Summary NUR 254 - Maternal Exam 1 Study Guide.

Things to know for Maternal Exam 1

- Know the difference between placenta previa and abruption placental

o Placenta previa

 Covering of the cervical OS

 Partial (Marginal)

 Complete

 Bright red blood and isNOTpainful

o Abruptio Placenta

 Separation of the placenta from the uterine wall

 Bright or dark Red blood and is verypainful

 Rigid abdomen

o EMERGENCY SITUATION

- Know how to treat an incompetence cervix and for whom

o Cerclageis done (cervical stitch)

 Used for moms that have had multiple miscarriages

 Removed at 38 weeks for delivery of baby

- Know the s/s of pre-eclampsia and nursing interventions

o S/S of pre-eclampsia

 Headache that will not go away

 Right upper abdominal pain

 Indicates liver damage and is apriority

o Interventions

 Seizure precautions

- Know the stages of labor

, o 1ststage

 Onset of contractions to full dilation (10cm)

o 2ndstage

 Complete dilation to delivery of baby

o 3rdstage

 Delivery of placenta

 Make sure to inspect for full attachment

o 4thstage

 2 hours post delivery of placenta

 Monitor for hemorrhage

 Mom baby bonding time

- Know station and location

o Station 0

 Located at the ischial spine

o If it is a positive number baby is passed the ischial spine

o If it is a negative number baby is above the ischial spine

- Know about transverse lie

o If baby is in transverse position and MD wrights an order to induce labor with Pitocin as
the nurse, we want to question that order

o We do not induce labor that involves transverse lie




- Know agitation level’s

o If mom is 8cm dilated and contractions are 2-3 minutes apart and mom is irritable and
agitated(this is normal)

- Know what to do and the signs of supine hypotension

o Compression of the inferior vena cava syndrome