NUR2513 MATERNAL-CHILD NURSING –
EXAMINATION 100% CORRECT ANSWERS RATED
A+
NUR2513 Maternal-Child Nursing – Examination
Describe the Evolution and Trends of Maternal-Child Healthcare
1. Current trends influencing maternal-child healthcare
o Families have fewer members, more blended families
o 𝖳 number of single-parent families,
o 90% of women work outside the house, having babies when older
o Families are more mobile / Families are healthier
o Child/partner violence 𝖳
o At home birth
Explain Potential Antepartum and Intrapartum Complications
2. IUGR: infant will be small for their age birth
» Causes: • Lack of adequate nutrition, diabetes, chronic HTN, morbid obesity
• Smoking, excessive ETOH, drug abuse
• Trisomy 13 and 18, 2 vessel umbilical cord
• Cytomegalovirus, rubella, toxoplasmosis, uteroplacental insufficiency
• Multiple gestation
» Earliest ways to know if the baby has IUGR is by measuring fundal height
3. RH factor: given to Rh-negative moms
• Prevents the mom from building antibodies so that in future pregnancies they don’t fight the baby
• Given when the mom’s and fetus blood may cross: abortions, amniocentesis
• Given at 28wks and 72h after delivery
, NUR2513 MATERNAL-CHILD NURSING –
EXAMINATION 100% CORRECT ANSWERS RATED
A+
4. Meconium aspiration: meconium aspiration syndrome. Occurs when the baby breathes a mixture of
meconium and amniotic fluid into the lungs around the time of delivery
• Amniotic fluid should be clear as water
• Yellow-stained fluid suggests blood incompatibility between mother and fetus (the amniotic fluid
is bilirubin stained from the breakdown of RBCs)
• Green fluid suggests meconium staining
» Causes: • Pregnancy post 40wks, difficult or long labor, infection, GD or HTN
5. Gestational diabetes: develops at midpoint of pregnancy when insulin resistance becomes most
noticeable
» Fetal outcomes: Macrosomia, lung maturity leading to difficulty breathing, hypoglycemia
» Risk Factors: • Obesity, age over 25yo, Hx of large babies (10lbs+),
• Hx of congenital anomalies in previous pregnancies, Hx of polycystic ovary syndrome
• Family Hx, being Native American, Hispanic, Asian
EXAMINATION 100% CORRECT ANSWERS RATED
A+
NUR2513 Maternal-Child Nursing – Examination
Describe the Evolution and Trends of Maternal-Child Healthcare
1. Current trends influencing maternal-child healthcare
o Families have fewer members, more blended families
o 𝖳 number of single-parent families,
o 90% of women work outside the house, having babies when older
o Families are more mobile / Families are healthier
o Child/partner violence 𝖳
o At home birth
Explain Potential Antepartum and Intrapartum Complications
2. IUGR: infant will be small for their age birth
» Causes: • Lack of adequate nutrition, diabetes, chronic HTN, morbid obesity
• Smoking, excessive ETOH, drug abuse
• Trisomy 13 and 18, 2 vessel umbilical cord
• Cytomegalovirus, rubella, toxoplasmosis, uteroplacental insufficiency
• Multiple gestation
» Earliest ways to know if the baby has IUGR is by measuring fundal height
3. RH factor: given to Rh-negative moms
• Prevents the mom from building antibodies so that in future pregnancies they don’t fight the baby
• Given when the mom’s and fetus blood may cross: abortions, amniocentesis
• Given at 28wks and 72h after delivery
, NUR2513 MATERNAL-CHILD NURSING –
EXAMINATION 100% CORRECT ANSWERS RATED
A+
4. Meconium aspiration: meconium aspiration syndrome. Occurs when the baby breathes a mixture of
meconium and amniotic fluid into the lungs around the time of delivery
• Amniotic fluid should be clear as water
• Yellow-stained fluid suggests blood incompatibility between mother and fetus (the amniotic fluid
is bilirubin stained from the breakdown of RBCs)
• Green fluid suggests meconium staining
» Causes: • Pregnancy post 40wks, difficult or long labor, infection, GD or HTN
5. Gestational diabetes: develops at midpoint of pregnancy when insulin resistance becomes most
noticeable
» Fetal outcomes: Macrosomia, lung maturity leading to difficulty breathing, hypoglycemia
» Risk Factors: • Obesity, age over 25yo, Hx of large babies (10lbs+),
• Hx of congenital anomalies in previous pregnancies, Hx of polycystic ovary syndrome
• Family Hx, being Native American, Hispanic, Asian
