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NUR 254 - Maternal Exam 1 Study Guide $10.49   Add to cart

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NUR 254 - Maternal Exam 1 Study Guide

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NUR 254 - Maternal Exam 1 Study Guide

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  • February 1, 2022
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  • 2021/2022
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NUR 254 - Maternal Exam 1 Study Guide

Things to know for Maternal Exam 1

- Know the difference between placenta previa and abruption placental

o Placenta previa

□ Covering of the cervical OS

• Partial (Marginal)

• Complete

□ Bright red blood and isNOTpainful

o Abruptio Placenta

□ Separation of the placenta from the uterine wall

• Bright or dark Red blood and is verypainful

• Rigid abdomen

o EMERGENCY SITUATION

- Know how to treat an incompetence cervix and for whom

o Cerclageis done (cervical stitch)

□ Used for moms that have had multiple miscarriages

□ Removed at 38 weeks for delivery of baby

- Know the s/s of pre-eclampsia and nursing interventions

o S/S of pre-eclampsia

□ Headache that will not go away

□ Right upper abdominal pain

• Indicates liver damage and is apriority

o Interventions

□ Seizure precautions

- Know the stages of labor

, NUR 254 - Maternal Exam 1 Study Guide
o 1ststage

□ Onset of contractions to full dilation (10cm)

o 2ndstage

□ Complete dilation to delivery of baby

o 3rdstage

□ Delivery of placenta

• Make sure to inspect for full attachment

o 4thstage

□ 2 hours post delivery of placenta

• Monitor for hemorrhage

• Mom baby bonding time

- Know station and location

o Station 0

□ Located at the ischial spine

o If it is a positive number baby is passed the ischial spine

o If it is a negative number baby is above the ischial spine

- Know about transverse lie

o If baby is in transverse position and MD wrights an order to induce labor with Pitocin
as the nurse, we want to question that order

o We do not induce labor that involves transverse lie




- Know agitation level’s

o If mom is 8cm dilated and contractions are 2-3 minutes apart and mom is irritable and
agitated(this is normal)

- Know what to do and the signs of supine hypotension

o Compression of the inferior vena cava syndrome

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