Maternal Child Nursing Exam 2
Study online at https://quizlet.com/_816rlz
1. What is necessary for birth to happen?: - good, rhythmic, regular, full peaking contractions
2. lightening: - "dropping"
- the descent of the fetus into the true pelvis which places a lot of pressure on the amniotic sac
3. SROM (spontaneous rupture of membranes): - The breaking of the "water" or membranes
marked by the expulsion of amniotic fluid from the vagina.
4. AROM (artificial rupture of membranes): - when the membrane is broken artificially (usually
by MD), procedure is referred to as AMNIOTOMY
5. presentation: - fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
6. What are questions you'd ask a woman coming into stating that her water
broke?: - 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?
7. effacement: - Shortening, softening and thinning of the cervix
8. mucus plug: - aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various times before or during labor
9. When during pregnancy can supine hypotension occur?: - anytime during the last
trimester and even after delivery
10. What is the normal blood loss for vaginal delivery?: - 500mL
11. What is the normal blood loss for a C-section?: - 800 to 1000mL
12. What would increase the expected amount of blood loss during delivery?: -
an episiotomy or vacuum assisted birth
13. What are the four P's of the birth process that must work together in order
for labor to progress normally?: - passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
14. Which type of pelvis is most favorable for a successful labor and birth?: -
gynecoid
15. What is the rule for administering pain medicine during labor?: - 1-4cm close the
door
, Maternal Child Nursing Exam 2
Study online at https://quizlet.com/_816rlz
- 5-7cm mother can have meds
- 8-10cm its too late
16. Why are pain medicines not administered during the first 4cm of dilation?: -
can stop or slow labor
17. Why are pain medicines not administered once a laboring woman has
reached 8cm of dilation?: - fetus can be born affected by the medicine including but not limited to
respiratory depression
18. What is the fetal lie?: The relationship of the fetal spine to the maternal spine
- longitudinal
- Transverse
19. What is the fetal attitude?: - The relationship of the fetal parts to one another. The fetal attitude can
be flexion or extension.
20. What is fetal presentation?: - 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)
21. What is contraction frequency?: - measured in minutes
- time between the start of one contraction to the start of the next
22. What is contraction duration?: - measured in seconds
- length a contraction lasts
23. What is contraction intensity?: - strength of contraction
24. Tocotransducer (TOCO): - placed on fundus; Measures & Records the frequency & duration of con-
tractions
25. What term is used to describe the building of a contraction?: - increment
26. What term is used to describe the peak of a contraction?: - acme
27. What term is used to describe the decline of a contraction?: - decrement
28. What observations are made by you the delivery nurse during the labor
process?: - FHT
- accelerations
- decelerations
Study online at https://quizlet.com/_816rlz
1. What is necessary for birth to happen?: - good, rhythmic, regular, full peaking contractions
2. lightening: - "dropping"
- the descent of the fetus into the true pelvis which places a lot of pressure on the amniotic sac
3. SROM (spontaneous rupture of membranes): - The breaking of the "water" or membranes
marked by the expulsion of amniotic fluid from the vagina.
4. AROM (artificial rupture of membranes): - when the membrane is broken artificially (usually
by MD), procedure is referred to as AMNIOTOMY
5. presentation: - fetal part entering the pelvis first
- it is ideal for fetus to be full flexion so triangle can be felt
6. What are questions you'd ask a woman coming into stating that her water
broke?: - 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?
7. effacement: - Shortening, softening and thinning of the cervix
8. mucus plug: - aka "show"
- mucus that forms a thick barrier in the cervix that is expelled at various times before or during labor
9. When during pregnancy can supine hypotension occur?: - anytime during the last
trimester and even after delivery
10. What is the normal blood loss for vaginal delivery?: - 500mL
11. What is the normal blood loss for a C-section?: - 800 to 1000mL
12. What would increase the expected amount of blood loss during delivery?: -
an episiotomy or vacuum assisted birth
13. What are the four P's of the birth process that must work together in order
for labor to progress normally?: - passage (the true pelvis)
- passenger (fetus
- powers (contractions)
- psyche (mothers mentality)
14. Which type of pelvis is most favorable for a successful labor and birth?: -
gynecoid
15. What is the rule for administering pain medicine during labor?: - 1-4cm close the
door
, Maternal Child Nursing Exam 2
Study online at https://quizlet.com/_816rlz
- 5-7cm mother can have meds
- 8-10cm its too late
16. Why are pain medicines not administered during the first 4cm of dilation?: -
can stop or slow labor
17. Why are pain medicines not administered once a laboring woman has
reached 8cm of dilation?: - fetus can be born affected by the medicine including but not limited to
respiratory depression
18. What is the fetal lie?: The relationship of the fetal spine to the maternal spine
- longitudinal
- Transverse
19. What is the fetal attitude?: - The relationship of the fetal parts to one another. The fetal attitude can
be flexion or extension.
20. What is fetal presentation?: - 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)
21. What is contraction frequency?: - measured in minutes
- time between the start of one contraction to the start of the next
22. What is contraction duration?: - measured in seconds
- length a contraction lasts
23. What is contraction intensity?: - strength of contraction
24. Tocotransducer (TOCO): - placed on fundus; Measures & Records the frequency & duration of con-
tractions
25. What term is used to describe the building of a contraction?: - increment
26. What term is used to describe the peak of a contraction?: - acme
27. What term is used to describe the decline of a contraction?: - decrement
28. What observations are made by you the delivery nurse during the labor
process?: - FHT
- accelerations
- decelerations
