Exam 1 & Exam 2: PNR 203/ PNR203 (Latest 2024/ 2025
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Maternal-Newborn Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
Procedure used to change the fetal presentation by abdominal or intrauterine
manipulation; turning of the fetus - ANSWERVersion
The most common type of version - ANSWERExternal Cephalic Version
When fetus is changed from a breech, transverse, or oblique lie to a cephalic
presentation by external manipulation of the maternal abdomen - ANSWERExternal
Cephalic Version
Criteria for external cephalic version - ANSWERSingle fetus (singleton), fetal breech is
not engaged, reactive NST, adequate amount of amniotic fluid must exist, fetus must
be 36-37 weeks gestation
This is a contraindication for the use of external cephalic version because it makes
the fetus difficult to maneuver and increases the risk of umbilical cord compression -
ANSWEROligohydramnios (amniotic fluid index less than 5cm)
What is the nursing care management for a patient undergoing external cephalic
version prior to the procedure? - ANSWEREnsuring PT understands procedure and
that it may cause discomfort and the woman can tell HCP to stop if it becomes too
painful, completes initial fetal and maternal assessment, provides ongoing
evaluation of FHR, performs the NST, completes blood work and alerts OR team if C-
section is necessary
What is the nursing care management for a patient undergoing external cephalic
version during the procedure? - ANSWERMonitor maternal BP and pulse q 2 minutes
throughout the period of time that the beta-mimetic agent, provide reassuring care
What is the nursing care management for a patient undergoing external cephalic
version after the procedure? - ANSWERMonitor maternal BP and pulse 30 minutes
after the beta-mimetic agent is stopped, observe fetal/maternal response to
tocolytic agent, provide information and reiterate aftercare instructions (monitoring
uterine contractions, fetal kick counts, signs of reversion)
What are signs of reversion after an external cephalic version is completed? -
ANSWERExcessive movement or a sensations described as the fetus "turning
around"
What is cervical ripening? - ANSWERsoftening and effacing of the cervix
, Prostaglandin gel used to help with cervical ripening - ANSWERCervidil
This prostaglandin gel agent is packaged in an intravaginal inset and resembles a 2-
cm square piece of cardboard like material - ANSWERCervidil
Where is cervidil inserted - ANSWERPosterior vagina
How is cervidil released? - ANSWERSlow release of 10 mg dinoprostone at a rate of
0.3mg/hr over 12 hours
A woman has just had cervidil inserted into her vagina. When can she be given
Oxytoxin? - ANSWER30 minutes later
After cervidil is inserted, how is the woman positioned and when can she ambulate?
- ANSWERWoman is in supine position for 2 hours and then may ambulate
When is cervidil removed from the vagina? - ANSWERAfter 12 hours or at the onset
of contractions
What is an advantage of Cervidil? - ANSWERIt can be removed easily if uterine hyper
stimulation occurs
What effects can Cervidil have on the fetus? - ANSWERNonreassuring fetal heart rate
patterns
Cervidil administration poses which risk to the mother? - ANSWERUterine
hyperstimulation, non reassuring fetal status, higher incidence of PPH, and uterine
rupture
Women with previous uterine incision should not be given this because it increases
the risk of uterine rupture - ANSWERCervidil
When a woman is given Cervidil, what are some nursing considerations? -
ANSWERAssess for contractions, monitor maternal VS, cervical dilation, and
effacement, monitor FHR, and remove vaginal inset if any adverse effects occur
How does Cervidil lead to cervical ripening? - ANSWERstimulates smooth muscle of
the uterus to enhance contractions
Can a woman with Cervidil go home with the vaginal insert? - ANSWERNo, she will
remain in an acute care setting to monitor contraction and FHR pattern
Artificial rupture of the amniotic membranes (AROM) - ANSWERAmniotomy
In order for an amniotomy to be performed, how much must the cervix be dilated -
ANSWERAt least 2 cm
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Maternal-Newborn Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
Procedure used to change the fetal presentation by abdominal or intrauterine
manipulation; turning of the fetus - ANSWERVersion
The most common type of version - ANSWERExternal Cephalic Version
When fetus is changed from a breech, transverse, or oblique lie to a cephalic
presentation by external manipulation of the maternal abdomen - ANSWERExternal
Cephalic Version
Criteria for external cephalic version - ANSWERSingle fetus (singleton), fetal breech is
not engaged, reactive NST, adequate amount of amniotic fluid must exist, fetus must
be 36-37 weeks gestation
This is a contraindication for the use of external cephalic version because it makes
the fetus difficult to maneuver and increases the risk of umbilical cord compression -
ANSWEROligohydramnios (amniotic fluid index less than 5cm)
What is the nursing care management for a patient undergoing external cephalic
version prior to the procedure? - ANSWEREnsuring PT understands procedure and
that it may cause discomfort and the woman can tell HCP to stop if it becomes too
painful, completes initial fetal and maternal assessment, provides ongoing
evaluation of FHR, performs the NST, completes blood work and alerts OR team if C-
section is necessary
What is the nursing care management for a patient undergoing external cephalic
version during the procedure? - ANSWERMonitor maternal BP and pulse q 2 minutes
throughout the period of time that the beta-mimetic agent, provide reassuring care
What is the nursing care management for a patient undergoing external cephalic
version after the procedure? - ANSWERMonitor maternal BP and pulse 30 minutes
after the beta-mimetic agent is stopped, observe fetal/maternal response to
tocolytic agent, provide information and reiterate aftercare instructions (monitoring
uterine contractions, fetal kick counts, signs of reversion)
What are signs of reversion after an external cephalic version is completed? -
ANSWERExcessive movement or a sensations described as the fetus "turning
around"
What is cervical ripening? - ANSWERsoftening and effacing of the cervix
, Prostaglandin gel used to help with cervical ripening - ANSWERCervidil
This prostaglandin gel agent is packaged in an intravaginal inset and resembles a 2-
cm square piece of cardboard like material - ANSWERCervidil
Where is cervidil inserted - ANSWERPosterior vagina
How is cervidil released? - ANSWERSlow release of 10 mg dinoprostone at a rate of
0.3mg/hr over 12 hours
A woman has just had cervidil inserted into her vagina. When can she be given
Oxytoxin? - ANSWER30 minutes later
After cervidil is inserted, how is the woman positioned and when can she ambulate?
- ANSWERWoman is in supine position for 2 hours and then may ambulate
When is cervidil removed from the vagina? - ANSWERAfter 12 hours or at the onset
of contractions
What is an advantage of Cervidil? - ANSWERIt can be removed easily if uterine hyper
stimulation occurs
What effects can Cervidil have on the fetus? - ANSWERNonreassuring fetal heart rate
patterns
Cervidil administration poses which risk to the mother? - ANSWERUterine
hyperstimulation, non reassuring fetal status, higher incidence of PPH, and uterine
rupture
Women with previous uterine incision should not be given this because it increases
the risk of uterine rupture - ANSWERCervidil
When a woman is given Cervidil, what are some nursing considerations? -
ANSWERAssess for contractions, monitor maternal VS, cervical dilation, and
effacement, monitor FHR, and remove vaginal inset if any adverse effects occur
How does Cervidil lead to cervical ripening? - ANSWERstimulates smooth muscle of
the uterus to enhance contractions
Can a woman with Cervidil go home with the vaginal insert? - ANSWERNo, she will
remain in an acute care setting to monitor contraction and FHR pattern
Artificial rupture of the amniotic membranes (AROM) - ANSWERAmniotomy
In order for an amniotomy to be performed, how much must the cervix be dilated -
ANSWERAt least 2 cm
