maternal-newborn nursing 2

Question 1

is complex and has both physiological and psychological components

Answer 1

intrapartum pain

Question 2

cause visceral hypoxic pain

Answer 2

uterine contractions

Question 3

this anesthetic agent is usually administered when the client is in active labor

Answer 3

epidural regional anesthesia

Question 4

what is the baseline FHR

Answer 4

110 to 160bpm over 10 minutes

Question 5

is a greater than 160bpm over a 10 minute period

Answer 5

fetal tachycardia

Question 6

is an FHR of less than 110bpm for 10 minutes

Answer 6

fetal bradycardia

Question 7

the term used to describe the normal small fluctuations in heartbeat rate observed over 1 min

Answer 7

FHR variability

Question 8

is from the onset of regular uterine contractions to the full effacement and dilation of the cervix.

Answer 8

first stage of labor

Question 9

what are the two phases of the first stage of labor

Answer 9

latent and active

Question 10

up to 3cm dilation, extend from the onset of labor, with regular, painful contractions, that causes effacement cervical change and little increase in descent

Answer 10

latent phase

Question 11

4 to 10cm dilation, there is more rapid dilation of the cervix and increased rate of descent of the presenting part

Answer 11

active phase

Question 12

from 10 cm dilation and effacement to the birth of the infant, up to two hours for a primipara, often much less time for multipara

Answer 12

second stage of labor

Question 13

from the birth of the infant to the expulsion of the placenta, lasting up to 60 minutes

Answer 13

third stage of labor

Question 14

is the immediate recovery and stabilization time, from the delivery of the placenta to atleast 2 to 4 hours after the birth

Answer 14

fourth stage of labor

Question 15

these are the various positions the fetus assumes in a cephalic presentation and it moves through the confines of the pelvis and birth canal

Answer 15

cardinal movements

Question 16

the fetus moves downward into the pelvic passageway

Answer 16

engagement and descent

Question 17

the head flexes downward, chin to chest

Answer 17

flexion

Question 18

the head rotates 45 degrees

Answer 18

internal rotation

Question 19

the head passes under the symphysis pubis and reaches the perineum

Answer 19

extension

Question 20

the head rotates back to its origional position, followed by shoulder rotation

Answer 20

external rotation

Question 21

the shoulders pass under the pubic arch and perineum, the body is delivered

Answer 21

expulsion

Question 22

prolonged abnormal labor related to maternal factors or fetal factors

Answer 22

dystocia

Question 23

is a surgical incision made into the perineum to enlarge the vaginal outlet

Answer 23

episiotomy

Question 24

are a tear of the tissues that results in a jagged wound

Answer 24

vaginal lacerations

Question 25

involves the superficial vaginal mucosa or perineal skin

Answer 25

first degree

Question 26

involves the vaginal mucosa, perineal skin and deeper tissues of the perineum

Answer 26

second degree

Question 27

involves the vaginal mucosa, perineal skin, deeper tissues or the perineum and the anal sphincter

Answer 27

third degree

Question 28

extends through the anal sphincter into the rectal mucosa

Answer 28

fourth degree

Question 29

usually stimulates contractions within 12 hrs. amnotic fluid slowly released. the fetal head should be engaged to prevent cord prolapse.

Answer 29

AROM

Question 30

what are cervical ripening methods>

Answer 30

foley catheter insertion into the cervix, cervical prostaglandin gel and augmentation 24hrs later with oxytocin infusion

Question 31

what is pre term labour

Answer 31

20 to 37 weeks

Question 32

a personal expierence of deeply felt sorrow at the loss of something highly valued. occurs in stages, slowly over a period of time allowing the individuals to work the way through various defenses the psyche uses to protect itself from the full impact of the loss

Answer 32

grief

Question 33

what are the stages of grief

Answer 33

disbelief and shock anger bargaining depression acceptance

Question 34

are intensity felt for 6 to 10 weeks

Answer 34

acute grief reactions

Question 35

sometimes referred to as the fourth trimester, this 6 week puerperium is when mothers body returns to its prepregnancy state.

Answer 35

postpartum stage

Question 36

dark red, with sm clots for 3 to 4 days

Answer 36

locking rubra

Question 37

pinkish, serosanginius from days 3 to 10

Answer 37

lochia serosa

Question 38

whiteish to clear no odor day 10 to week 3

Answer 38

lochia alba

Question 39

a blood loss of 500ml or more that occurs in the first 24hrs after giving birth

Answer 39

early postpartum hemorrhage

Question 40

occurs after 24hrs following a birth and is most often related to retained placental fragments

Answer 40

late postpartum hemorrhage

Question 41

may persistent postpartum, and the clients should be monitored e to 6 days after delivery of infant

Answer 41

hypertensive disorders

Question 42

a significant cause of maternal morbidity and may include uterus, posture c section birth incision, urinary tract, breasts

Answer 42

infection

Question 43

inflammation and infection of the breast. can occur any time but most commonly occurs in the first 2 to 4 weeks pp

Answer 43

mastitis

Question 44

startle

Answer 44

moro reflex

Question 45

turns head toward stroked cheeck

Answer 45

rooting reflex

Question 47

grasps fingers around object

Answer 47

grasp/palmer relfex

Question 48

head turned to one side, same side arm and leg extend, opposite arm and leg flex

Answer 48

tonic neck reflex

Question 49

help upright, legs move as if stepping

Answer 49

stepping relfex

Question 50

when the sole of the foot is stroked upward, toes extend outward

Answer 50

babinski reflex

Question 51

pinpoint bright red diaper rash that does not resolve within 24hrs may be caused by c albicans

Answer 51

candida albicans

Question 52

one born after 42 weeks gastation

Answer 52

post term newborn

Question 53

it is a well defined, soft, localized swelling, and accumulation of blood between the skull and periosteum thwt does not cross the cranial sutures lunes

Answer 53

cephalohematoma

Question 54

a poorly defined, localized soft tissue edema cuasd by cervical pressure on the fetal head, present at birth, crosses the sutures lines

Answer 54

caput succedaneum

Question 55

most commonly nerve injury and is caused by traction on the nerves in the neck and head during birth

Answer 55

brachial plexus injury

Question 57

redness, swelling, or crepitus is noted over the collar bone, infant may be irritable and crying

Answer 57

fractured clavicle