NURSING 4211 Maternity Exam Questions with Answers Study Guide
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Course
NURSING 4211
Institution
NURSING 4211
1.A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as which of the following?
A) Normal
B) Possible infection
C) Meconium passage
D) Transient fetal hypoxia
Analysis of Amniotic Fluid Amniotic fluid should be clear when the membranes rupture. Rupturi...
1.A woman's amniotic fluid is noted to be cloudy. The nurse interprets this
finding as which of the following?
A) Normal
B) Possible infection
C) Meconium passage
D) Transient fetal hypoxia
Analysis of Amniotic Fluid Amniotic fluid should be clear when the membranes rupture.
Rupturing of membranes is either spontaneous or artificial by means of an amniotomy,
during which a disposable plastic hook (an amnihook) is used to perforate the amniotic
sac. Cloudy or foul-smelling amniotic fluid indicates infection. Green fluid may indicate
that the fetus has passed meconium secondary to transient hypoxia, prolonged
pregnancy, cord compression, intrauterine growth restriction (IUGR), maternal
hypertension, diabetes, or chorioamnionitis; however, it is considered a normal
occurrence if the fetus is in a breech presentation.
2.When applying the ultrasound transducers for continuous external electronic
fetal monitoring, at which location would the nurse place the transducer to
record the FHR?
. A) Over the uterine fundus where contractions are most intense
. B) Above the umbilicus toward the right side of the diaphragm
. C) Between the umbilicus and the symphysis pubis
. D) Between the xiphoid process and umbilicus
how will you plapate uterine contractions in the fundus
The primary power of labor is uterine contractions, which are involuntary.
Uterine contractions increase intrauterine pressure, causing tension on the
, cervix. This tension leads to cervical dilation and thinning, which in turn
eventually forces the fetus through the birth canal.
To palpate the fundus for contraction intensity, place the pads of your fingers on the fundus and
describe how it feels: like the tip of the nose (mild), like the chin (moderate), or like the forehead
(strong). Palpation of intensity is a subjective judgment of the indentability of the uterine wall; a
descriptive term is assigned (mild, moderate, or strong
-in the first stage of labor, signs that your having effective uterine contractions, you will see
something else with the contracions what is it?
• First stage --
• LATENT PHASE
• Description: Stage1 is the longest
• Assessment: Cervical dilation is 1 to 4 cm, Uterine contractions occur
every 15 to 30 minutes, are 15 to 30 seconds in duration, and are of
mild intensity
how will you plapate uterine contractions in the fundus
Fetal bradycardia
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