NURS 2513 MATERNAL CHILD NURSING 2024/2025 EXAM
WITH DETAILED QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A++
preterm labor is defined as - ANSWER uterine contraction and cervical
change that occurs b/t 20 and 37 weeks
preterm labor risk factors - ANSWER UTI, vaginal infections,
Chorioamnionitis
previous preterm births
Polyhydramnios
low socioeconomics status
Smoking,substance abuse
domestic violence, diabetes, hypertension
incompetent cervix, plancenta previa or adruptio,
preterm rupture of membranes
frequent conception, dehydration
preterm labor manifestation - ANSWER persistent low backache, increase
or change in vaginal discharge, pressure in pelvis
cramping in abdomen, vaginal discharge, crevical dilation
preterm labor Labs - ANSWER cervical cultures, CBC, U/A, fetal fibronetin
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
the main cause of preterm labor - ANSWER UTI
Nursing Care for preterm labor - ANSWER acitivity resrtiction (BRP)
instruct to avoid intercourse
provide hydration
monitor for signs of infection (vitals)
monitor fetal heart rate and contractions
Preterm labor meds: Terbutaline (Brethine) - ANSWER beta-adrenergic
agonist that relaxes smooth muscle
give p.o. or sub q (monitor pulse prior to giving)
,do not give if pulse higher than 120
Preterm labor meds: Magnesium Sulfate - ANSWER relaxes smooth
muscle of the uterus, inhibiting contraction
given IV by RN
monitor for signs of toxicity
Preterm labor meds: Indomethacin (Indocin) - ANSWER nonsteriodal anti-
inflammatory test suppresses preterm labor by blocking the production of
prostaglandins, supressing uterine contraction
used in gestation less than 32 weeks
*NSAIDS used after 32 weeks can affect closure of ductus arterious*
administer with food to prevent GI upset
monitor postpartum hemorrahage delivers whilr taking this drug.
reduces platelet aggregation
usually given in 6 high doses
Preterm labor meds: Betamethasone (Celestone) - ANSWER a
glucocorticoid administered IM to promote fetal lung maturity and surfactant
production
TWO doses are given in 24 hrs apart
administered deep IM into client gluteal muscle
premature rupture of membrane (PROM) - ANSWER is spontaneous
rupture of membranes 1hr prior to the onset of true labor of a term
gestation
PROM is a sponeous rupture of membranes after - ANSWER 20 weeks ofr
before 37 weeks. Labor does not have to follow soon after the occurs.
PROM risk factor - ANSWER infection ( birth before and after this occurs
PROM manifestation - ANSWER gush of fluid, maternal fever
maternal heart rate or fetal heart rate
foul smelling fluid or vaginal discharge
PROM labs - ANSWER Nitrazine test paper - paper turns blue
Amnisure test- more accurate test
PROM nursing care - ANSWER prepare for delivery- if needed
,determine cervical dilation
assess fetal heart rate and contraction pattern
maintain bedrest, monitor VS
PROM meds: Ampicillin - ANSWER IV or p.o.- used to treat any infection
that may be present or as prophylaxis
nursing care for client in labor: present to hospital with the following sign: -
ANSWER backpain lighting
bloody show
energy burst
Gi changes (n/v)
rupture of membrane
backpain - ANSWER low constant , caused by the relaxing of pelvic muscle
lighting - ANSWER dropping of the fetus, fetal head descends into pelvis
bloody show - ANSWER cervix changes, sticky ,stingy blood
energy burst - ANSWER (nesting)
components of birth process - ANSWER power, passage,
passenger,psyche
components of birth process : power - ANSWER whatever influences labor
and causes the cervix to dilate and move the fetus
*uterine contractions and pushing efforts by the woman
components of birth process : passage - ANSWER the patients pelvis
components of birth process: passenger - ANSWER the fetus
components of birth process: psyche - ANSWER mindset of the patient.
can impact the labor progress or outcome
Power :Uterine Contraction - ANSWER results from involuntary smooth
muscles contractions
assist in the effacement of the cervix
, frequency of contraction - ANSWER time from begining of one contraction
to the begining of the next contraction
duration of contraction - ANSWER length of a contraction from begining of
one contration to the end of that contraction
intensity - ANSWER strength of a contraction at the peak
intensity of contraction - ANSWER mild contraction
moderate contraction
firm contraction
resting tone - ANSWER tone of the uterus b/t contractions ( It is soft or
firm?)
cervical dilation - ANSWER stretching of the cervical os to allow fetal
passage
cervicle efface - ANSWER thining and shortening of the cervix
a cervix for a primigravida will - ANSWER usually bend completely then
dilate
a multigravida will - ANSWER dilate and thin when the cervix is nearly
complete dilated.
featal station - ANSWER using the ishial spines as "0" station, the descent
of the fetus can be measured
a position above the ischial spines - ANSWER is (-) and below is (+)
adequate contraction pattern - ANSWER is 1 to 2 min apart
patient must be relaxed for - ANSWER cervix to open
fetal presentation - ANSWER cephalic
footling breech
Frank breech
shoulder presentation
WITH DETAILED QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A++
preterm labor is defined as - ANSWER uterine contraction and cervical
change that occurs b/t 20 and 37 weeks
preterm labor risk factors - ANSWER UTI, vaginal infections,
Chorioamnionitis
previous preterm births
Polyhydramnios
low socioeconomics status
Smoking,substance abuse
domestic violence, diabetes, hypertension
incompetent cervix, plancenta previa or adruptio,
preterm rupture of membranes
frequent conception, dehydration
preterm labor manifestation - ANSWER persistent low backache, increase
or change in vaginal discharge, pressure in pelvis
cramping in abdomen, vaginal discharge, crevical dilation
preterm labor Labs - ANSWER cervical cultures, CBC, U/A, fetal fibronetin
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
the main cause of preterm labor - ANSWER UTI
Nursing Care for preterm labor - ANSWER acitivity resrtiction (BRP)
instruct to avoid intercourse
provide hydration
monitor for signs of infection (vitals)
monitor fetal heart rate and contractions
Preterm labor meds: Terbutaline (Brethine) - ANSWER beta-adrenergic
agonist that relaxes smooth muscle
give p.o. or sub q (monitor pulse prior to giving)
,do not give if pulse higher than 120
Preterm labor meds: Magnesium Sulfate - ANSWER relaxes smooth
muscle of the uterus, inhibiting contraction
given IV by RN
monitor for signs of toxicity
Preterm labor meds: Indomethacin (Indocin) - ANSWER nonsteriodal anti-
inflammatory test suppresses preterm labor by blocking the production of
prostaglandins, supressing uterine contraction
used in gestation less than 32 weeks
*NSAIDS used after 32 weeks can affect closure of ductus arterious*
administer with food to prevent GI upset
monitor postpartum hemorrahage delivers whilr taking this drug.
reduces platelet aggregation
usually given in 6 high doses
Preterm labor meds: Betamethasone (Celestone) - ANSWER a
glucocorticoid administered IM to promote fetal lung maturity and surfactant
production
TWO doses are given in 24 hrs apart
administered deep IM into client gluteal muscle
premature rupture of membrane (PROM) - ANSWER is spontaneous
rupture of membranes 1hr prior to the onset of true labor of a term
gestation
PROM is a sponeous rupture of membranes after - ANSWER 20 weeks ofr
before 37 weeks. Labor does not have to follow soon after the occurs.
PROM risk factor - ANSWER infection ( birth before and after this occurs
PROM manifestation - ANSWER gush of fluid, maternal fever
maternal heart rate or fetal heart rate
foul smelling fluid or vaginal discharge
PROM labs - ANSWER Nitrazine test paper - paper turns blue
Amnisure test- more accurate test
PROM nursing care - ANSWER prepare for delivery- if needed
,determine cervical dilation
assess fetal heart rate and contraction pattern
maintain bedrest, monitor VS
PROM meds: Ampicillin - ANSWER IV or p.o.- used to treat any infection
that may be present or as prophylaxis
nursing care for client in labor: present to hospital with the following sign: -
ANSWER backpain lighting
bloody show
energy burst
Gi changes (n/v)
rupture of membrane
backpain - ANSWER low constant , caused by the relaxing of pelvic muscle
lighting - ANSWER dropping of the fetus, fetal head descends into pelvis
bloody show - ANSWER cervix changes, sticky ,stingy blood
energy burst - ANSWER (nesting)
components of birth process - ANSWER power, passage,
passenger,psyche
components of birth process : power - ANSWER whatever influences labor
and causes the cervix to dilate and move the fetus
*uterine contractions and pushing efforts by the woman
components of birth process : passage - ANSWER the patients pelvis
components of birth process: passenger - ANSWER the fetus
components of birth process: psyche - ANSWER mindset of the patient.
can impact the labor progress or outcome
Power :Uterine Contraction - ANSWER results from involuntary smooth
muscles contractions
assist in the effacement of the cervix
, frequency of contraction - ANSWER time from begining of one contraction
to the begining of the next contraction
duration of contraction - ANSWER length of a contraction from begining of
one contration to the end of that contraction
intensity - ANSWER strength of a contraction at the peak
intensity of contraction - ANSWER mild contraction
moderate contraction
firm contraction
resting tone - ANSWER tone of the uterus b/t contractions ( It is soft or
firm?)
cervical dilation - ANSWER stretching of the cervical os to allow fetal
passage
cervicle efface - ANSWER thining and shortening of the cervix
a cervix for a primigravida will - ANSWER usually bend completely then
dilate
a multigravida will - ANSWER dilate and thin when the cervix is nearly
complete dilated.
featal station - ANSWER using the ishial spines as "0" station, the descent
of the fetus can be measured
a position above the ischial spines - ANSWER is (-) and below is (+)
adequate contraction pattern - ANSWER is 1 to 2 min apart
patient must be relaxed for - ANSWER cervix to open
fetal presentation - ANSWER cephalic
footling breech
Frank breech
shoulder presentation
