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MATERNAL-NEWBORN NURSING - EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
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MATERNAL-NEWBORN NURSING - EXAM 1 QUESTIONS WITH COMPLETE SOLUTIOwhenayou'reapregnanta-aintrapartuma-acorrectaansweravaginaaincreasesa-->aeverythingaelseasquished urinaryameatusa-aswollena-aurinaryaretention pressureaonabladdera-aneedatoapee pressureaonabowelsa-aconstipation uterusa-acor...

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  • August 6, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • maternal newborn nursing exam 1 questions with c
  • whenayoureapregnanta aintrapartuma acorrectaanswe

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  • Maternal Newborn Nursing
  • Maternal Newborn Nursing

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MATERNAL-NEWBORN NURSING -
EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
whenayou'reapregnanta-aintrapartuma-acorrectaanswera✔✔vaginaaincreasesa--
>aeverythingaelseasquished

urinaryameatusa-aswollena-aurinaryaretention
pressureaonabladdera-aneedatoapee
pressureaonabowelsa-aconstipation

uterusa-acorrectaanswera✔✔-ligamentsahelpaholdauterusainaplace
-needsatoabeathicka&astrongatoapropelababyaout
-uterusaisaveryaviscousaandavasculara
-fundusa=atheatopaofatheauterusa
-
plugaofamucusaplugsatheacervixaduringapregnancyatoamakeasureatheababyaisasafe,asecure,as
eparateafromavagina.aThisamucusaplugaisanotathereawhenanotapregnant.a
-mostaofatheapainaofalaboraisaofatheacervixaopening.aItaneedsatoathinaandacreateaanaopening.

uterusamusclealayersa-acorrectaanswera✔✔outeralayera
-alongitudinal
-*helpsapropelafetus*adownward

middlealayer
-figurea8
-contract,ahelpatoacloseaoffauterineaarteriesatoahelpa*stopableeding*aafterabirth

inneralayer
-circular
-keepacervixaclosed
-needatoapullaupa&aoutatoa*open/dilateacervix*atoaallowapassageaofafetus
-preventsabackaflowaofamenstrualablood

theamusclesaofatheapelvicafloora-acorrectaanswera✔✔-suportapelvicaorgans
-canabeaweakenedaoradamagesaduringachildbirth
-canahaveaurinaryaorafecalaincontinenceaifadamaged

uterusa---aroundaandauterosacralaligamentsa-
acorrectaanswera✔✔Stretchaasauterusarisesainapelvicacavity




"Roundaligaments"a
a-attachaonasidesaofauterus

a-insertaonasidesaofalabiaamajoraa(inguinalaarea)

,-canahurtafrontaofawomanaifasheagetsaupatooaquickly

utterosacralaligamenta-abackapain

Factorsaaffectingalabora-atheafiveaP'sa-
acorrectaanswera✔✔Passengera(fetalapresentation,alie,aattitude,aposition)a-

atheababya(size,ashape,aposition)




Passagewaya(pelvis)

Powersa(primaryaandasecondary)a-
aprimaryaareainvoluntaryacontractions,asecondaryaareavoluntaryacontractions/mom'sapushi

ngaefforts

Positionsa(ofatheamomaduringalaboraandadelivery)

Psychea(where'samom'sahead???)

Passengera-afetalahead:asize,ashapea-acorrectaanswera✔✔-
openasuturesaandafontanellesaallowabonesatoamold/adaptatoapelvic
-youacouldahaveaaamomawithaaababyawhoseaheadaisatooabigaforaherapelvis
-biparietala(side-to-side)a&aanterioposteriora(fronta-to-back)askullameasurementsaimportant

Passengera-afetalapresentation:apartathataentersainletafirsta-
acorrectaanswera✔✔*cephalica(headafirst)*:atheausualapresentation,a96%aof ababies




fouratypesaofacephalic....

*vertex:acompleteaflexion*a-abestawayatoafitathroughapelvis!!a
-headacanaelongate
-
smallestapartaofaheadapresentedathroughabirthacanala(likeapersonaturningabodyatoagetathrou
ghacrowd)

militarya-amoderateaflexion
browa-apooraflexiona(extension)
facea-afullaextensiona-ababyacomesaoutawithabruisedaface

asaitalosesaitsaflexion,aitapresentsaincreaseadiameters.

fetalapresentationa-abreecha-acorrectaanswera✔✔onlya3%aofabirths
feetafirst
baby'saheadacanagetastuckaafterabodyacomesaout
canabeabornalikeathisabutaalmostanoaDrsawilladeliveraaabreechababyanowab/caweahaveac/saopti
onawhichaisamuchasafer

, fetalapresentationa-ashouldera-acorrectaanswera✔✔onlya1%aofabirths
*notaconsistentawithavaginaladelivery*

r/tatrauma,alackaofafetalareserve,adecreasedaoxygenation

can'tabeabornathisawayavaginally,awon'tafit

fetala"lie":arelationaofafetusatoamoma-acorrectaanswera✔✔"longitudinal"a-ababyaisaverticala-
acephalicaorabreechapresentations




"transverse"a-ababyaisaside-to-side/horizontala-aincompatibleaSVDa(needaintervention)

"oblique"a-afetusaataanglea(btw.atwo)acannotadeliveravaginally

fetala"attitude":apostureaofababya-
acorrectaanswera✔✔NORMAL:a"flexion"a(babyaisaallatuckedaupaandahasaitsalimbsatuckedasnu

glyaintoaitself)
abackaofafetusarounded

achinaflexedatoachest

athighsaflexedaonaabdomen

alegsaflexedaataknees

aarmsacrossaoverathorax




ABNORMAL:aextension
-associatedawithaprolongedalabor
-e.g.,aheadaextended,arightaarmaextended

fetala"position"a-
acorrectaanswera✔✔Relationaofafetalapresentingapartatoaoneaofamaternalapelvicaquadrants




occiput:aposterioraofafetalaheadabelowaposteriorafontanellea(i.e.,aBACKaOFaHEAD)

sacrum:abuttocks

Isapresentingapartadirectedatowardatheamother'safront,aback,aoraside?a(anteriora(A),aposterio
ra(P),aoratransversea(T))

occiputaanteriora-abackaofaheadafacingatowardsafrontaofamoma-aeasierawayatoabeaborn

occiputaposteriora-
a"sunnyasideaup"ababy'saheadapushesaagainstamom'saspineaandasymphysisapubis...painfulaf

oramom,ababy'safaceacanaalsoagetabruised

fetalapositionastepsa-acorrectaanswera✔✔Whataisafetalapresentingapart?a(middleainitial)
aocciputa[headafirst]a(O)aorasacruma[buttafirst]a(S)a

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