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Maternal And Child Health Nursing Bullets Lecture Notes
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Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 8th Edition Test Bank
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Maternal and Child Health Nursing 8 Edition Pillitteri Test Bank COMPLETE QUESTION AND ANSWERS
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MATERNAL NURSING!. Unlike false labor, true labor produces regular rhythmic contractions, abdominal
discomfort, progressive descent of the fetus, bloody show, and progressive effacemen
and dilation of the cervix.
#. To help a mother break the suction of her breast-feeding infant, the nurse should teach
her to insert a finger at the corner of the infantʼs mouth.
$. Administering high levels of oxygen to a premature neonate can cause blindness as a
result of retrolental fibroplasia.
%. Amniotomy is artificial rupture of the amniotic membranes.
&. During pregnancy, weight gain averages 25 to 30 lb (11 to 13.5 kg).
'. Rubella has a teratogenic effect on the fetus during the first trimester. It produces
abnormalities in up to 40% of cases without interrupting the pregnancy.
(. Immunity to rubella can be measured by a hemagglutination inhibition test (rubella titer
This test identifies exposure to rubella infection and determines susceptibility in pregna
women. In a woman, a titer greater than 1V8 indicates immunity.
). When used to describe the degree of fetal descent during labor, floating means the
presenting part isnʼt engaged in the pelvic inlet, but is freely movable (ballotable) above
the pelvic inlet.
*. When used to describe the degree of fetal descent, engagement means when the large
diameter of the presenting part has passed through the pelvic inlet.
!+. Fetal station indicates the location of the presenting part in relation to the ischial spine.
Itʼs described as –1, –2, –3, –4, or –5 to indicate the number of centimeters above the le
of the ischial spine; station –5 is at the pelvic inlet.
!!. Fetal station also is described as +1, +2, +3, +4, or +5 to indicate the number of
centimeters it is below the level of the ischial spine; station 0 is at the level of the ischia
spine.
!#. During the first stage of labor, the side-lying position usually provides the greatest deg
of comfort, although the patient may assume any comfortable position.
!$. During delivery, if the umbilical cord canʼt be loosened and slipped from around the
neonateʼs neck, it should be clamped with two clamps and cut between the clamps.
!%. An Apgar score of 7 to 10 indicates no immediate distress, 4 to 6 indicates moderate
distress, and 0 to 3 indicates severe distress.
!&. To elicit Moroʼs reflex, the nurse holds the neonate in both hands and suddenly, but
gently, drops the neonateʼs head backward. Normally, the neonate abducts and extends
all extremities bilaterally and symmetrically, forms a C shape with the thumb and
forefinger, and first adducts and then flexes the extremities.
!'. Pregnancy-induced hypertension (preeclampsia) is an increase in blood pressure of 30
mm Hg over baseline or blood pressure of 140/95 mm Hg on two occasions at least 6
hours apart accompanied by edema and albuminuria after 20 weeksʼ gestation.
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