NURS 3082 Normal Labor and Birth Part I Final Exam With Solution

NURS 3082 Normal Labor and Birth Part I
Final Exam With Solution


False labor involves - ANSWER no cervical change with contractions:

- walking/position changes have no effect or they stop contractions

- rest and warm bath lessen contractions

- pain in lower abdomen instead of lower back

- hydration may decrease contractions

- irregular contractions




nurse response to false labor - ANSWER - listen, acknowledge, reassure

- encourage calling about questions/concerns

- suggest interventions




true labor involves - ANSWER cervical dilation and effacement are
progressive

- regular contractions, increasing in strength, duration, and frequency

- intensity increases with ambulation




how to know if labor has started - ANSWER - contractions become more

, frequent, painful, and usually more regular

- pain begins in lower back and spreads to the abdomen

- difficult to walk or talk through contractions

- bloody show with contractions




maternal physiological response of the birth process - ANSWER - labor
contractions last 40-70 seconds w/ ~1 min between

- intermittent contractions allow placental blood flow and exchange of
oxygen, nutrients, and waste products between maternal and fetal circulation
during the interval

- upper uterus (fundus) contracts actively as it pushes the fetus down

- above actions bring about cervical effacement and dilation




cervical effacement is - ANSWER shortening/thinning of cervix




cervix opens from - ANSWER back to front (feel pain in lower back before
abdomen)




first birth cervix characteristics - ANSWER cervix effaces completely before
dilating