Exam 1: PRN 1831/ PRN1831 |Latest 2023/ 2024 Update| Principles of Maternal Child Health Nursing Review| Rated A Complete Guide with Verified Answers|
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Q amniotic fluid
Purpose
Expected levels
Concerns
Answer: purpose
-cushions the fetus
-prevents amniotic membrane from adhering to fetus
-prevents compression of umbilical cord
-protects fetus from bacteria from vagina
-provides fluid for analysis of fetal health and maturity
expected levels
-700-800 mL
variations in amount of fluid can indicate potential health problems of the fetus
Q precipitous birth
definition
risks factors
mom at risk for after birth
newborn at risk for
Answer: unusually rapid labor of less than 3 hours and ending with a rapid spontaneous delivery of the infant
risk factors
-multipara with relaxed perineal floor muscles
-multipara with unusually strong and forceful contractions
-high pain threshold
-multipara with history of short labors
risks for...
-lacerations to the cervix, vagina, and perineum
-hemorrhage
infant risk for -intracranial hemorrhage due to rapid expulsion of head
-aspiration of amniotic fluid
-infection as result of un-sterile delivery
Q premature rupture of membranes (PROM)/Preterm premature rupture of the membranes (PPROM)
Definition
Risks
Nursing interventions
Answer: PROM:patient is at least 37 weeks gestation before onset of labor
PPROM: rupture of membranes before 37 weeks gestation
increased risk of infection to mother and fetus
nursing interventions
-monitor FHR and contractions for 24-48 hrs
-monitor for maternal tachycardia and fever
-PPROM: seven days of antibiotics
-avoid vaginal cervical exams
-monitor uterine activity
-monitor maternal vital signs every 4 hrs
Q cesarean birth
preparing for c-section
Answer: -must sign a consent form
-indwelling catheter is inserted
-preoperative meds
-administer epidural or combined spinal-epidural (CSE)
-positioned on her back with wedge under hip, tilting uterus off the vena cava to prevent maternal hypotension and decreased placental perfusion
-monitoring of fetal status
-grounding pad placed on thigh to prevent shock from electrocautery
-sterile abdominal prep put on before sterile drapes
Q Hypovolemia risks with delivery
Answer: hypovolemic shock
-↓ BP
-↑ HR
-clammy skin
-lightheadedness
-confusion
Q Papanicolaou test (pap smear)
what is it?
guidelines
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