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NUR 4445 ( LATEST 2024 / 2025 ) INTRAPARTUM COMPLICATIONS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED) $15.99   Add to cart

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NUR 4445 ( LATEST 2024 / 2025 ) INTRAPARTUM COMPLICATIONS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)

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NUR 4445 ( LATEST 2024 / 2025 ) INTRAPARTUM COMPLICATIONS | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)

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  • November 1, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 4445 Intrapa
  • NUR 4445 Intrapa
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NUR 4445 Intrapartum Complications

1. What is macrosomia? What are the risk factors for macrosomia (6)?
Answer
- Baby weighing e 4,000 g (8 lb 8 oz) at birth.

- Risk factors associated with macrosomia

· Obesity, diabetes, pelvic abnormalities, post-date pregnancy, short stature, previ- ous shoulder
dystocia

2. What are the maternal complications associated with macrosomia (5)?
Answer
- Cephalopelvic disproportion (CPD)

- Dysfunctional labor
- Prolonged labor
- Soft tissue laceration during vaginal birth
- Postpartum hemorrhage

3. What are the fetal complications associated with macrosomia (9)?
Answer
- Shoul- der dystocia (head is born but anterior shoulder cannot pass through cervix, if
unresolved can lead to death)

- Brachial plexus injury
- Fractured clavicle
- Asphyxia
- Hypoglycemia
- Meconium aspiration
- Hyperbilirubinemia
- Obesity
- Diabetes

4. What does nursing assessment in preparation for delivery look like in macrosomia (4)?
Answer

, - Want to identify before labor onset to reduce the occurrence of associated maternal fetal
problems.

- Evaluation of maternal pelvis if a large fetus is suspected
- Estimation of fetal size
- Ultrasonography may be indicated
5. What does nursing management look like during delivery with macrosomia

(7)?

Answer
- Unexpected shoulder dystocia is critical problem

- assist woman in McRoberts maneuver or apply suprapubic pressure to aid in the birth of the
fetal shoulders
- Application of fundal pressure is contraindicated
- Evaluation of rates of cervical dilation and fetal descent

- Continuous fetal monitoring
report any sign of labor dysfunction or non-reassuring fetal status to HCP

- Lack of fetal descent should raise suspicion that infant may be too large for vaginal birth
- Support and inform laboring woman and her partner


6. What does neonatal assessment look like with macrosomia (4)?
Answer
- Inspect newborn for cephalohematoma, Erb palsy, and fractured clavicles

- Inform nursery staff of any problems
- Close monitoring for cerebral, neurologic, and motor problems
- Monitor BG

7. What does maternal care/assessment look like with macrosmia (2)?
Answer
- Ex- pect uterine atony and boggy (soft) uterus

- Monitor for and treat uterine hemorrhage

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