FinalIExam:INUR2633/INURI2633I(LatestI
2024/I2025IUpdate)IMaternalIChildIHealthI
Guide|IQuestionsIandIVerifiedIAnswers|I
100%ICorrect|IGradeIA-IRasmussen
Q:ISTAGESIOFILABOR
Answer:
I1st:IdilatingIstageI3Iphases:
-LatentI(0-3cm)
-ActiveI(4-7cm)
-TransitionalI(8-10cmIw/IurgeItoIpush)
2ndIstage:Idelivery
3rd:IplacentalIdelivery
4th:Irecovery-IprimaryIgoalItoIpreventIhemorrhageIfromIuterineIatony,I1stIvoidIwithin
1IhourIandIthenIq2-3Ihrs,IRhogam
Q:IFETALIMOITORINGIASSESSMENT
Answer:
IDECELERATION:
GradualIorIabrubtIdecreaseIinIFHRIlastingIlongerIthanI15IsecondsIbutIusuallyIlessIthanI2Imin
utes.
EARLYIDECELERATION:
-slowingIofIFHRIw/IstartIofIcontraction
-dueItoIcompressionIofIbaby'sIheadIfromIcontraction
*noIinterventionInecessary
LATEIDECELERATION:
-slowingIofIFHRIafterIcontractionIhasIstartedIandIprolongedIreturnItoIbaseline
-dueItoIuteroplacentalIinsufficiency
*placeIpatientIinIside-
lyingIposition,IadministerIIVIfluids,Id/cIoxytocin,IadministerIO2,IpalpateIuterusIforItachysystol
e,InotifyIprovider.
VARIABLEIDECELERATION:
-transient,IvariableIslowingIFHRI("V",I"W"IonIwaveIform)
-dueItoIumbilicalIcordIcompression
-placeIpatientIinIknee-chestIposition,Itrendelenburg,Id/cIoxytocin,IadministerIO2
,Q:IRUPTUREIOFIMEMBRANES:
SROM
Answer:
IspontaneousIruptureIofImembrane:InaturallyIoccurringIruptureIofItheIfetalImembranesIduringI
orIafterIonsetIofIlabor,InormalIrequireINOIintervention
I
16.IRUPTUREIOFIMEMBRANES:IAROM
Answer:
IAMNIOTOMY
breakingItheIwaterIofItheIamnioticIsacIintentionallyIduringIlabor
testIamnioticIfluidIafterIforIinfection
Q:IPLACENTAIPREVIA
Answer:
IpainlessIvaginalIbleeding
treatment:
-tocolytics
-IVIfluids
-bloodItransfusions
C-SECTIONIREQUIRED
Q:IPLACENTAIABRUPTION
Answer:
I3rdItrimesterIbleedingIassociatedIwithIsevereIab-IdominalIpain
GUSHIOFIBLOOD
Q:IVBAC
Answer:
IvaginalIbirthIafterIcesareanIsection
, candidates:
1-2IpriorIlowItransverseIC-sections,InoIotherIproblems
Q:ILABORIPAINIMANAGEMENT
Answer:
I-epidural
-butorphanol
EPIDURAL:
-eliminatesIsensationIfromIumbilicusItoIthighs.IAdministerIwhenImomIisIatIleastI4cmIdilated
-s/e:ImaternalIhypotension,IfetalIbradycardia
-nursingIinterventions:IadministerIIVIfluids,IpositionImomIonIside,ImonitorImaternal
VSIandIFHRIcontinually
BUTORPHANOL:
-narcoticIopioidIanalgesicIs/eIforImom:
PainIatItheIinjectionIsiteINauseaIandIvomitingIDrowsinessIorIsedationIDizziness
MuscleIweakness
Itching
I
UrinaryIretentionIs/eIforIbaby:
SlowIbreathingIinItheIbaby
Sleepiness
PoorIfeedingIorIbreastfeeding
Apnea
Q:IPOSTIPARTUMIASSESSMENT:
BUBBLEHE
Answer:
I-BREASTS:Isize,Ishape,Ifirmness,Iredness,Isymmetry
-UTERUS-firmIorIboggy,IfundalIheight,ImidlineIorIdeviatedI(deviatedIsignIofIaIfullIbladder)
-BLADDER:IvoidIw/inI4-6Ihours
-BOWEL:IbmIw/inI2-3Idays
-LOCHIA:ICOCA,IshouldIbeIodorless,IlightensIoverItime,IlessIthanI1IpadIperIhour
-EPISIOTOMY:IREEDA
-
IHOMAN'SISIGN:IsignsIofIDVT,IlyingIsupine,IlegIbent,Idorsiflex,Ipain,IlookIforIedema,Iredn
ess,Iwarmth
-RUBIN'SIPHASES
