MATERNAL-NEWBORN NURSING -
EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
whenayou'reapregnanta-aintrapartuma-acorrectaanswera✔✔vaginaaincreasesa--
>aeverythingaelseasquished
urinaryameatusa-aswollena-aurinaryaretention
pressureaonabladdera-aneedatoapee
pressureaonabowelsa-aconstipation
uterusa-acorrectaanswera✔✔-ligamentsahelpaholdauterusainaplace
-needsatoabeathicka&astrongatoapropelababyaout
-uterusaisaveryaviscousaandavasculara
-fundusa=atheatopaofatheauterusa
-
plugaofamucusaplugsatheacervixaduringapregnancyatoamakeasureatheababyaisasafe,asecure,as
eparateafromavagina.aThisamucusaplugaisanotathereawhenanotapregnant.a
-mostaofatheapainaofalaboraisaofatheacervixaopening.aItaneedsatoathinaandacreateaanaopening.
uterusamusclealayersa-acorrectaanswera✔✔outeralayera
-alongitudinal
-*helpsapropelafetus*adownward
middlealayer
-figurea8
-contract,ahelpatoacloseaoffauterineaarteriesatoahelpa*stopableeding*aafterabirth
inneralayer
-circular
-keepacervixaclosed
-needatoapullaupa&aoutatoa*open/dilateacervix*atoaallowapassageaofafetus
-preventsabackaflowaofamenstrualablood
theamusclesaofatheapelvicafloora-acorrectaanswera✔✔-suportapelvicaorgans
-canabeaweakenedaoradamagesaduringachildbirth
-canahaveaurinaryaorafecalaincontinenceaifadamaged
uterusa---aroundaandauterosacralaligamentsa-
acorrectaanswera✔✔Stretchaasauterusarisesainapelvicacavity
"Roundaligaments"a
a-attachaonasidesaofauterus
a-insertaonasidesaofalabiaamajoraa(inguinalaarea)
,-canahurtafrontaofawomanaifasheagetsaupatooaquickly
utterosacralaligamenta-abackapain
Factorsaaffectingalabora-atheafiveaP'sa-
acorrectaanswera✔✔Passengera(fetalapresentation,alie,aattitude,aposition)a-
atheababya(size,ashape,aposition)
Passagewaya(pelvis)
Powersa(primaryaandasecondary)a-
aprimaryaareainvoluntaryacontractions,asecondaryaareavoluntaryacontractions/mom'sapushi
ngaefforts
Positionsa(ofatheamomaduringalaboraandadelivery)
Psychea(where'samom'sahead???)
Passengera-afetalahead:asize,ashapea-acorrectaanswera✔✔-
openasuturesaandafontanellesaallowabonesatoamold/adaptatoapelvic
-youacouldahaveaaamomawithaaababyawhoseaheadaisatooabigaforaherapelvis
-biparietala(side-to-side)a&aanterioposteriora(fronta-to-back)askullameasurementsaimportant
Passengera-afetalapresentation:apartathataentersainletafirsta-
acorrectaanswera✔✔*cephalica(headafirst)*:atheausualapresentation,a96%aof ababies
fouratypesaofacephalic....
*vertex:acompleteaflexion*a-abestawayatoafitathroughapelvis!!a
-headacanaelongate
-
smallestapartaofaheadapresentedathroughabirthacanala(likeapersonaturningabodyatoagetathrou
ghacrowd)
militarya-amoderateaflexion
browa-apooraflexiona(extension)
facea-afullaextensiona-ababyacomesaoutawithabruisedaface
asaitalosesaitsaflexion,aitapresentsaincreaseadiameters.
fetalapresentationa-abreecha-acorrectaanswera✔✔onlya3%aofabirths
feetafirst
baby'saheadacanagetastuckaafterabodyacomesaout
canabeabornalikeathisabutaalmostanoaDrsawilladeliveraaabreechababyanowab/caweahaveac/saopti
onawhichaisamuchasafer
, fetalapresentationa-ashouldera-acorrectaanswera✔✔onlya1%aofabirths
*notaconsistentawithavaginaladelivery*
r/tatrauma,alackaofafetalareserve,adecreasedaoxygenation
can'tabeabornathisawayavaginally,awon'tafit
fetala"lie":arelationaofafetusatoamoma-acorrectaanswera✔✔"longitudinal"a-ababyaisaverticala-
acephalicaorabreechapresentations
"transverse"a-ababyaisaside-to-side/horizontala-aincompatibleaSVDa(needaintervention)
"oblique"a-afetusaataanglea(btw.atwo)acannotadeliveravaginally
fetala"attitude":apostureaofababya-
acorrectaanswera✔✔NORMAL:a"flexion"a(babyaisaallatuckedaupaandahasaitsalimbsatuckedasnu
glyaintoaitself)
abackaofafetusarounded
achinaflexedatoachest
athighsaflexedaonaabdomen
alegsaflexedaataknees
aarmsacrossaoverathorax
ABNORMAL:aextension
-associatedawithaprolongedalabor
-e.g.,aheadaextended,arightaarmaextended
fetala"position"a-
acorrectaanswera✔✔Relationaofafetalapresentingapartatoaoneaofamaternalapelvicaquadrants
occiput:aposterioraofafetalaheadabelowaposteriorafontanellea(i.e.,aBACKaOFaHEAD)
sacrum:abuttocks
Isapresentingapartadirectedatowardatheamother'safront,aback,aoraside?a(anteriora(A),aposterio
ra(P),aoratransversea(T))
occiputaanteriora-abackaofaheadafacingatowardsafrontaofamoma-aeasierawayatoabeaborn
occiputaposteriora-
a"sunnyasideaup"ababy'saheadapushesaagainstamom'saspineaandasymphysisapubis...painfulaf
oramom,ababy'safaceacanaalsoagetabruised
fetalapositionastepsa-acorrectaanswera✔✔Whataisafetalapresentingapart?a(middleainitial)
aocciputa[headafirst]a(O)aorasacruma[buttafirst]a(S)a
EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
whenayou'reapregnanta-aintrapartuma-acorrectaanswera✔✔vaginaaincreasesa--
>aeverythingaelseasquished
urinaryameatusa-aswollena-aurinaryaretention
pressureaonabladdera-aneedatoapee
pressureaonabowelsa-aconstipation
uterusa-acorrectaanswera✔✔-ligamentsahelpaholdauterusainaplace
-needsatoabeathicka&astrongatoapropelababyaout
-uterusaisaveryaviscousaandavasculara
-fundusa=atheatopaofatheauterusa
-
plugaofamucusaplugsatheacervixaduringapregnancyatoamakeasureatheababyaisasafe,asecure,as
eparateafromavagina.aThisamucusaplugaisanotathereawhenanotapregnant.a
-mostaofatheapainaofalaboraisaofatheacervixaopening.aItaneedsatoathinaandacreateaanaopening.
uterusamusclealayersa-acorrectaanswera✔✔outeralayera
-alongitudinal
-*helpsapropelafetus*adownward
middlealayer
-figurea8
-contract,ahelpatoacloseaoffauterineaarteriesatoahelpa*stopableeding*aafterabirth
inneralayer
-circular
-keepacervixaclosed
-needatoapullaupa&aoutatoa*open/dilateacervix*atoaallowapassageaofafetus
-preventsabackaflowaofamenstrualablood
theamusclesaofatheapelvicafloora-acorrectaanswera✔✔-suportapelvicaorgans
-canabeaweakenedaoradamagesaduringachildbirth
-canahaveaurinaryaorafecalaincontinenceaifadamaged
uterusa---aroundaandauterosacralaligamentsa-
acorrectaanswera✔✔Stretchaasauterusarisesainapelvicacavity
"Roundaligaments"a
a-attachaonasidesaofauterus
a-insertaonasidesaofalabiaamajoraa(inguinalaarea)
,-canahurtafrontaofawomanaifasheagetsaupatooaquickly
utterosacralaligamenta-abackapain
Factorsaaffectingalabora-atheafiveaP'sa-
acorrectaanswera✔✔Passengera(fetalapresentation,alie,aattitude,aposition)a-
atheababya(size,ashape,aposition)
Passagewaya(pelvis)
Powersa(primaryaandasecondary)a-
aprimaryaareainvoluntaryacontractions,asecondaryaareavoluntaryacontractions/mom'sapushi
ngaefforts
Positionsa(ofatheamomaduringalaboraandadelivery)
Psychea(where'samom'sahead???)
Passengera-afetalahead:asize,ashapea-acorrectaanswera✔✔-
openasuturesaandafontanellesaallowabonesatoamold/adaptatoapelvic
-youacouldahaveaaamomawithaaababyawhoseaheadaisatooabigaforaherapelvis
-biparietala(side-to-side)a&aanterioposteriora(fronta-to-back)askullameasurementsaimportant
Passengera-afetalapresentation:apartathataentersainletafirsta-
acorrectaanswera✔✔*cephalica(headafirst)*:atheausualapresentation,a96%aof ababies
fouratypesaofacephalic....
*vertex:acompleteaflexion*a-abestawayatoafitathroughapelvis!!a
-headacanaelongate
-
smallestapartaofaheadapresentedathroughabirthacanala(likeapersonaturningabodyatoagetathrou
ghacrowd)
militarya-amoderateaflexion
browa-apooraflexiona(extension)
facea-afullaextensiona-ababyacomesaoutawithabruisedaface
asaitalosesaitsaflexion,aitapresentsaincreaseadiameters.
fetalapresentationa-abreecha-acorrectaanswera✔✔onlya3%aofabirths
feetafirst
baby'saheadacanagetastuckaafterabodyacomesaout
canabeabornalikeathisabutaalmostanoaDrsawilladeliveraaabreechababyanowab/caweahaveac/saopti
onawhichaisamuchasafer
, fetalapresentationa-ashouldera-acorrectaanswera✔✔onlya1%aofabirths
*notaconsistentawithavaginaladelivery*
r/tatrauma,alackaofafetalareserve,adecreasedaoxygenation
can'tabeabornathisawayavaginally,awon'tafit
fetala"lie":arelationaofafetusatoamoma-acorrectaanswera✔✔"longitudinal"a-ababyaisaverticala-
acephalicaorabreechapresentations
"transverse"a-ababyaisaside-to-side/horizontala-aincompatibleaSVDa(needaintervention)
"oblique"a-afetusaataanglea(btw.atwo)acannotadeliveravaginally
fetala"attitude":apostureaofababya-
acorrectaanswera✔✔NORMAL:a"flexion"a(babyaisaallatuckedaupaandahasaitsalimbsatuckedasnu
glyaintoaitself)
abackaofafetusarounded
achinaflexedatoachest
athighsaflexedaonaabdomen
alegsaflexedaataknees
aarmsacrossaoverathorax
ABNORMAL:aextension
-associatedawithaprolongedalabor
-e.g.,aheadaextended,arightaarmaextended
fetala"position"a-
acorrectaanswera✔✔Relationaofafetalapresentingapartatoaoneaofamaternalapelvicaquadrants
occiput:aposterioraofafetalaheadabelowaposteriorafontanellea(i.e.,aBACKaOFaHEAD)
sacrum:abuttocks
Isapresentingapartadirectedatowardatheamother'safront,aback,aoraside?a(anteriora(A),aposterio
ra(P),aoratransversea(T))
occiputaanteriora-abackaofaheadafacingatowardsafrontaofamoma-aeasierawayatoabeaborn
occiputaposteriora-
a"sunnyasideaup"ababy'saheadapushesaagainstamom'saspineaandasymphysisapubis...painfulaf
oramom,ababy'safaceacanaalsoagetabruised
fetalapositionastepsa-acorrectaanswera✔✔Whataisafetalapresentingapart?a(middleainitial)
aocciputa[headafirst]a(O)aorasacruma[buttafirst]a(S)a
