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A compilation of questions and answers related to maternity and obstetrics. It covers a range of topics including maternal-fetal bonding, physiological changes during pregnancy, fetal heart rate monitoring, complications of pregnancy, stages of labor, and newborn assessment. The questions are designed to test knowledge and understanding of key concepts in maternity nursing, making it a useful resource for nursing students preparing for their exams. Information on prenatal visits, fetal well-being assessments, and nursing interventions for various obstetric conditions. It also addresses important aspects of labor and delivery, such as pain management, fetal monitoring, and postpartum care.
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- ambivalence During preg woman should add ____ cals & drink ____ cups of milk per day? - ANSWER>>300 cals; 3 cups FHR can be auscultated by Doppler at ____ wks gestation - ANSWER-
10 to 12 weeks 3 principles relative to pattern of weight gain in preg ANSWER-
cardiac disease, & abruptio placentae* When decels patterns (late or variable) are associated w/ decreased or absent variability & tachycardia, the situation is _____ & requires what? - ANSWER->Situation is ominous (potentially disastrous) & requires immediate intervention & fetal assessment If cord prolapse is detected, what should examiner do? ANSWER-
Position mother knee-to-chest (or l lateral) to relieve pressure on cord OR Push the presenting part off the cord until immediate c/s can be accomplished Late decels indicate ___ & are associated w/ what conditions? ANSWER-
indicate UPI
A decrease in uteroplacental perfusion results from ____. Cord compression results from _____. Nursing interventions include? - ANSWER->-⬇ uteroplacental perfusion = late decels (uniform shape, return to baseline after contraction, depth doesn't indicate severity, rarely falls below 100 bpm)
ratio (lung maturity, lung surfactant development) 5 maternal variables associated w/ high-risk preg - ANSWER-
-age (<17 or >34)
termination while still in 1st trimester
3 most common complications of amniocentesis - ANSWER->1. spontaneous abortion
1. hypoxia inability to control oxytocin "dosage" & chance of tetany/hyperstimulation
If nurse finds funds soft, boggy, & displaced above to right of umbilicus, what action should be taken 1st? - ANSWER->1st: perform fundal massage --then: have client empty bladder --recheck q15 min for 1 hr, then q min for 2 hrs 1st degree tear involves? 2nd degree? 3rd degree? 4th degree? - ANSWER->1st: only epidermis 2nd: dermis, muscle, & fascia 3rd: tear extends into anal sphincter 4th: tear extends up rectal mucosa --tears cause pain & swelling; avoid rectal manipulations Apgar of 6 or lower at 5 min require? - ANSWER->an additional apgar at 10 min Compromised neonate requires resuscitation. Should the nurse wait until 1-min apgar is assigned? begin resuscitation!- ANSWER-> NO - do not wait to List 5 prodromal signs of labor the nurse might teach the client - ANSWER->Pre-labor signs/signs before labor starts
How is true labor discriminated from false labor? - ANSWER-
True labor: regular, rhythmic contractions that intensify w/ ambulation, pain in abdomen sweeping around back, & cervical changes
Are psychoprophylactic breathing techniques prescribed for use according to the stage & phase of labor? techniques according to their
No. Clients should use discomfort level & should change techniques when one is no longer working for relaxation State 2 ways to determine membranes have truly ruptured ANSWER-
occiput anterior position s Norm FHR during labor - ANSWER-> 100 - 160 Norm maternal BP, pulse, temp during labor - ANSWER->BP: <140/ pulse: <100 bpm temp: <100. 4 nursing actions for 2nd stage of labor sure cervix complet ely
mak e dilated bef ore pushing
assess FHR w/ each
contracti on
Give immediately after placenta delivered to prevent PP hemorrhage & uterine atony State one contraindication to use of ergot drugs (Methergine) - ANSWER>>hypertension 5 symptoms of resp distress in newborn - ANSWER->1. tachypnea
3 actions nurse should take when hypotension occurs in laboring client - ANSWER->1. turn to left side
Symptoms of hypovolemic shock clammy skin, tachycardia,
pall or, lightheaded ness, hypotension List symptoms of full bladder that might occur in 4th stage of labor
temp is prob elevate d d/t labo r --force fluids & retake temp in 1 hr --notify physician if
ANSWER>>avoid until PP examination use water- soluble jelly expect slight discomfort vaginal changes d/t Woman decided to take birth control pills as contraceptive. What should she do if misses taking pill for 2 consecutive days? - ANSWER->take 2 pills for 2 days & use alternative form of birth control Woman asks why she is urinating so much in PP period. Nurse bases response on what info? Up to 3000mL per day can be voided b/c of reduction in 40% plasma
volume increase during preg What is purpose of giving docusate sodium (Colace) to PP client?
--b/c rh immune globulins suppress immune system, client who receives both should be tested for immunity
Client should void within ___ hours of delivery - ANSWER-> hours - monitor closely for urine retention; suspect retention if voiding is frequent & <100mL/4 hrs or <30mL/hr If nurse assesses client's temp to be 101 on 2nd PP day, what assessment should be made before notifying physician? - ANSWER->-fundal height & firmness - perineal integrity - check for S&S of thromboembolism (legs for pain, warmth, tenderness or swollen vein tender to touch) - pulse & respirations - BP
retained placental fragments --nurse must check for presence of fragments in lochial tissue