MATERNAL NEWB ORN OB NEWE ST 2024 ACTUAL EXAM TEST BANK 8 0 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Nursing Care During Stages of Labor: Nursing Interventions for Umbilical Cord Prolapse (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 14) - correct answer ✔✔-Umbilical cord appears to lengthen as placenta descends -When there is suspected rupt ure of membranes, the nurse should first assess the FHR to ensure there is no fetal distress from possible umbilical cord prolapse, which can occur with the gush of amniotic fluid -Encourage upright positions, application of warm/cold packs, ambulation, or hydrotherapy if not contraindicated to promote comfort Labor and Delivery Processes: Indications of True Labor (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 11) - correct answer ✔✔-Contractions: can begin irregularly but become regular, str onger, longer, more frequent, felt in lower back, walking can increase contraction intensity, continue despite comfort measure -Cervix: progressive change in dilation and effacement, moves to anterior position, bloody show -Fetus: presenting part engages i n pelvis Complications Related to the Labor Process: Prioritize Care to the Client in Labor (Chapter 16 -Basic learning concept - correct answer ✔✔-
Call for assistance immediately -Notify provider -Using a sterile glove, insert 2 fingers into vagina and apply pressure on either side of cord to fetal presenting part to relieve pressure -Reposition in high Trendelenberg or side -lying poition with rolled towel -apply warm sterile saline -soaked towel to visible cord -provide continuous FHR monitoring, check f or late decels Managing Client Care: Delegation to assistive personnel (Chapter 1)` - correct answer ✔✔-Clerical duties -Selected care tasks such as ambulation, feeding, mouth care, and bathing -Data gathering such as intake and output and vital signs Prioritizing Care for a Group of Antepartum Clients - correct answer ✔✔When a nurse has a patient who has multiple clients and needs to identify who should get highest priority in care, there are many factors that play into that decision. In antepartum testin g, if a patient has had an indication (diabetes, chronic hypertension, preeclampsia, fetal growth restriction, multiple gestation, oligohydramnios, PPROM, late term or post term gestation, previous still birth, decreased fetal movement, renal disease) than they would have a higher priority than mothers who do not have one of the indications. Lowdermilk, 635 Providing Discharge Teaching to a Client Who Had Gestational Diabetes Mellitus - correct answer ✔✔insulin requirements may decrease because a major sour ce of insulin resistance has been removed, it may take several days to reestablish carbohydrate homeostasis so monitor blood glucose levels, continue to breast feed, endometritis is more likely to occur in patients with diabetes, may need to talk about con traceptives with diabetes lowdermilk, 698 Evaluating Positive Parenting Behaviors - correct answer✔✔Early eye contact, early skin to skin contact, extended contact, touching the baby, talking around the baby especially the mother, having a sense of smell that doesnt change for the baby, smiles, naming the infant lowdermilk 503 -504 Ante/Intra/Postpartum and Newborn Care: Fetal assessment during labor - late decelerations - correct answer✔✔-fetal heart monitoring can be done continuously with a transducer a cross the moms abdomen -heart rate is broken into a 3 tier system: ~catergory one which includes baseline HR of 110 -160 bpm, moderate HR variability, present or absent accelerations or early decelerations, no late or variable decelerations ~catergory 2: baseline is tachy or bradycardia, variability is either marked, absent, or minimal, episodic or periodic
