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
, NUR 254 - Maternal Exam 1 Study Guide
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
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
, NUR 254 - Maternal Exam 1 Study Guide
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
