MCN 273 FINAL EXAM TEST WITH COMPLETE SOLUTIONS
Birth Trends
How much does it cost to give birth?
How much does it cost to raise a child?
CAM examples in pregnancy
GPTPAL
Anatomy: Uterus
SVE
Dilation
Effacement
Station
TACO
Fetal doppler or US
Stage On...
MCN 273 FINAL EXAM TEST WITH
COMPLETE SOLUTIONS
Birth Trends CORRECT ANSWERS 3 year decline Mean age at first birth is 26.8 (record high) 15-29 birth rate decreasing 35-49 birth rate increasing
How much does it cost to give birth? CORRECT ANSWERS Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child? CORRECT ANSWERS A sh*t ton
$234,900
CAM examples in pregnancy CORRECT ANSWERS Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy Aromatherapy Visualization/guided imagery
GPTPAL CORRECT ANSWERS Gravida = # of pregnancies
Para = # of births T = # of term babies
P = # of preterm babies
A = # of abortions L = # of living children
Anatomy: Uterus CORRECT ANSWERS Fundus Body
Cervix (dilation, effacement, station )
SVE CORRECT ANSWERS Charted with 3 numbers Dilation, effacement, and station
Dilation CORRECT ANSWERS How open the cervix is (0-10) Effacement CORRECT ANSWERS Thickness/thinness of the cervix (0%-100%)
Station CORRECT ANSWERS Where the baby's head is in relation to mom's pelvis Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO CORRECT ANSWERS Describes the BOW
T = time A = amount C = color
O = odor
Fetal doppler or US CORRECT ANSWERS Measures fetal HR/tones
Normal is 110-160 Will have variability Accelerations are a good thing (15 beats x 15 seconds) Decelerations are not
Stage One of Labor CORRECT ANSWERS Dilation
Stage Two of Labor CORRECT ANSWERS Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor CORRECT ANSWERS Placental Delivery
Placental separation 5-30mins after delivery
Stage Four of Labor CORRECT ANSWERS Recovery 1-4hrs
Monitor blood loss (hemodynamic changes) Uterus must remain contracted
Phases of Dilation: One CORRECT ANSWERS Early/latent
0-3cm
UCs q 5-10m
Lasts 30-40sec
~6-9hrs
Phases of Dilation: Two CORRECT ANSWERS Active 4-7cm
UCs q 2-5min
Lasts 45-60sec
~4.5-6hrs
Phases of Dilation: Three CORRECT ANSWERS Transition 8-10cm
UCs q 1-2min
Lasts 60-90sec
~30min-1hr
Average blood loss for vaginal delivery CORRECT ANSWERS 500ccs
Average blood loss for C/S CORRECT ANSWERS 1000 ccs
Post-Partum Assessment: BBUBBLE-EE CORRECT ANSWERS Brain
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy/Perineum/Hemorrhoids
Extremities
Emotional
Breastfeeding Tips CORRECT ANSWERS Baby alert and rooting
Mom and baby comfortable Grasp breast in "c-hold"
Observe latch
Watch for suck/swallow Nose to nipple
Breastfeeding positions CORRECT ANSWERS Cradle
Football/clutch
Cross-cradle
Side-lying
Assessment of Newborn CORRECT ANSWERS Done in the first 2hrs of life and then continuously until discharge
H2T assessment (included mom's physical health, health hx, and birth hx) Immediate Newborn Assessment CORRECT ANSWERS Within the first 2hrs of life
Assess need for resuscitation
Place with parents if stable
Gestational age assessment Vital signs q 30min x2hrs in the immediate newborn period
APGAR Scoring System CORRECT ANSWERS How much resuscitation the baby needs at birth
Five criteria scored from 0-1
Done at 1min, 5mins, and 10mins after birth
APGAR Scoring Categories CORRECT ANSWERS Appearance Pulse (auscultate apical HR for 1 full minute) Grimace (reflex irritability) Activity (muscle tone, extent of flexion, resistance when extremities pulled away from body) Respiratory
APGAR: Appearance: 0 points CORRECT ANSWERS Cyanotic or pale
APGAR: Appearance: 1 point CORRECT ANSWERS Appropriate body color
Blue extremities (acrocyanosis)
APGAR: Appearance: 2 points CORRECT ANSWERS Completely appropriate color (pink on both trunk and extremities)
APGAR: Pulse: 0 points CORRECT ANSWERS Absent
APGAR: Pulse: 1 point CORRECT ANSWERS Slow (<100bpm)
APGAR: Pulse: 2 points CORRECT ANSWERS >100bpm
APGAR: Grimace: 0 points CORRECT ANSWERS No response
APGAR: Grimace: 1 point CORRECT ANSWERS Grimace or frown when irritated
APGAR: Grimace: 2 points CORRECT ANSWERS Sneeze, cough, or vigorous cry
APGAR: Activity: 0 points CORRECT ANSWERS Limp, flaccid
APGAR: Activity: 1 point CORRECT ANSWERS Some flexion
Limited resistance to extension
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