in order for labor to
progress normally? - ANSWERS- passage (the true pelvis)
, - passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
Which type of pelvis is most favorable for a successful labor and birth? - ANSWERS-
gynecoid
What is the rule for administering pain medicine during labor? - ANSWERS- 1-4cm
close the door
- 5-7cm mother can have meds
- 8-10cm its too late
Why are pain medicines not administered during the first 4cm of dilation? - ANSWERS-
can stop or slow labor
Why are pain medicines not administered once a laboring woman has reached 8cm of
dilation? - ANSWERS- fetus can be born affected by the medicine including but not
limited to respiratory depression
What is the fetal lie? - ANSWERSThe relationship of the fetal spine to the maternal
spine
- longitudinal
- Transverse
What is the fetal attitude? - ANSWERS- The relationship of the fetal parts to one
another. The fetal attitude can be flexion or extension.
What is fetal presentation? - ANSWERS- part of the fetus that enters the pelvic inlet first
- vertex (cephalic with full flexion)
- military presentation (moderate flexion)
- brow presentation (poor flexion)
- face presentation (full extension)
What is contraction frequency? - ANSWERS- measured in minutes
- time between the start of one contraction to the start of the next
What is contraction duration? - ANSWERS- measured in seconds
- length a contraction lasts
What is contraction intensity? - ANSWERS- strength of contraction
Tocotransducer (TOCO) - ANSWERS- placed on fundus; Measures & Records the
frequency & duration of contractions
What term is used to describe the building of a contraction? - ANSWERS- increment
Questions with Verified Answers
What is necessary for birth to happen? - ANSWERS- good, rhythmic, regular, full
peaking contractions
lightening - ANSWERS- "dropping"
- the descent of the fetus into the true pelvis which places a lot of pressure on the
amniotic sac
SROM (spontaneous rupture of membranes) - ANSWERS- The breaking of the "water"
or membranes marked by the expulsion of amniotic fluid from the vagina.
AROM (artificial rupture of membranes) - ANSWERS- when the membrane is broken
artificially (usually by MD), procedure is referred to as AMNIOTOMY
presentation - ANSWERS- fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
What are questions you'd ask a woman coming into stating that her water broke? -
ANSWERS- How long ago did your water break?
- What color was the fluid that you saw?
- Was there any odor?
- About how much fluid did you see?
effacement - ANSWERS- Shortening, softening and thinning of the cervix
mucus plug - ANSWERS- aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various times before or
during labor
When during pregnancy can supine hypotension occur? - ANSWERS- anytime during
the last trimester and even after delivery
What is the normal blood loss for vaginal delivery? - ANSWERS- 500mL
What is the normal blood loss for a C-section? - ANSWERS- 800 to 1000mL
What would increase the expected amount of blood loss during delivery? - ANSWERS-
an episiotomy or vacuum assisted birth
What are the four P's of the birth process that must work together in order for labor to
progress normally? - ANSWERS- passage (the true pelvis)
, - passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
Which type of pelvis is most favorable for a successful labor and birth? - ANSWERS-
gynecoid
What is the rule for administering pain medicine during labor? - ANSWERS- 1-4cm
close the door
- 5-7cm mother can have meds
- 8-10cm its too late
Why are pain medicines not administered during the first 4cm of dilation? - ANSWERS-
can stop or slow labor
Why are pain medicines not administered once a laboring woman has reached 8cm of
dilation? - ANSWERS- fetus can be born affected by the medicine including but not
limited to respiratory depression
What is the fetal lie? - ANSWERSThe relationship of the fetal spine to the maternal
spine
- longitudinal
- Transverse
What is the fetal attitude? - ANSWERS- The relationship of the fetal parts to one
another. The fetal attitude can be flexion or extension.
What is fetal presentation? - ANSWERS- part of the fetus that enters the pelvic inlet first
- vertex (cephalic with full flexion)
- military presentation (moderate flexion)
- brow presentation (poor flexion)
- face presentation (full extension)
What is contraction frequency? - ANSWERS- measured in minutes
- time between the start of one contraction to the start of the next
What is contraction duration? - ANSWERS- measured in seconds
- length a contraction lasts
What is contraction intensity? - ANSWERS- strength of contraction
Tocotransducer (TOCO) - ANSWERS- placed on fundus; Measures & Records the
frequency & duration of contractions
What term is used to describe the building of a contraction? - ANSWERS- increment
