Exam 1 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
Epidural Anesthesia - correct answer - Inserted at L3-4
- Test dose with Epi to check placement (numbness of tongues, lips)
- small catheter inserted through needle (allows continuous infusion)
Epidural Complications: Maternal Hypotension - correct answer pre-hydrate with IV
fluids
Epidural Complications: Bladder Distension - correct answer void prior to insertion,
may need foley
Epidural Complications: Prolonged Second Stage - correct answer labor down
Epidural Complications: Catheter Migration - correct answer doesn't work anymore
Epidural Complications: Dural Puncture - correct answer spinal headache post
procedure
Care of Mother After Birth - correct answer - observe for hemorrhage
- promote comfort
- promote early family attachment
Care of Infant After Birth - correct answer - monitor cardiopulmonary function (apgar)
- support thermoregulation
- identify infant
Mother: Narcotics - correct answer - delayed respiratory depression, monitor
respiratory status for 24 hours
- nausea and vomiting
- pruritus
Baby: Narcotics - correct answer look for depressed respiration
General Anesthesia - correct answer - usually used for cesarean birth
- risk for aspiration of gastric contents
- clear liquids may be ordered
VBAC - correct answer - Women who had previous cesarean birth(s) that elect to have
a vaginal birth
, Exam 1 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
- significant risk for uterus rupture
Effleurage - correct answer - the slow massage of the abdomen or another body part
during contractions
- Women learn to perform effleurage using both hands in a circular motion
Candidates for VBAC - correct answer - low transverse uterine incisions reduce the
risk
- has to be ready for the C section just in case
C-Section Safety - correct answer - discontinue oral intake
- cushions to the bony prominence
- safety strap
- vitals
- clean the incision and remove fluids
Vacuum Extraction - correct answer - uses suction to grasp the fetal head while
traction is applied
- not used for the fetus of 34 weeks or less gestation because the suction is more
likely to injure the head,
- No more than three "pop-offs"
Forceps Delivery - correct answer - blades may be closed or open and are shaped to
grasp the fetal head
- foam pads are available to cushion the fetal head from the blades.
- used to assist birth of the head, as it is born last in a vaginal breech birth
Internal Version - correct answer - an uncommon procedure, most often for the
second twin after the first delivers
- physician reaches into the uterus with one hand and, with the other hand on the
maternal abdomen, moves the fetus into a longitudinal lie (cephalic or breech) to allow
vaginal birth
External Cephalic Version - correct answer - change the fetal position
- may allow the woman to avoid a cesarean birth
Leopold Maneuvers - correct answer determine presentation and position of the fetus
and aid in location of fetal heart sounds
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
Epidural Anesthesia - correct answer - Inserted at L3-4
- Test dose with Epi to check placement (numbness of tongues, lips)
- small catheter inserted through needle (allows continuous infusion)
Epidural Complications: Maternal Hypotension - correct answer pre-hydrate with IV
fluids
Epidural Complications: Bladder Distension - correct answer void prior to insertion,
may need foley
Epidural Complications: Prolonged Second Stage - correct answer labor down
Epidural Complications: Catheter Migration - correct answer doesn't work anymore
Epidural Complications: Dural Puncture - correct answer spinal headache post
procedure
Care of Mother After Birth - correct answer - observe for hemorrhage
- promote comfort
- promote early family attachment
Care of Infant After Birth - correct answer - monitor cardiopulmonary function (apgar)
- support thermoregulation
- identify infant
Mother: Narcotics - correct answer - delayed respiratory depression, monitor
respiratory status for 24 hours
- nausea and vomiting
- pruritus
Baby: Narcotics - correct answer look for depressed respiration
General Anesthesia - correct answer - usually used for cesarean birth
- risk for aspiration of gastric contents
- clear liquids may be ordered
VBAC - correct answer - Women who had previous cesarean birth(s) that elect to have
a vaginal birth
, Exam 1 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
- significant risk for uterus rupture
Effleurage - correct answer - the slow massage of the abdomen or another body part
during contractions
- Women learn to perform effleurage using both hands in a circular motion
Candidates for VBAC - correct answer - low transverse uterine incisions reduce the
risk
- has to be ready for the C section just in case
C-Section Safety - correct answer - discontinue oral intake
- cushions to the bony prominence
- safety strap
- vitals
- clean the incision and remove fluids
Vacuum Extraction - correct answer - uses suction to grasp the fetal head while
traction is applied
- not used for the fetus of 34 weeks or less gestation because the suction is more
likely to injure the head,
- No more than three "pop-offs"
Forceps Delivery - correct answer - blades may be closed or open and are shaped to
grasp the fetal head
- foam pads are available to cushion the fetal head from the blades.
- used to assist birth of the head, as it is born last in a vaginal breech birth
Internal Version - correct answer - an uncommon procedure, most often for the
second twin after the first delivers
- physician reaches into the uterus with one hand and, with the other hand on the
maternal abdomen, moves the fetus into a longitudinal lie (cephalic or breech) to allow
vaginal birth
External Cephalic Version - correct answer - change the fetal position
- may allow the woman to avoid a cesarean birth
Leopold Maneuvers - correct answer determine presentation and position of the fetus
and aid in location of fetal heart sounds
