NURS 334 Exam 2 Questions and 100% Correct Answers
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Course
NUR 334
Institution
NUR 334
What is fetal presentation? part of the fetus that enters the maternal pelvis
What are 3 things that matter with fetal presentation? 1. Size of baby 2. Number of babies 3. Position of baby
What is the vertex position? -Preferred position -Head is flexed and chin is tucked
What is the sinciput po...
NURS 334 Exam 2 Questions and 100%
Correct Answers
What is fetal presentation? ✅part of the fetus that enters the maternal pelvis
What are 3 things that matter with fetal presentation? ✅1. Size of baby
2. Number of babies
3. Position of baby
What is the vertex position? ✅-Preferred position
-Head is flexed and chin is tucked
What is the sinciput position (aka military position)? ✅Head is neither flexed nor
extended
What is the brow position? ✅head is partially extended
What is the face position? ✅head is hyperextended
If a baby is presenting in the brow or face position and there is failure to convert to the
correct position, what must be done? ✅-C-section
-If vaginal birth, monitor woman closely
If a baby is presenting in the brow or face position, should you attempt to rotate or use
vacuum or forceps? ✅NEVER
What are maternal implications for a fetus presenting in the brow or face position? ✅-
longer labor
-dysfunctional labor pattern
-Possible C-section
What are fetal implications for a fetus presenting in the brow or face position? ✅o
Facial Cephalohematoma
o Facial Edema
o Laryngeal & tracheal damage/edema
o Pronounced cranial molding
o Subconjunctival hemorrhage
What is a breech presentation? ✅-When the baby is born feet or butt first
-Occurs around 3-5%
,What is a complete breech? ✅-hips/knees are flexed & the feet are not below the level
of the fetal buttocks
-Indian style
What is a footling breech? ✅one or both feet are presenting first
What is a frank breech? ✅-hips are flexed & the legs are extended
-Feet on face
How is a beech managed? ✅-Use of external cephalic version
What is external cephalic version? ✅Converts breech presentation to cephalic
presentation before labor begins.
What is the criteria for ECV? ✅1. At 36-weeks gestation (not at 40 weeks because the
baby may be too big or there may be too much fluid)
2. Reactive NST immediately before (baby shows normal HR and has adequate
oxygen)
3. Fetal presenting part NOT engaged (the baby hasn't settled down in the pelvis yet)
What are contraindications for ECV? ✅1. Previous C-section (may cause uterine
rupture)
2. Multiple gestation
3. Non-reassuring monitoring
4. Ruptured membranes
What are complications of ECV? ✅1. Fetal bradycardia
2. Placenta Abruption
3. Feto-maternal hemorrhage (bleeding between baby and mom; this would be a
problem with Rh incompatibility)
4. Uterine rupture
What are the risks for breech vaginal birth? ✅When a vaginal birth is attempted, there
is a higher incidence of episiotomy use, perineal trauma, and lacerations.
What is shoulder presentation (aka transverse lie)? ✅-Shoulder is presenting part
-Impossible for vaginal delivery
What is the clinical management for shoulder presentation? ✅1. If discovered before
term, management is expectant (watchful)
2. External cephalic version attempt, followed by induction of labor, if successful
What is persistent occiput posterior position? ✅Baby's spine is lying against the
maternal spine (back-to-back)
, What is a risk associated with persistent occiput posterior position? ✅3rd or 4th degree
perineal lacerations
How is persistent occiput posterior position treated? ✅-Attempt to reposition the fetus
-Monitor mom and baby status and labor progress
-May require forceps or vacuum for delivery
-Complimentary therapies
-Maternal position changes
What constitutes the first stage of labor (dilating stage)? ✅Beginning (onset of regular
contractions) to complete cervical dilation (10cm)
What is the latent stage of the first stage of labor? ✅-0-3 cm dilation
-contractions become increasingly stronger and more frequent
What is the active stage of the first stage of labor? ✅-4-7cm dilated
-More rapid dilation and effacement and descent of fetus
What is the transition stage of the first stage of labor? ✅-8-10cm dilated
-Contractions every 2-3 minutes and last 60-90 seconds
What are maternal symptoms during the first stage of labor? ✅· Irritability,
restlessness, hyperventilation, n/v, rectal pressure
What nursing care should be provided during the first stage of labor? ✅-VS
-Fluid/electrolyte balance
-Monitor contractions (frequency, duration, intensity)
-Voiding pattern and bladder monitoring
-Comfort measures
What are signs of true labor? ✅1. Progressive dilation and effacement
2. Contractions occur regularly and increase in frequency, duration, and intensity
3. Show is present
4. Cervix becomes effaced and dilates progressively
5. No significant change in fetal movement
What are signs of false labor? ✅1. No progressive dilation and effacement
2. Contractions are irregularly and DO NOT increase in frequency, duration, and
intensity
3. Show is not present
4. Cervix is uneffaced and closed
5. Fetal movement may intensify for a short period or may remain the same
What are Braxton Hicks contractions? ✅-False Labor Pains
-Feel strong at times
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