Maternal Child Nursing Exam 2 Questions and Answers 2024

Maternal Child Nursing Exam 2 Questions and Answers 2024 What is necessary for birth to happen? -Answer-- good, rhythmic, regular, full peaking contractions lightening -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) -Answer-- The breaking of the "water" or membranes marked by the expulsion of amniotic fluid from the vagina. AROM (artificial rupture of membranes) -Answer-- when the membrane is broken artificially (usually by MD), procedure is referred to as AMNIOTOMY presentation -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? - 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 -Answer-- Shortening, softening and thinning of the cervix mucus plug -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? -Answer-- anytime during the last trimester and even after delivery What is the normal blood loss for vaginal delivery? -Answer-- 500mL What is the normal blood loss for a C-section? -Answer-- 800 to 1000mL What would increase the expected amount of blood loss during delivery? -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? -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? -Answer-- gynecoid What is the rule for administering pain medicine during labor? -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? -Answer-- can stop or slow labor Why are pain medicines not administered once a laboring woman has reached 8cm of dilation? -Answer-- fetus can be born affected by the medicine including but not limited to respiratory depression What is the fetal lie? -Answer-The relationship of the fetal spine to the maternal spine - longitudinal - Transverse What is the fetal attitude? -Answer-- The relationship of the fetal parts to one another. The fetal attitude can be flexion or extension. What is fetal presentation? -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) What is contraction frequency? -Answer-- measured in minutes - time between the start of one contraction to the start of the next What is contraction duration? -Answer-- measured in seconds - length a contraction lasts What is contraction intensity? -Answer-- strength of contraction Tocotransducer (TOCO) -Answer-- placed on fundus; Measures & Records the frequency & duration of contraction