Maternal Child Nursing Exam 2
with correct answers 2025
What is necessary for birth to happen? - CORRECT ANSWER-- good, rhythmic,
regular, full peaking contractions
lightening - CORRECT ANSWER-- "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) - CORRECT ANSWER-- The breaking of
the "water" or membranes marked by the expulsion of amniotic fluid from the vagina.
AROM (artificial rupture of membranes) - CORRECT ANSWER-- when the membrane
is broken artificially (usually by MD), procedure is referred to as AMNIOTOMY
presentation - CORRECT ANSWER-- 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? -
CORRECT ANSWER-- 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 - CORRECT ANSWER-- Shortening, softening and thinning of the cervix
mucus plug - CORRECT ANSWER-- 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? - CORRECT ANSWER--
anytime during the last trimester and even after delivery
What is the normal blood loss for vaginal delivery? - CORRECT ANSWER-- 500mL
What is the normal blood loss for a C-section? - CORRECT ANSWER-- 800 to 1000mL
What would increase the expected amount of blood loss during delivery? - CORRECT
ANSWER-- 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? - CORRECT ANSWER-- passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
Which type of pelvis is most favorable for a successful labor and birth? - CORRECT
ANSWER-- gynecoid
What is the rule for administering pain medicine during labor? - CORRECT ANSWER--
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? - CORRECT
ANSWER-- can stop or slow labor
Why are pain medicines not administered once a laboring woman has reached 8cm of
dilation? - CORRECT ANSWER-- fetus can be born affected by the medicine including
but not limited to respiratory depression
What is the fetal lie? - CORRECT ANSWER-The relationship of the fetal spine to the
maternal spine
- longitudinal
- Transverse
What is the fetal attitude? - CORRECT ANSWER-- The relationship of the fetal parts to
one another. The fetal attitude can be flexion or extension.
What is fetal presentation? - CORRECT ANSWER-- 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)
with correct answers 2025
What is necessary for birth to happen? - CORRECT ANSWER-- good, rhythmic,
regular, full peaking contractions
lightening - CORRECT ANSWER-- "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) - CORRECT ANSWER-- The breaking of
the "water" or membranes marked by the expulsion of amniotic fluid from the vagina.
AROM (artificial rupture of membranes) - CORRECT ANSWER-- when the membrane
is broken artificially (usually by MD), procedure is referred to as AMNIOTOMY
presentation - CORRECT ANSWER-- 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? -
CORRECT ANSWER-- 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 - CORRECT ANSWER-- Shortening, softening and thinning of the cervix
mucus plug - CORRECT ANSWER-- 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? - CORRECT ANSWER--
anytime during the last trimester and even after delivery
What is the normal blood loss for vaginal delivery? - CORRECT ANSWER-- 500mL
What is the normal blood loss for a C-section? - CORRECT ANSWER-- 800 to 1000mL
What would increase the expected amount of blood loss during delivery? - CORRECT
ANSWER-- 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? - CORRECT ANSWER-- passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
Which type of pelvis is most favorable for a successful labor and birth? - CORRECT
ANSWER-- gynecoid
What is the rule for administering pain medicine during labor? - CORRECT ANSWER--
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? - CORRECT
ANSWER-- can stop or slow labor
Why are pain medicines not administered once a laboring woman has reached 8cm of
dilation? - CORRECT ANSWER-- fetus can be born affected by the medicine including
but not limited to respiratory depression
What is the fetal lie? - CORRECT ANSWER-The relationship of the fetal spine to the
maternal spine
- longitudinal
- Transverse
What is the fetal attitude? - CORRECT ANSWER-- The relationship of the fetal parts to
one another. The fetal attitude can be flexion or extension.
What is fetal presentation? - CORRECT ANSWER-- 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)
