NUR 2513 / NUR2513 Maternal Child Nursing Final Exam Review | Rated A Complete Guide| Latest 2021 / 2022 | Rasmussen College

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NUR 2513 / NUR2513 Maternal Child Nursing Final Exam Review | Rated A Complete Guide| Latest 2021 / 2022 | Rasmussen College OB/Newborn 1. What does GTPAL mean? In a case scenario, how will you ... number a woman’s pregnancy/birth history? - Gravida: how many times she eve been pregnant - Term: after 37wks - Preterm: prior to 38wks - Abortions: elective/miscarriage prior to 20wks - Living 2. How is a due date calculated by Naegele’s rule? - LPM – 3 months + 7 days + 1y - Ex: 10/01/19 EDD: 07/08/20 3. If Leopold’s maneuvers help us determine how baby laying/presenting so we know where the head and back are to monitor baby’s heart tones best, what part of the abdomen would the best place be to hear if the baby is vertex versus breech? - Breech: monitor will be above the belly button of the mom, either LUQ or RUQ - Head down: monitor will go over the back, located in either the LLQ or RLQ 4. What are the differences between placenta previa and placental abruption? How will each manifest/what signs will you notice with each? » Previa: placenta is covering the cervix - no pain, bright red blood, soft uterus, nontender w/ normal tone, VS WNL » Abruption: placenta is separating from the uterine wall - pain, dark blood, rigid uterus 5. What are the assessment criteria for each component of the Apgar score? pp. 436-437 Appearance – Pulse – Grimace – Activity – Respiration, 1 and 5min after birth APGAR 0 1 2 Heart Rate Absent Slow > 100/min < 100/min Respiratory Rate Absent Slow, weak Good cry Muscle Tone Flaccid Some flexion Well-flexed Reflex Irritability None Grimace Cry Color Blue/Pale Pink + Acrocyanosis Completely Pink 6. If the purpose of the infant’s fontanelle (3-4 cm anterior opening) and cranial bones is to be movable for the birthing process, when does the anterior fontanelle close? p. 445 - Anterior: 12-18mo - Posterior: triangular shape, closes at 2-3mo 7. What is the Moro reflex? How is it elicited and how long before it fades (as neuromuscular maturity increases)? p. 434 - Involuntary motor response that infant splays arms and move their legs before bringing their arms in fronto of the body - Should go away around 4-5mo 8. If a mother is using a substance (either Rx or illicit), what are the risks to baby? Besides the need to assess toxicology on mom and baby, what other assessments/cares are necessary? pp. 584, 709-710. - Congenital anomalies - Growth restriction - Hep B, HIV - Assess for NAS: irritability, disturbed sleep pattern, constant movement, tremors, high-pitched cry, frequent sneezing, tremors, tachypnea, hyperreflexia and clonus, vomiting, diarrhea 9. What are risk factors for postpartum hemorrhage? Think of reasons that make the uterus have to work harder to contract back down to size. - Multiple pregnancies, macrosomic baby, polyhydramnios - Long labor, fast delivery (precipituous delivery - Twins/triplets etc (over stretch the uterus) - Uterine tachysystole / atony / ruptured uterus 10. What are signs of respiratory distress in a newborn? Is acrocyanosis a normal finding? Why? - Acrocyanosis is normal for 24h - S/S of distress: nasal flaring, retractions, tachypnea/cardia, grunting, head bobbing 11. Pitocin (oxytocin) can be used to induce (or augment) labor. If too much is given, little rest time between contractions (we like at least 1 minute) means baby will have less circulation since a contraction really slows blood flow through the uterus. It’s like baby is holding their breath during the contraction. Think back to your discussion on Pitocin. What are safe ways to use this high-risk medication? pp. 603- [Show More]

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