NR 327 Study guides, Class notes & Summaries

INTRODUCTION TO MATERNAL CHILD NURSING Maternity care has changed over the years to increase the emphasis on safety and quality of care. Many expectant mothers have other health concerns such as obesity, high blood pressure, and even substance abuse. Their socioeconomic status can have an impact on their pregnancy, along with their cultural preferences. Abuse and human trafficking may be other risks that these women face during this period of their lives. When planning maternal childcare f...

EDAPT DIABETES AND PREGNANCY Diabetes mellitus type 1 (DM1) or diabetes mellitus type 2 (DM2) that are diagnosed before pregnancy are known as pregestational diabetes mellitus or pre-existing diabetes mellitus. Gestational diabetes mellitus refers to diabetes that is diagnosed during the second or third trimester of pregnancy. Diabetes diagnosed in the first trimester should be considered pregestational diabetes mellitus as women may have undiagnosed DM2 prior to pregnancy. What is the dif...

EDAPT - HYPERTENSION AND PREGNANCY Women who have chronic hypertension prior to pregnancy will experience a worsening of the condition and an increased likelihood of developing preeclampsia in pregnancy. Gestational hypertension (GH) is brought on by pregnancy and develops after 20 weeks gestation without the presence of protein in the urine. Deep tendon reflexes become increasingly hyperactive as preeclampsia progresses and are an indicator of impending risk for seizures. A nurse is carin...

NR 327 Real Life Maternity - Postpartum hemorrhage 1 Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates the technique she should use to palpate the fundus of the uterus? A) B) C) D) Answer: B The correct position for the nurse to place her hands is above the fundus and below the lower uterine segment just above the symphysis pubis. This allows the nurse to cradle the uterus while assessing uterine integrity. 2 Nurse Dee has compl...

EDAPT INFECTIONS AND PREGNANCY How is toxoplasmosis transmitted? Select all that apply. Toxoplasmosis is transmitted by eating raw, contaminated meats or coming in contact with the feces of infected cats. When the mother has an infection in pregnancy, it will sometimes spread to the fetus and will sometimes cause critical complications even if the mother is only mildly ill. Some infections do not spread to the fetus (tuberculosis, for example) but the well-being of the fetus may still be ...

EDAPT NURSING CARE HIGH RISK MOTHER Numerous maternal and fetal adaptations must occur in an orderly sequence for the childbearing process to be considered normal. If physiologic or emotional problems develop, complications can arise, threatening the well-being of the mother and/or the developing fetus. Infant mortality rate in the United States is surprisingly high, mostly associated with prematurity, birth defects, maternal complications, sudden infant death syndrome, and birth-related in...

EDAPT FETAL ASSESSMENT AND MONITORING The primary purpose of fetal assessment during labor is to assess the oxygenation status of the fetus. Fetal assessment during the labor process is largely the responsibility of the registered nurse, who must be competent in interpreting data, implementing corrective actions to improve fetal oxygenation, accurately communicating findings with healthcare providers, and assisting in making clinical decisions to ensure the safety and quality of care. Alth...

EDAPT INTRAPARTUM COMPLICATIONS NURSING CARE Some of the complications that can arise during the intrapartum period of labor and childbirth. These complications may be related to pre-existing conditions or abnormal situations that occur during labor, which put the woman and the fetus at risk for poor outcomes. The nurse plays a key role in preventing, detecting, and managing these complications. A woman in labor is experiencing complications that require augmentation of labor. Which of the ...

EDAPT INTRAPARTUM PERIOD NURSING CARE The birthing process represents a major life event for clients and their families, regardless of the number of previous deliveries. The nurse is responsible for caring for the pregnant woman, family, and fetus throughout labor and delivery. When admitting a client to the labor and delivery unit, which is the priority assessment? The assessment and evaluation of contractions are necessary to establish baseline data. Without adequate frequency and durati...

EDAPT OPERATIVE DELIVERY The process of labor and delivery typically results in good outcomes for the mother and newborn. However, it is a very complex process consisting of multiple factors that impact outcomes. Sometimes, medical intervention is necessary. The size and shape of the woman’s pelvis determine the ease with which the fetal head can pass through for vaginal delivery to occur. Four different types of the pelvis can be assessed to determine if the pelvis is an adequate passag...