Fetal Position And Presentation (maternal And Child Nursing)

35 Questions  I  By [email protected] on May 24, 2012
Welcome to Maternal and Child Health Nursing (HESI EXAMINATION) Prepared by: Jeffrey Viernes There are basically 3 positions that your baby can be in; breach, shoulder and arm, and cephalic (head first). Breach means the baby is coming feet or butt first which only happens in about 3% of births. The most rare presentation is the shoulder and arm position which means that the baby is lying sideways which only happens in less than 1% of births. The most common position for birth is head first (cephalic). Cephalic presentation is considered normal and occurs in about 97% of births. However, there are eight different ways a baby could be facing while head down. This is the type of presentation we are going to concentrate on in this article. 1. Occiput Posterior (OP) - head facing mother's tummy (sunny side up) 2. Occiput Anterior (OA) - head facing mother's back 3. Left Occiput Anterior (LOA) - head facing mother's right butt cheek (best position) 4. Right Occiput Anterior (ROA) - head facing mother's left butt cheek 5. Left Occiput Transverse (LOT) - head facing mother's right side 6. Right Occiput Transverse (ROT) - head facing mother's left side 7. Left Occiput Posterior (LOP) - head facing front of mother's right leg 8. Right Occiput Posterior (ROP) - head facing front of mother's left leg

  

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1.  The nurse practitioner palpated the head of the fetus to be in Station 0. As a nurse you would described this assessment data in the right medical terminology as:
2.  Determine the fetal position provided above.
A.
B.
C.
D.
3.  What are the  normal Puerpireum changes relating to the body of the postpartal woman? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
4.  Determine thefetal position that is presented above.
A.
B.
C.
D.
5.  What are the objective manifestations of positive maternal-infant bonding. Select all that apply. 
A.
B.
C.
D.
E.
F.
G.
6.  Match the following stages of Intrapartum Process to their respected or appropriate descriptions.
A. Stage 1
A.
B. Stage 3
B.
C. Stage 2
C.
D. Stage 4
D.
7.  The nurse practitioner described to the patient that she is 3 cm effacement. The mother was shy to ask question to the nurse practitioner. When you went to the room and gave her towels, she asked you what effacement means. As an LPN you know that effacement means:
A.
B.
C.
D.
8.  Match the following Methods of Contraceptions to their appropriate usage or characteristics.
A. Diaphragm
A.
B. Cervical cap
B.
C. Condom
C.
D. Symptothemal Pto-Themal
D.
E. IUD
E.
F. Oral contraceptives
F.
G. Transdermal contraceptives
G.
H. Norplant
H.
I. Depo shots
I.
J. Mittleschmerz
J.
9.  A student nurse is differentiating TRUE labor from FALSE labor to 39th week pregnant woman admitted to the labor and delivery department last night. The student nurse needs further teaching if she mentioned which of the following?
A.
B.
C.
D.
10.  The patient in labor is hyperventilating with a respiratory rate of 29. You are expecting that the client will have an acid-base imbalance and is in a respiratory alkalosis condition becuase she is releasing too much carbon dioxide outside her body. As an LPN you would noticed the patient to have which of the following presenting manifestation? Select all that apply.
A.
B.
C.
D.
11.  Match the following colors of locial flow that is present postpartally to the appropriate definition or characteristics.
A. Lochia rubra
A.
B. Lochia serosa
B.
C. Lochia alba
C.
12.  What are the CARDINAL MOVEMENTS of the fetus during delivery? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
13.  What are the interventions necessary for episiotomy wound?Select all that apply.
A.
B.
C.
D.
E.
14.  Determine the fetal presentation presnted above.
A.
B.
C.
D.
15.  When should a laboring mother begins to voluntarily push the fetus?
A.
B.
C.
D.
16.  The nurse is applying Erythromycin on the newborn to prevent ophthalmia neonatorum. She is aware that to apply this medication correctly to the newborn, she must consider which nursing implication?
A.
B.
C.
D.
17.  A postpartum mother feels unexplained tearfulness, feeling down and "not feeling to eat well". As a nurse, your correct response would be:
A.
B.
C.
D.
18.  Determine the fetal position above.
A.
B.
C.
D.
19.  Deternine the fetal presentation presented above.
A.
B.
C.
D.
20.  What are the  normal Puerpireum changes relating to the body of the postpartal woman? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
21.  Determine the fetal postion presented in the picture above.
A.
B.
C.
D.
22.  A woman who just delivered twenty four hours ago with a full term infant sleeps the whole day and needs assistance in doing activities of daily living. The nurse identified this as normal especially during the first 24 to 48 hours postpartum. According to Riva Rubin, what stage of maternal psychological adaptation  is the postpartum mother in?
A.
B.
C.
D.
23.  When is the appropriate time to give oxytocin to the patient?
A.
B.
C.
D.
24.  Identify the fetal position presented above.
A.
B.
C.
D.
25.  You are on duty in the labor and delivery department with some nursing students. A patient delivered an 8 pounds baby girl with an Apgar score of 10. The physician initiated the first assessment on the fundus of the mother. She noted soft anf boggy uterus. The physician continuously massage the uterus until the fragments and a gush of dark red blood came out into the woman's vagina. After 10 days, the woman came back complaining of painful dark red bleeding on her vagina. The physician suspected a subinvolution. One of the student asked what subinvolution means. As a nurse, you would correctly state that subinvolution:
A.
B.
C.
D.
26.  What is the most common cause of uterine atony in the first 24 hours postpartum?
A.
B.
C.
D.
27.  What are the prodromal labor signs? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
28.  What are the FIRST signs of regional block effectiveness?
A.
B.
C.
D.
29.  When should we administer a pudendal block?
A.
B.
C.
D.
30.  What are the objective manifestations of positive maternal-infant bonding. Select all that apply. 
A.
B.
C.
D.
E.
F.
G.
31.  A full term mother delivered a baby with an Apgar score of 9, head circumference of 33, chest circumference of 32, weight of 8 pounds, and height of 19 inches; three hours ago. The physician initiated the assessment of the fundus following 32 hours after delivery. The physician would feel the fundus on which of the following parts in the body? 
A.
B.
C.
D.
32.  What medication should be given to the newly born child to prevent ophtalmia neonatorum from gonorrheal exposure through the birth canal in a vaginal delivery?
A.
B.
C.
D.
33.  Determine the fetal presentation presented above by using the Leopold maneuvers.
A.
B.
C.
D.
34.  What anatomical part of the fetus is the BEST part to hear the fetal heart rate (FHR)?
A.
B.
C.
D.
35.  What are the FIVE symptoms of respiratory distress in the newborn? Slect all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
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