LEIFERS INTRODUCTION TO MATERNITY AND
PEDIATRIC NURSING 2026 ASSESSMENT
SCRIPT DETAILED RESPONSES
COMPREHENSIVE REVIEW
◉ 3 settings to deliver baby.
Answer: - Hospital
- Freestanding birth centers
- Home
◉ 4 P's of Birth Process.
Answer: - POWERS - uterine contractions, pushing effort
- PASSAGE - pt's pelvis
- PASSENGER - fetus
- PSYCHE - what impact pt's feelings have on labor
◉ Normal Childbirth - Signs of Impending Labor.
Answer: - Braxton Hicks contractions
- Increased vaginal discharge
- Bloody show
,- Rupture of membrane which INCREASES risk of infection, cord
prolapse
- Energy spurt; nesting
- Weight loss - hormonal change w/less H2O
◉ 3 major assessments performed promptly on admission for
Delivery.
Answer: - Fetal condition (how is baby doing)
- Maternal condition (how is mom doing)
- How long until birth (estimate)
◉ After admission to the labor unit, nursing care consists of.
Answer: - monitoring fetus
- monitoring mom in labor
- help mom cope with labor
◉ Ways to monitor fetus during delivery.
Answer: - Fetal heart rate
- Intermittent auscultation
- Continuous electrong fetal monitoring
◉ The primary nursing role with a NEWBORN is to monitor.
, Answer: - TEMPERATURE
make sure baby is WARM
◉ When possible, let mom in labor.
Answer: MOVE FREELY
- if true labor, contractions will continue w/walking
- if false labor, contractions may stop
◉ Signs a laboring mom may be in trouble and need to go to the
hospital include.
Answer: - DECREASED fetal movement
- vaginal bleeding
- excessive pain
- firm/board-like abdomen
- if WATER BREAKS (risk for infection)
- meconium staining in discharge
- ANY OTHER CONCERN by mother
◉ meconium is.
Answer: fetus defecate in the amniotic fluid
- a problem if the fetus tries to breath it in
PEDIATRIC NURSING 2026 ASSESSMENT
SCRIPT DETAILED RESPONSES
COMPREHENSIVE REVIEW
◉ 3 settings to deliver baby.
Answer: - Hospital
- Freestanding birth centers
- Home
◉ 4 P's of Birth Process.
Answer: - POWERS - uterine contractions, pushing effort
- PASSAGE - pt's pelvis
- PASSENGER - fetus
- PSYCHE - what impact pt's feelings have on labor
◉ Normal Childbirth - Signs of Impending Labor.
Answer: - Braxton Hicks contractions
- Increased vaginal discharge
- Bloody show
,- Rupture of membrane which INCREASES risk of infection, cord
prolapse
- Energy spurt; nesting
- Weight loss - hormonal change w/less H2O
◉ 3 major assessments performed promptly on admission for
Delivery.
Answer: - Fetal condition (how is baby doing)
- Maternal condition (how is mom doing)
- How long until birth (estimate)
◉ After admission to the labor unit, nursing care consists of.
Answer: - monitoring fetus
- monitoring mom in labor
- help mom cope with labor
◉ Ways to monitor fetus during delivery.
Answer: - Fetal heart rate
- Intermittent auscultation
- Continuous electrong fetal monitoring
◉ The primary nursing role with a NEWBORN is to monitor.
, Answer: - TEMPERATURE
make sure baby is WARM
◉ When possible, let mom in labor.
Answer: MOVE FREELY
- if true labor, contractions will continue w/walking
- if false labor, contractions may stop
◉ Signs a laboring mom may be in trouble and need to go to the
hospital include.
Answer: - DECREASED fetal movement
- vaginal bleeding
- excessive pain
- firm/board-like abdomen
- if WATER BREAKS (risk for infection)
- meconium staining in discharge
- ANY OTHER CONCERN by mother
◉ meconium is.
Answer: fetus defecate in the amniotic fluid
- a problem if the fetus tries to breath it in
