Maternal and Child Health Nursing I

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Questions and Answers

True labor produces irregular contractions.

False

What should a mother do to break the suction of her breastfeeding infant?

Insert a finger at the corner of the infant’s mouth.

High levels of oxygen can cause blindness in premature neonates.

True

What is amniotomy?

Artificial rupture of the amniotic membranes. Signup and view all the answers

During pregnancy, weight gain averages _ to _ lb.

25 to 30 Signup and view all the answers

What teratogenic effect does rubella have during the first trimester?

Produces abnormalities in up to 40% of cases Signup and view all the answers

A titer greater than _____ indicates immunity to rubella in a woman.

1:8 Signup and view all the answers

What does the term 'floating' refer to during labor?

The presenting part isn’t engaged in the pelvic inlet and is freely movable. Signup and view all the answers

What does 'engagement' mean during labor?

The largest diameter of the presenting part has passed through the pelvic inlet. Signup and view all the answers

What does fetal station indicate?

The location of the presenting part in relation to the ischial spine. Signup and view all the answers

An Apgar score of _ to _ indicates no immediate distress.

7 to 10 Signup and view all the answers

What is Goodell’s sign?

Softening of the cervix Signup and view all the answers

Quickening occurs between _ and _ weeks of gestation.

16 and 19 Signup and view all the answers

Ovulation ceases during pregnancy.

True Signup and view all the answers

What should be considered a complication during pregnancy?

Vaginal bleeding Signup and view all the answers

What is the appropriate response if the umbilical cord cannot be loosened during delivery?

Clamp it with two clamps and cut between the clamps. Signup and view all the answers

At 12 weeks' gestation, the fundus should be at the top of the _____ pubis.

symphysis Signup and view all the answers

Cow's milk should be given to infants younger than age 1.

False Signup and view all the answers

How should jaundice be assessed in a neonate?

Examine the infant under natural window light or white light. Signup and view all the answers

The three phases of a uterine contraction are ___, _, and ___.

increment, acme, decrement Signup and view all the answers

How is the intensity of a labor contraction assessed?

By the indentability of the uterine wall at peak contraction Signup and view all the answers

What is chloasma?

Pigmentation of a circumscribed area of skin during pregnancy. Signup and view all the answers

Which pelvis shape is most ideal for delivery?

Gynecoid Signup and view all the answers

There is a safe level of alcohol intake for pregnant women.

False Signup and view all the answers

Study Notes

Labor and Delivery

True labor features regular contractions, abdominal discomfort, fetal descent, bloody show, and cervical dilation/effacement.
Fetal station indicates fetal position relative to ischial spine; measured in centimeters as negative (above) or positive (below), with station 0 at the spine.
Engagement occurs when the largest diameter of the presenting part passes through the pelvic inlet.
Floating indicates the fetal presenting part is not engaged and is freely movable above the pelvic inlet.
Uterine contractions have three phases: increment, acme, and decrement.

Maternal Health

Pregnancy weight gain averages between 25 to 30 lb (11 to 13.5 kg).
Pregnancy-induced hypertension (preeclampsia) can be identified by a blood pressure increase of 30/15 mm Hg over baseline or 140/95 mm Hg on two occasions post 20 weeks, combined with edema and albuminuria.
Women should avoid alcohol during pregnancy, as no safe level of intake exists.
Goodell’s sign indicates cervix softening, occurring in early pregnancy.
Chloasma, or the mask of pregnancy, presents as facial pigmentation over the cheeks and nose.

Neonate Considerations

Excessive oxygen in premature neonates can lead to retrolental fibroplasia, a cause for blindness.
If the umbilical cord is tight around a neonate's neck during delivery, it should be clamped and cut if it cannot be loosened.
Apgar scores range from 0 to 10, with scores of 7-10 indicating no distress and scores of 0-3 indicating severe distress.
To assess jaundice in neonates, examine under natural light; if unavailable, use white light.
Cow’s milk is not recommended for infants under one year due to its protein content and low linoleic acid levels.

Breastfeeding and Infant Reflexes

To break suction while breastfeeding, insert a finger at the corner of the infant's mouth.
Eliciting the Moro reflex involves gently dropping the neonate’s head backward, triggering an abduction and extension response of the extremities.

Pregnancy Monitoring

Measure rubella immunity using a hemagglutination inhibition test; a titer above 1:8 indicates immunity.
Vaginal bleeding during pregnancy should be treated as a potential complication until proven otherwise.
Fundal height at 12 weeks’ gestation should reach the symphysis pubis.

Ovulation and Signs of Pregnancy

Ovulation ceases during pregnancy; positive pregnancy signs include ultrasound, fetal heart tones, and examiner-felt fetal movement (normally after 4 months).
Quickening, or the first fetal movements felt by the mother, typically occurs between 16 and 19 weeks’ gestation.

Delivery Date Calculation

Estimate the delivery date using Nägele’s rule by counting backward 3 months from the last menstrual period and adding 7 days.

Maternal Positions During Labor

The side-lying position often provides comfort during the first stage of labor, though any comfortable position is acceptable for the patient.

Pelvic Types

Gynecoid pelvis is the most favorable for delivery; other types include platypelloid (flat), anthropoid (apelike), and android (male-like).

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Description

Test your knowledge on key concepts from Maternal and Child Health Nursing I. This quiz covers topics such as true labor characteristics, breastfeeding techniques, and care for premature neonates. Enhance your understanding of critical nursing practices related to maternal and child health.