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Questions and Answers
What is the shape of the anterior fontanelle?
At what age does the posterior fontanelle typically close?
Which of the following is a clinical significance of sutures and fontanelles in the fetal skull?
What is the most favorable presentation for cervical dilation during labor?
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How do fontanelles serve as a guiding point in vaginal examinations?
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What is one function of the pelvic floor during childbirth?
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Which suture is fused in early adulthood due to the completion of ossification?
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What consequence can a pelvic floor injury during childbirth lead to?
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Which of the following bones is NOT part of the fetal skull?
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What is the primary role of the pelvic floor muscles regarding elimination?
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What is a primary principle of family-centered care in maternity nursing?
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Which aspect does midwifery not cover?
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What should families be provided with to make decisions about their care?
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What is one of the learning objectives of the maternity nursing course?
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Which of the following influences is not typically associated with nursing management in maternity care?
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Which component is essential to understand regarding the physiology of maternity nursing?
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What is a key role of the nurse or midwife in caring for childbearing women?
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What does understanding the physiology of fertility, conception, and pregnancy involve?
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What is the primary function of the umbilical cord?
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Which structures are involved in the exchange of substances between the mother and fetus?
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How many arteries and veins are typically found in the umbilical cord?
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What is the role of Wharton's jelly in the umbilical cord?
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Which abnormality of the umbilical cord is characterized by a twisted cord?
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What types of substances are exchanged between maternal blood and fetal blood?
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Which component is critical for the exchange system of the placenta?
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What characteristic of the umbilical cord helps it maintain its shape and prevent compression?
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What is the definition of a zygote?
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During which period is a fetus considered viable to survive outside of the uterus?
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What is the normal duration of a human pregnancy considered to be?
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What does the term 'nullipara' refer to?
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What age range is classified as 'advanced maternal age'?
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What gestation classification is a fetus born before 37 weeks called?
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What is the primary purpose of proper waste disposal in a clinical setting?
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When is the term 'labour' specifically used?
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What is included in a full term pregnancy classification?
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What defines a 'primigravida'?
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What does the term 'gestational age' refer to?
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What stage follows a zygote's development?
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What is the primary function of sterile equipment storage?
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What indicates a stillbirth?
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Study Notes
Learning Objectives
- Understand course content and maternal nursing principles.
- Recognize roles of nurses/midwives in caring for childbearing women and newborns.
- Acknowledge social, cultural, and spiritual aspects of childbearing.
- Identify major components of nursing management for women, children, and families.
- Acquire obstetric nursing terminology.
- Grasp basic anatomy and physiology in obstetric nursing.
- Understand physiology related to fertility, conception, and pregnancy.
Principles of Family-Centered Care
- Childbirth viewed as a normal, healthy family event.
- Impact of childbirth extends to the entire family, altering relationships and roles.
- Families can make informed decisions regarding care with proper support and information.
Midwifery Practice
- Midwifery involves collaboration with women through pregnancy, labor, postpartum, and newborn care.
- Emphasizes professional support while respecting women’s autonomy.
Common Obstetric Terminologies
- Zygote: Fertilized ovum from conception to implantation.
- Embryo: Developmental stage of zygote from implantation to 5-8 weeks.
- Fetus: Unborn child from the 8th week until term.
- Term: Pregnancy duration when birth is expected, 37-42 weeks considered normal.
- Abortion: Termination of pregnancy before 24 weeks; can be spontaneous or induced.
- Stillbirth: Fetus born without life signs at or after 24 weeks.
Key Pregnancy Terms
- Gravida: Number of pregnancies a woman has had.
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Para/Parity: Number of births after 24 weeks.
- Nullipara: Never given birth.
- Primipara: Delivered one child.
- Multipara: Delivered more than one child.
- Grand multipara: Delivered five or more children.
- Trimester: One-third periods of pregnancy (1st: conception to 13w6d, 2nd: 14w to 27w6d, 3rd: 28w to delivery).
- Gestational Age: Time of pregnancy measured from the last menstrual period.
- Estimated Date of Confinement (EDC): Expected delivery date, averaging 280 days or 40 weeks.
Anatomy of Uterus and Fetal Skull
- The fetal skull comprises frontal, parietal, occipital, and temporal bones.
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Sutures: Unossified membranes allowing flexibility during delivery.
- Include frontal, coronal, sagittal, and lambdoid sutures.
- Fontanelles: Non-ossified areas of the skull; anterior closes at 18 months, posterior at 6 weeks.
- Clinical significance includes guiding vaginal exams and skull shape during labor.
Umbilical Cord Characteristics
- Connects the placenta to the fetus, approximately 50 cm long and 2 cm in diameter.
- Contains two umbilical arteries (deoxygenated blood) and one umbilical vein (oxygenated blood).
- Functions to transport nutrients and oxygen to the fetus and remove waste products for maternal excretion.
- Common abnormalities include true knot and jelly cord.
Placenta Exchange System
- Consists of chorionic villi facilitating gas and nutrient exchange.
- Fetal blood circulates through umbilical cord, interacting with maternal blood via diffusion and active transport.
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Description
Explore the foundational concepts of maternal nursing in this first lecture of NUR502. Gain insights into essential practices and understanding necessary for effective maternal care. Ideal for nursing students looking to enhance their knowledge in maternity nursing.