NR 327
NR 327 EXAM 2 REVIEW:
MATERNAL-CHILD NURSING 2025
QUESTIONS AND ANSWERS
Normal FHR - 110-160
Accelerations - Temporary increase; reassuring no interventions
Early deceleration - Mirror mom's contractions; cause: compression of baby's head
on pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - Responds after contraction; cause: uteroplacental insufficiency;
non-reassuring needs intervention
Nursing interventions for late deceleration - Side-lying position, IV fluids,
discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify
provider
Variable deceleration - Not uniform look for Vs; cause: cord compression;
requires intervention
Nursing interventions for variable deceleration - Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - V - variable, C - cord compression, M - move side left; E -
early decels, H - head compression, I - identify labor progression; A - acceleration,
O - OK, N - no intervention; L - late decels, P - placental insufficiency
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Fetal bradycardia - FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension,
anesthetic meds mom received
Interventions for fetal bradycardia - Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - FHR increases above 160 for over 10 minutes; causes:
infection, cocaine use, dehydration
Interventions for fetal tachycardia - Antipyretics, oxygen, IV fluid bolus
Increment - Beginning, building of pressure
Acme - Most intense part of the contraction
Decrement - Diminishing of the contraction
Rest - Period of time between contractions
BUBBLE HER - Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, and
Recovery
Breasts assessment - Inspect for size, contour, asymmetry, engorgement, or
erythema; check the nipples for cracks, redness, fissures, or bleeding
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,NR 327
Uterus assessment - Assess the fundus to determine the degree of uterine
involution; fundus should be midline and should not feel boggy or relaxed
Fundus location after birth - 1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at
the level of the umbilicus
Fundus progression - The fundus progresses downward at a rate of 1 fingerbreadth
or 1 cm per day after childbirth
Bladder assessment - Assess the bladder for distention & adequate emptying after
efforts to void; a full bladder tends to displace the uterus up & to the right
Signs of bladder infection - Infrequent or insufficient voiding (less than 200 mL),
discomfort, burning, urgency, or foul-smelling urine
Lochia assessment - Assess the amount, color, and odor of lochia; color:
Rubra/red: 1-3 days, Serosa/pink: 3-10 days, Alba/white: 10-14 days
Late deceleration - Responds after contraction; Cause: uteroplacental
insufficiency; Non-reassuring needs intervention; Nursing interventions: side-
lying position, IV fluids, discontinue oxytocin, administer O2, palpate uterus for
tachysystole, notify provider
Variable deceleration - Not uniform look for Vs; Cause: cord compression;
Requires intervention; Nursing interventions: knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
NR 327
, NR 327
Fetal bradycardia - FHR drops below 110 for at least 10 minutes; Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension,
anesthetic meds mom received; Interventions: stop oxytocin, left side position, O2,
notify provider
Fetal tachycardia - FHR increases above 160 for over 10 minutes; Causes:
infection, cocaine use, dehydration; Interventions: antipyretics, oxygen, IV fluid
bolus
BUBBLE HER - A mnemonic for postpartum assessment
Fundus position after birth - 1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at
the level of the umbilicus
Postpartum fundus location - On the first postpartum day, the top of the fundus is
located 1 cm below the umbilicus and is recorded as U/1
Bladder assessment - Assess the bladder for distention & adequate emptying after
efforts to void
Lochia assessment - Assess the amount, color, and odor of lochia; Ask about the #
of perineal pads used in the past 2-4 hours & how much drainage was on each pad
Lochia color Rubra - Red: 1-3 days
NR 327
NR 327 EXAM 2 REVIEW:
MATERNAL-CHILD NURSING 2025
QUESTIONS AND ANSWERS
Normal FHR - 110-160
Accelerations - Temporary increase; reassuring no interventions
Early deceleration - Mirror mom's contractions; cause: compression of baby's head
on pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - Responds after contraction; cause: uteroplacental insufficiency;
non-reassuring needs intervention
Nursing interventions for late deceleration - Side-lying position, IV fluids,
discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify
provider
Variable deceleration - Not uniform look for Vs; cause: cord compression;
requires intervention
Nursing interventions for variable deceleration - Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - V - variable, C - cord compression, M - move side left; E -
early decels, H - head compression, I - identify labor progression; A - acceleration,
O - OK, N - no intervention; L - late decels, P - placental insufficiency
NR 327
,NR 327
Fetal bradycardia - FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension,
anesthetic meds mom received
Interventions for fetal bradycardia - Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - FHR increases above 160 for over 10 minutes; causes:
infection, cocaine use, dehydration
Interventions for fetal tachycardia - Antipyretics, oxygen, IV fluid bolus
Increment - Beginning, building of pressure
Acme - Most intense part of the contraction
Decrement - Diminishing of the contraction
Rest - Period of time between contractions
BUBBLE HER - Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, and
Recovery
Breasts assessment - Inspect for size, contour, asymmetry, engorgement, or
erythema; check the nipples for cracks, redness, fissures, or bleeding
NR 327
,NR 327
Uterus assessment - Assess the fundus to determine the degree of uterine
involution; fundus should be midline and should not feel boggy or relaxed
Fundus location after birth - 1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at
the level of the umbilicus
Fundus progression - The fundus progresses downward at a rate of 1 fingerbreadth
or 1 cm per day after childbirth
Bladder assessment - Assess the bladder for distention & adequate emptying after
efforts to void; a full bladder tends to displace the uterus up & to the right
Signs of bladder infection - Infrequent or insufficient voiding (less than 200 mL),
discomfort, burning, urgency, or foul-smelling urine
Lochia assessment - Assess the amount, color, and odor of lochia; color:
Rubra/red: 1-3 days, Serosa/pink: 3-10 days, Alba/white: 10-14 days
Late deceleration - Responds after contraction; Cause: uteroplacental
insufficiency; Non-reassuring needs intervention; Nursing interventions: side-
lying position, IV fluids, discontinue oxytocin, administer O2, palpate uterus for
tachysystole, notify provider
Variable deceleration - Not uniform look for Vs; Cause: cord compression;
Requires intervention; Nursing interventions: knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
NR 327
, NR 327
Fetal bradycardia - FHR drops below 110 for at least 10 minutes; Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension,
anesthetic meds mom received; Interventions: stop oxytocin, left side position, O2,
notify provider
Fetal tachycardia - FHR increases above 160 for over 10 minutes; Causes:
infection, cocaine use, dehydration; Interventions: antipyretics, oxygen, IV fluid
bolus
BUBBLE HER - A mnemonic for postpartum assessment
Fundus position after birth - 1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at
the level of the umbilicus
Postpartum fundus location - On the first postpartum day, the top of the fundus is
located 1 cm below the umbilicus and is recorded as U/1
Bladder assessment - Assess the bladder for distention & adequate emptying after
efforts to void
Lochia assessment - Assess the amount, color, and odor of lochia; Ask about the #
of perineal pads used in the past 2-4 hours & how much drainage was on each pad
Lochia color Rubra - Red: 1-3 days
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