Exam (elaborations)
Exam 2 NSG 3500
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Galen college of nursing exam 2. Maternal health NSG 3500
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Exam 2 Review: MaternalHealth
1. Electronic fetal monitoring, putting monitor belts on this patient. What are we
trying to do with fetal electronic monitoring? Measures the heart rate, sign of
fetal well-being. FEM-heart rate a fetal well being
2. What does it look like if I am putting on external fetal monitors? - use of transducer
Securing a monitor or transducer to a patient’s abdomen.
3. If you had a patient that was a prima gravida and was in pain for labor, is
that a high priority patient in my area? No, it is not a high priority.
prima gravida + pain low priority
-
- If I had a baby with a baseline that is in normal range, and you are having
accelerations, are you worried about seeing that patient right away? No,
its normal. Not a high priority.
- If I have a patient who has ruptured membranes, and its not clear and its
green tinge and has an odor would I want to see her first? YES, her
membranes are ruptured and increased risk for infection and wondering if
my baby is tolerating that well. She has meconium fluid which puts the
baby at risk for meconium aspiration.
amountodor , color
ROM VIf infections
-
=
4. Do we ever want a patient to push before she is 10cm dilated? No, she can
cause fears
rupture or lacerate her cervix. no pushing before full dilation bec It can
5. Ex: if a patient had a contraction at 10am, then 10:02am, then 10:04am.
Patient has a Q2 min contraction pattern frequency. Frequency =
Beginning of one contraction to another
frequency beginning to beginning
6. Palpating the fundus to classify contractions as mild, moderate, strong:
- Strong contraction: hardest contraction you will ever feel, feels like your
forehead if it’s a peak of a contraction (will be called firm or strong).
impossible
- Moderate intensity contraction: it feels like if you push your chin and you
get through the bone, that is what the fundus will feel like at the uterus
at the peak of the contraction.
difficult
- A milder contraction will feel like the end of the nose and if you push on
your nose, you will feel cartilage.
weenie
, 7. What if you did have a patient that was 7cm and at the peak of every
contraction she’s like “ooo, I gotta push. I gotta push” what are you going to
do? Blow through that! Avoid pushing, encourage her to breathe,
ENCOURAGE HER TO BLOW!!!
from lower uterus
blowing takes pressure away
8. If you had a baby that was exhibiting what, what would you think is an
instant notifier to a provider? Late D cells, absent variability (NO
VARIABILITY, OR NONE is the word they will use), tachycardia or bradycardia.
NOTIFY THE DOCTOR!!!
9. Moderate difficulty to indent, not so moderate to indent, indents with
difficulty: if you had something mild (that would be your nose), but also
would it be easy to indent:
- palpating the intensity of contractions is often compared with palpating
one’s nose (MILD INTENSITY), Chin (MODERATE INTENSITY), or forehead
(STRONG INTENSITY).
- When uterine fundus remains soft at the acme of the contraction, the
contraction intensity is described as “mild”. weent
- When there is inability to indent the uterus at the acme of the inability
contraction, the contraction intensity is described as “strong”.
- “moderate” contraction intensity falls somewhere in between and is
characterized by a firm fundus that is difficult to indent with the
fingertips. difficult
10. Delayed cord clamping in premature babies, why would we want to do it
for a temp term neonate: because we are allowing that natural sensation of
the cord pulsating. Ideology is natural decreasing of that flow and it’s a nicer
transition for the baby. Physiological adaptation that is a little smoother.
11. When a woman is going through labor, her WBC will be up a little bit. It is
very common for a woman in labor to run a low-grade temperature (100.4
and below is considered a low-grade fever and we don’t call doctor we
provide fluids).
push fluids
12. Amnio infusion would go through what? IUPC (intra uterine pressure
catheter), and providers put that in and the primary function of an IUPC?
Ability to measure the exact millimeters of mercury being exerted into the
uterus with each contraction. IVPC-most invasive
- We put IUPC in if mother is obese or difficult to monitor, or we are given
her high doses of pitocin.
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