Maternity Nursing Exam 1 Study Guide
1. Antepartum – prenatal care and care of both mother and baby during pregnancy
2. Intrapartum – care of mother and baby during birthing process
3. Post partum – care of mother aft
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Maternity Nursing Exam 1 Study Guide
1. Antepartum – prenatal care and care of both mother and baby during pregnancy
2. Intrapartum – care of mother and baby during birthing process
3. Post partum – care of mother after birth
4. Birthrate—number of live births per 1000
5. Infant mortality rate—number infant deaths/ 1000 live births (2x in African Americans)
6. Neonatal mortality rate – number of infant deaths under 28 days old per 1000 live births
7. Maternal mortality rate – number of deaths/100,000 births (4x in African Americans)
8. Conception—union of egg and sperm at the beginning of pregnancy
9. Fertilization – in the ampulla of uterine tube, takes 3-4 days to travel to uterus
10. Implantation—6-10 days after conception, can have implantation bleeding
11. Anatomy Review
a. Vagina—functions to discharge
menstrual flow, pass the fetus, and sex
i. Rugae are vaginal folds
b. Uterus – muscular upside down pear
shaped where implantation of fertilized
ovum occurs (at the FUNDUS) and later
contracts to expel fetus
i. Fundus—dome shape at top of
uterus where implantation should
occur
c. Cervix – connective tissue allows for
stretching, opening where baby comes
through into the vagina or where
sperm pass through to get to fallopian tubes
d. Uterine tubes (Fallopian Tubes) – where fertilization occurs
e. Ovaries – almond shaped organs on each side of uterus that produce estrogen,
progesterone, and androgen, they house the maturing eggs
f. Bony Pelvis – protects pelvis structures and accommodates growing fetus during
pregnancy, anchors pelvic support ligaments and structures
i. Gynecoid pelvis—normal female pelvis, most favorable for labor and birth
ii. Anthropoid pelvis
iii. Android pelvis—resembles a male pelvis, not favorable for labor/birth
iv. Platypelloid pelvis—flat shape making labor and birthing difficult
g. Breasts—secrete milk (lactation)
i. Estrogen and progesterone – stimulate milk sac and duct growth
ii. Prolactin – stimulates milk production
iii. Oxytocin—lets down milk (ejects milk) and causes contractions (ejects baby)
iv. Montgomery Tubercles – sebaceous glands in areola
h. Colostrum – 1st milk with all needed immunoglobulins needed for infant
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