Exam (elaborations)
NM 704 EXAM 3 MODULE 6 QUESTIONS AND ANSWERS 2024
- Course
- Institution
NM 704 EXAM 3 MODULE 6 QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
NM 704 EXAM 3 MODULE 6effectiveness *Heat & Cold* for reducing pain & increasing comfort in labor: -
ANSWERS-● Heat applied where fetal head presses (lower back or abdomen) may
decrease pain by causing increased circulation to affected tissue
● Cold application has a numbing effect
● Some find relief w/ cold if heat unsuccessful whereas some find alternating
between heat & cold most comforting
● No specific studies for effectiveness
● Multiple contraindications
- areas anesthetized by epidural
- fever
- raynauds
- sickle cell
Components of an admission *history* when a ♀ is in labor. - ANSWERS-● Age-
extremes associated with increased risk for adverse outcomes
● Parity- influences labor progress and duration
● EDD and gestational weeks- Identifies potential newborn complications. Allows
for evaluating fetal size r/t gestational age
● Complications of current pregnancy including GBS status- identifies existing
and/or potential problems
,● Major complications w/ previous pregnancies- identifies potential recurring
problems
● Previous labor experiences including duration- influences expectations and
identifies potential coping strategies
● Mode of previous births/deliveries- identifies operative, vaginal, and c-section;
influences management
● Size of previous babies- estimate of pelvic adequacy
● Fetal movement pattern- fetal well-being
● Vaginal bleeding- differentiated from bloody show; vaginal bleeding is
abnormal, contraindicative of digital cervical exam and indicates need for
collaboration
● Status of membranes- duration of ROM and characteristics of amniotic fluid
(meconium)
● Time of onset of contractions and characteristics (frequency, duration,
intensity, aggravating/relieving factors)-helps discriminate true from false labor as
well as establishes onset of labor
● Last oral intake- baseline energy and fluid status; useful for anesthesia in case of
need for surgery
Components of an admission *physical* when a ♀ is in labor. - ANSWERS-● VS
(BP, Temp, HR, RR)
● Auscultation of heart and lungs
● Abdominal palpation
○ Determine contraction pattern
○ Assess fetal lie, presentation, position, and engagement
, ○ Estimated fetal weight and fundal height
● Visual inspection for abdominal scars
● Assessment for presence of peripheral edema
● Cervical Examination
○ Cervical effacement and dilation
○ Position of cervix
○ Station of fetal presenting part
○ Presence of molding or caput succedaneum
○ Fetal lie, presentation, position
○ Tone and elasticity of vagina and perineum
○ Confirmation of membrane status
○ Visual inspection of perineum
○ Assessment of FHR
recommended frequency for the assessment of maternal vital signs in the first
stage of labor. (w/o epidural) - ANSWERS-BP, HR, RR: q 1 hour
Temp: q2-4 hr when temp normal and membranes intact;
recommended frequency for the assessment of maternal temp - ANSWERS-q 1-2
hr if temp abnormal &/or after ROM
recommendations for frequency of continuous FHR assessment during 1st stage
of labor. - ANSWERS-● q30min (no complications)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now