NR 327/ NR327 E XAM 2: (NEW 2025/ 2026
UPDATE) MATERNAL-CHILD NURSING REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Things done at every prenatal visit - ANS ✓Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)
2. Leopold's maneuver - ANS ✓Determines fetal position
3. BP risk for pre-eclampsia - ANS ✓140/90
4. Fundal height - ANS ✓Measured between 18-32 weeks
Measured in centimeters
Symphysis pubis to top of uterus fundus
Purpose: approximates gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
5. When to call MD - ANS ✓Swelling
Decreased fetal movement
Pain with urination
Fluid leaking
Headache (sign of elevated BP)
S/s of infection
Vaginal bleeding
Backache (poss labor)
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Labor s/s
6. Fetal kick counts - ANS ✓Recommended 10kicks/hour
7. Nitrazine paper test - ANS ✓Inserted into cervix
-If turns blue than +amniotic fluid
8. False labor - ANS ✓Contractions are irregular, mild, and relieved by rest
No cervical change
9. Labor - ANS ✓Contractions are strong and not relieved by rest
Cervical change/dilation
10. Abruptio placenta - ANS ✓Premature separation of placenta from uterine wall
-Will cause bleeding
11. Hemoglobin in pregnancy - ANS ✓1st trimester: 11
2nd trimester: 10.5
3rd trimester: 11
12. Negative Rh Factor - ANS ✓Needs rhogam
-Check baby's blood type, if negative ok, if positive mother will need another round of
rhogam
13. RPR - ANS ✓Rapid plasma regimen
-Checked in 1st trimester on all PG patients
-Checked in 3rd trimester for HR patients (hx of STD, noncompliance, many sexual partners
etc)
-Normal = non-reactive
14. GBS - ANS ✓Checked around 36 weeks
-If positive, start on antibiotics
-If no cultures available, will check blood culture of baby
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15. Hepatitis B - ANS ✓Normal = negative
-All babies receive hep B vaccine, if mother has +test, baby will also receive immunoglobulin
at hospital and 2nd hep B vaccine with pediatrician
16. Immunoglobulin - ANS ✓IgG
-Provides passive immunity (temporary)
17. Live vaccines - ANS ✓Not given during pregnancy
Patient's should avoid pregnancy for 30-90 days after Rubella vaccine
18. Rubella - ANS ✓Normal = immune/positive
-Vaccine must be given pre-pregnancy and PP
19. 5ps of labor - ANS ✓Passage
Powers
Psyche
Passenger
Position
20. Macrosomic - ANS ✓LGA
>8lbs or 4000grams
21. Passage - ANS ✓Maternal pelvis
22. Gynecoid pelvis - ANS ✓Pelvis can accommodate average sized baby
Problem: slows labor progress and inhibit fetal descent
24. Molding - ANS ✓Allows the fetal head to reshape and fit thru the pelvis
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-Shape normalizes after 48 hours
25. Passengers - ANS ✓Baby
Placenta
Membranes
26. Passenger-fetal lie - ANS ✓Relationship of the fetal spine to the maternal spine
-Longitudinal
-Transverse
27. Longitudinal lie - ANS ✓Breech/vertex
28. Fetal attitude - ANS ✓Relationship of the fetal body parts to one another
Flexion/extension of head
-Vertex
-Brow
-Sinciput
-Face
29. Vertex - ANS ✓Full flexion
-Ideal position
30. Sinciput - ANS ✓Moderate flexion (military attitude)
31. Brow - ANS ✓Partial extension
32. Face - ANS ✓Poor flexion, complete extension
33. Passenger - ANS ✓Fetal lie: Longitudinal vs transverse
Fetal presentation: vertex vs breech
Fetal attitude: flexion vs extension of head
Fetal position
-1st letter: which side of pelvis presenting part is touching
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