Exam (elaborations)
CHAPTERS 6,7,8 INTRO TO MATERNITY AND PEDIATRIC NURSING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
CHAPTERS 6,7,8 INTRO TO MATERNITY AND PEDIATRIC NURSING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
CHAPTERS 6,7,8 INTRO TO MATERNITYAND PEDIATRIC NURSING QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
interventions for ruptured amniotic fluid sac - ANSWER -note time, color, and amount of fluid
-notify HCP
-amniofusion technique done: IV fluid is infused into the amniotic cavity through an intrauterine
pressure catheter, maybe performed to add cushion around the cord
-may be ruptured artificially (amnitotomy) by HCP
-normal color of fluid: flecks of white vernix (fetal skin protectant)
7 mechanisms of labor - ANSWER as the fetus descends into the pelvis, it undergoes positional changes
so it adapts optimally to changing pelvic shape and size
aka cardinal movements
1. descent
2. engagement
3. flexion
4. internal rotation
5. extension
6. external rotation
7. expulsion
1. descent - ANSWER -required for all other mechanisms of labor to occur and for infant to be born
-occurs as each mechanism of labor comes to play
-station: the level of the presenting part (usually the head) in the pelvis
~estimated in cm
~minus stations are above the ischial spines
~plus stations are below the ischial spines
~as fetus descends, minus #'s decrease & plus
, numbers increase
2. engagement - ANSWER -occurs when the presenting part (usually the bi-parietal diameter of the fetal
head) reaches the level of the ischial spines of the mothers pelvis (presenting part is at a 0 station or
lower)
-often occurs before the onset of labor in a nullipara mother
-may not occur until well after labor begins in a multipara mother
3. flexion - ANSWER -fetal head should be flexed to pass most easily through the pelvis
-contractions increase the amount of fetal head flexion until the fetal chin is on the chest
4. internal rotation - ANSWER -when the fetus enters the pelvis head first, the head is usually oriented so
the occiput is toward the mothers right or left side
5. extension - ANSWER -as fetal head passes under the mothers symphysis pubis, it must change from
flexion to extension so it can properly negotiate the curve
6. external rotation - ANSWER -when head is born in extension, the shoulders are crosswise in the pelvis
and the head is somewhat twisted in relation to the shoulders
-the head turns farther to the side as the shoulders rotate within the pelvis
7. expulsion - ANSWER -the anterior shoulder then the posterior are born, followed by the rest of the
body
leopold's maneuver - ANSWER -determination of the fetal position and presentation by abdominal
palpitations
-helpful in locating the fetal back (best location for hearing FHR)
amniotomy procedure - ANSWER -HCP ruptures the membrane artificially
-color, odor, and amount of fluid are recorded
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 Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81531 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
