Maternal / Child Nursing Latest Update
2024/2025
amniotic fluid embolism - ANSWER-occurs when amniotic fluid enters the mother's circulation and
obstructs small blood vessels in the lungs
augmentation - ANSWER-the stimulation of contractions after they have began naturally
Bishop's score - ANSWER-evaluates the cervical response to induction
a score of 6 or higher is predictive of successful labor induction
Causes of late decelerations - ANSWER-uteroplacental insufficiency causing inadequate fetal
oxygenation
maternal hypotension
abruptio placentae
uterine hyperstimulation
cephalic - ANSWER-(vertex) fetal head is down and is the presenting part
cervical ripen - ANSWER-protaglandians in a gel or vaginal insert form(Cervidil)
cervicla efface - ANSWER-thining and shortening of the cervix
complication in labor - prolapsed cord - ANSWER-occurs when the umbilical cord is displaced,
preeding part of the fetus or protruding through the cervix
results in cord compression and compromised fetal circulation
complication in labor - shoulder dystocia - ANSWER-occurs when fetus is too large
after delivery, both mother and baby should be assessed for injury
** uterine atopy, perineal tear, postpartum hemorrhage
** fractured clavical on the newborn
# head and shoulder delivered but the body is stuck
complication in labor - uterine inversion - ANSWER-uterus turns inside out after delivery of fetus
occurs if uterus is not firmly contracting and with vigorous fundal massage
complication in labor -fetal distress - ANSWER-FHR is below 110bpm or above 160bpm
FHR shows decreased or no variability
fetal blood pH less than 7.2
decrease or loss of FHR variability - ANSWER-medications that depress the CNS
Fetal hypoxemia
fetal sleep cycle
congenital anomalies
*** assist with scalp electrode application
, Maternal / Child Nursing Latest Update
2024/2025
*** posistion pateint on left side
dergrees of laceration - ANSWER-1st degree- superficial vaginal mucosa or perineal skin
2nd degree- involves mucosa, perineal skin and deeper tissues of the perineum
3rd degree- secong degree characteristics , as well as anal sphincter
4th degree- extends through the anal sphincter into the rectal mucosa
fetal fibronetin - ANSWER-a protein produced in the amniotic fluid b/t 24-34 weeks, found in vaginal
secretions when fetal membrane integrity is lost. A positiveresult = increased incidence of delivery in
the following 2 weeks
fetal position - ANSWER-occiput anterior- head down
occiput posterior- head up- sunny side up
LOA - baby back to left side
ROA - baby back to right side
fetal presentation - ANSWER-cephalic
footling breech
Frank breech
shoulder presentation
FHR patterns- fetal bradycardia - ANSWER-less than 110 for 10 or more min.
uteroplancental insuffieiency
prolapsed cord
maternal hypotension
prolonged cord compression
*** turn patient, administer O2
FHR patterns- fetal tachycardia - ANSWER-greater than 160 for 10 min or more
maternal infection (chorio)
fetal heart failure/ cardiac dysrhymias
maternal use of cocaine
maternal dehydration
*** monitor vitals (administer antipyretics if fever)
administer O2
footling breech - ANSWER-feet of the fetus are presenting
2024/2025
amniotic fluid embolism - ANSWER-occurs when amniotic fluid enters the mother's circulation and
obstructs small blood vessels in the lungs
augmentation - ANSWER-the stimulation of contractions after they have began naturally
Bishop's score - ANSWER-evaluates the cervical response to induction
a score of 6 or higher is predictive of successful labor induction
Causes of late decelerations - ANSWER-uteroplacental insufficiency causing inadequate fetal
oxygenation
maternal hypotension
abruptio placentae
uterine hyperstimulation
cephalic - ANSWER-(vertex) fetal head is down and is the presenting part
cervical ripen - ANSWER-protaglandians in a gel or vaginal insert form(Cervidil)
cervicla efface - ANSWER-thining and shortening of the cervix
complication in labor - prolapsed cord - ANSWER-occurs when the umbilical cord is displaced,
preeding part of the fetus or protruding through the cervix
results in cord compression and compromised fetal circulation
complication in labor - shoulder dystocia - ANSWER-occurs when fetus is too large
after delivery, both mother and baby should be assessed for injury
** uterine atopy, perineal tear, postpartum hemorrhage
** fractured clavical on the newborn
# head and shoulder delivered but the body is stuck
complication in labor - uterine inversion - ANSWER-uterus turns inside out after delivery of fetus
occurs if uterus is not firmly contracting and with vigorous fundal massage
complication in labor -fetal distress - ANSWER-FHR is below 110bpm or above 160bpm
FHR shows decreased or no variability
fetal blood pH less than 7.2
decrease or loss of FHR variability - ANSWER-medications that depress the CNS
Fetal hypoxemia
fetal sleep cycle
congenital anomalies
*** assist with scalp electrode application
, Maternal / Child Nursing Latest Update
2024/2025
*** posistion pateint on left side
dergrees of laceration - ANSWER-1st degree- superficial vaginal mucosa or perineal skin
2nd degree- involves mucosa, perineal skin and deeper tissues of the perineum
3rd degree- secong degree characteristics , as well as anal sphincter
4th degree- extends through the anal sphincter into the rectal mucosa
fetal fibronetin - ANSWER-a protein produced in the amniotic fluid b/t 24-34 weeks, found in vaginal
secretions when fetal membrane integrity is lost. A positiveresult = increased incidence of delivery in
the following 2 weeks
fetal position - ANSWER-occiput anterior- head down
occiput posterior- head up- sunny side up
LOA - baby back to left side
ROA - baby back to right side
fetal presentation - ANSWER-cephalic
footling breech
Frank breech
shoulder presentation
FHR patterns- fetal bradycardia - ANSWER-less than 110 for 10 or more min.
uteroplancental insuffieiency
prolapsed cord
maternal hypotension
prolonged cord compression
*** turn patient, administer O2
FHR patterns- fetal tachycardia - ANSWER-greater than 160 for 10 min or more
maternal infection (chorio)
fetal heart failure/ cardiac dysrhymias
maternal use of cocaine
maternal dehydration
*** monitor vitals (administer antipyretics if fever)
administer O2
footling breech - ANSWER-feet of the fetus are presenting
