{"id":121107,"date":"2023-10-08T19:28:28","date_gmt":"2023-10-08T19:28:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=121107"},"modified":"2023-10-08T19:28:30","modified_gmt":"2023-10-08T19:28:30","slug":"bundle-for-nr-327-maternal-child-nursing-week-1-week-5-exam-study-guide-latest-2023-chamberlain","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/08\/bundle-for-nr-327-maternal-child-nursing-week-1-week-5-exam-study-guide-latest-2023-chamberlain\/","title":{"rendered":"BUNDLE for NR 327 | Maternal Child Nursing | Week 1 – Week 5 Exam Study Guide Latest 2023 | Chamberlain"},"content":{"rendered":"\n

NR 327 Week 5 Maternal-Child Nursing
Exam Study Guide Latest Guide 2023
Fundus assessment post partum – Correct Answer – firm and
near level of umbilicus
recheck after voiding
clots interfere with uterine contraction
support uterus when expelling clots to prevent inversion
additional oxytocin maybe needed
Post partum assessment: lochia – Correct Answer – Amount
Color
Odor
constant trickle, dribble, or oozing indicated excessive bleeding
and requires immediate attention
normal odor is fleshy, earthy, or musty<\/p>\n\n\n\n

foul odor suggest infection
Bladder elimination assessment – Correct Answer – distention
displacement of uterus
fundus after emptying bladder
breast post partum assessment – Correct Answer – should be
soft and tender
observe size, shape and symmetry
assess for flat or retracted nipples
assess for signs of nipple trauma
palpate for firmness or tenderness
Post partum assessment lower extremities – Correct Answer –
palpate pedal pulses
assess for edema
assess DTRs
promote early ambulation<\/p>\n\n\n\n

Nutrition after birth for a lactating mother – Correct Answer –
Energy
protein
fats
vitamins and minerals
Energy – Correct Answer – first 6 months of lactation, the
estimate energy requirements is 330 additional calories
second 6 months requires 400 additional calories
specific concerns for lactating mothers – Correct Answer –
Dieting: no major diet changes
adolescence
vegan diet
avoidance of dairy products
inadequate diet
alcohol
caffeine
fluids
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NR 327 Week 4 Exam Study
Guide 2023 Graded A+ Latest
2023\/2024
Five Factors of adequate fetal oxygen – Correct Answer –
sufficient maternal blood flow and volume to the placenta
normal maternal oxygen saturation
adequate exchange of oxygen and carbon dioxide
open circulatory path from placenta to fetus through umbilical cord
vessels
normal fetal circulatory and oxygen carrying functions
uteroplacental circulation – Correct Answer – maternal blood
circulates around villi
Fetal Placental Circulation – Correct Answer – Established by the
umbilical vessels that connect to vessels within the developing
embryo.<\/p>\n\n\n\n

fetal heart rate regulation – Correct Answer – Mechanisms that
regulate FHR are balanced to maintain cardiac output at a level
that keeps the fetal heart and brain oxygenated. Fetal cardiac
output increase is accomplished primarily by an increase in the
heart rate. Conversely, a marked decrease in FHR decreases the
cardiac output.
Five fetal factors that interact to regulate FHR include the:
\u2022Autonomic nervous system
\u2022Baroreceptors
\u2022Chemoreceptors
\u2022Adrenal glands
\u2022Central nervous system
The balance among forces that increase and those that slow the
heart rate result in the characteristic fluctuations in FHR during
late pregnancy.<\/p>\n\n\n\n

EMF instrumentation – Correct Answer – intermittent auscultation
and palpation
-should be performed in a consistent manner
bedside fetal monitor and transducers – Correct Answer –
Modern labor and delivery units have wireless monitoring
systems.
External fetal heart rate is obtained via Doppler, or ultrasound.
Uterine activity is acquired via tocodynamometer (toco).
auscultation and palpation benefits – Correct Answer – -Widely
available and easy to use with proper training
-Less invasive than EFM
-Outcomes comparable to EFM in low risk women
Inexpensive
-Atmosphere more natural than technologic
-Comfortable for the woman<\/p>\n\n\n\n

-Offers women freedom of movement and ability to ambulate to
promote normal labor
-1:1 nursing care promotes “doula effect” benefits.
-Allows easy FHR and UA assessment during use of
hydrotherapy
auscultation and palpation limitations – Correct Answer – Difficult
to perform in some situations, such as hydramnios and maternal
obesity
Patient may be intolerant of clinician’s touch during contraction.
Does not provide a permanent, documented visual record of the
FHR or UA
Counting of FHR is intermittent.
Cannot assess visual patterns of FHR variability or periodic and
non-periodic changes
Unable to determine UA intensity objectively
Significant events, such as prolonged decelerations, may occur
during periods when the FHR is not auscultated.
May not allow early detection of FHR changes reflective of
hypoxemia
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NR 327 Week 3 Exam Study
Guide Latest 2023 |
Chamberlain
Preexisting DM neonatal effects – Correct Answer –
Hypoglycemia
Hypocalcemia
Hyperbilirubinemia
Respiratory distress syndrome
Gestational diabetes risk factors * – Correct Answer – Overweight
Maternal age over 25
previous birth outcome often associated with GDM
GDM in previous pregnancy
HX of abnormal glucose tolerance
HX of DM in close relative
member of a high risk ethic group<\/p>\n\n\n\n

HX of prediabetes
HX of PCOS
Screening for GDM – Correct Answer – Glucose challange test
(24-28 weeks)
-1 hour test, 50 g of oral glucose solution
-if abnormal >140mg\/dl
–3 hr glucose tolerance test
Oral Glucose Tolerance Test (OGTT) – Correct Answer –
performed to confirm a diagnosis of diabetes mellitus and to aid in
diagnosing hypoglycemia
Fasting: 95mg\/dl
1 hour: 180 mg\/dl
2 hours: 155 mg\/dl
3 hours: 140 mg\/dl<\/p>\n\n\n\n

GDM therapeutic management – Correct Answer – -Diet ->
carbohydrates should be 30 kcal\/kg\/day (approximately 40% of
calories should be from CHO (carbohydrates, 20% from protein,
and 40% from fat), Caloric and two or more snack intake should
be distributed throughout 3 meals. Bedtime snack should include
a complex carbohydrate and a protein
-Exercise -> regular exercise improves glucose metabolism, offers
cardiorespiratory benefits, and aids in weight control
-Glucose monitoring -> if 4-hour fasting BGL exceeds 95 mg\/dL or
2-hour postprandial BGL exceed 120 mg\/dL -> INSULIN
ADMINISTRATION IS STARTED
-Fetal surveillance -> kick counts, U\/S assessment of fetal growth
and amniotic fluid volume, BPP, NST, OCT, or amniocentesis to
assess lung maturity
Cardiac disease classification – Correct Answer – rheumatic heart disease<\/em>
\u25aa sometimes follows a streptococcal pharyngitis
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NR 327 Week 2 Exam Study
Guide 2023 | Chamberlain
Pregnancy screening tests – Correct Answer – To detect
congenital anomalies
-first trimester screening (FTS)
-triple screen
-quad screen
Pregnancy diagnostic test – Correct Answer – most precise test
for a given condition
-chorionic villus sampling
-amniocentesis
-preimplantation genetic diagnosis (PGD)
ultrasound – Correct Answer – high frequency sound waves
obtain real time images of maternal structures, placenta, amniotic
fluid, and fetus
transabdominal ultrasound – Correct Answer – Ultrasound
transducer is maneuvered back and forth across the maternal
abdomen.
Allows visualization of multiple structures<\/p>\n\n\n\n

transvaginal ultrasound – Correct Answer – Requires specially
shaped transducer
Commonly used in the first trimester
May be used later for cervical length measurements and clearer
images of placental location
first trimester ultrasonography purpose * – Correct Answer – –
confirm pregnancy
-verify location of pregnancy
-identify multifetal gestation
-determine gestation age
-identify markers
-determine the locations of the uterus, cervix, and placenta
second and third trimester ultrasonography purpose * – Correct
Answer – -confirm fetal viability
-evaluate fetal anatomy
-determine gestational age
-assess serial fetal growth
-compare growth of fetus in multifetal gestations
-evaluate four of five markers in the biophysical profile
-locate placenta when placenta previa is suspected
-determine fetal presentation<\/p>\n\n\n\n

First trimester screening (FTS) * – Correct Answer – cell free fetal
DNA
Second trimester multiple marker screening * – Correct Answer –
reports risk for trisomy 21 and 18, open neural tube defects
triple screen test * – Correct Answer – The Triple Test combines
the AFP, beta hCG, and estriol serum level values. The hormone
level results are used in a formula to figure out the risk for a
Down’s syndrome infant. Diagnostic test for genetic anomalies is
chromosome testing.
Quad screening * – Correct Answer – blood test done at 16-18
weeks to measure AFP, HCG, Estriol, and Inhibin A
Alpha-fetoprotein (AFP) – Correct Answer – A blood test that
measures the level of alpha-fetoprotein in the mothers’ blood
during pregnancy as an indicator of possible birth defects in a
fetus
offered at 16-18 weeks
considerations:
gestational age
-maternal weight
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NR 327 Week 1 Exam Study
Guide 2023 | Chamberlain
Doula – Correct Answer – trained labor support person who
provides physical and emotional support throughout labor and
sometimes during the postpartum period, many doulas meet with
the family before birth and offer pregnancy, childbirth, and
parenting classes
The Joint Commission (TIC) – five core measures for perinatal
care – Correct Answer – decrease the rate of elective deliveries,
decrease the rate of cesarean births, increase the rate of
antenatal administration of steroids in preterm labor, decrease the
rate of newborns with septicemia or bacteremia, and increase the
rate of exclusive breastfeeding
Effects of Cost Containment on Maternity Care – Correct Answer<\/p>\n\n\n\n