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NURSADN4 - Lecture Exam #2 (Intrapartum And Complications): Questions With Solutions
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NURSADN4 - Lecture Exam #2 (Intrapartum And Complications): Questions With Solutions
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NURSADN4 - Lecture Exam #2 (Intrapartum AndComplications): Questions With Solutions
There are how many stages of labor? Right Ans - Four
*First* Stage of Labor: Right Ans - Beginning of dilation to when the cervix
is fully dilated; Accompanied by contractions, has 3 sub-phases
*Second* Stage of Labor: Right Ans - The stage during which the baby
moves out through the vagina and is delivered; Full dilation to birth
*Third* Stage of Labor: Right Ans - The stage during which the placenta is
expelled
*Fourth* Stage of Labor: Right Ans - The first 2 hours after birth
Within the first stage of labor there are 3 sub-phases, list the names of each
phase: Right Ans - Latent/Early, Active and Transitional
The entire first stage of labor is the dilation from 0 to 10cm. Which phase is
the dilation from 0-3/4 cm? Right Ans - Latent
The entire first stage of labor is the dilation from 0 to 10cm. Which phase is
the dilation from 4-7 cm? Right Ans - Active
The entire first stage of labor is the dilation from 0 to 10cm. Which phase is
the dilation from 7-10 cm? Right Ans - Transitional
What are the 5 p's of labor? Right Ans - Passageway, passenger, powers,
position, psyche
*The Five P's of Labor:*
*Passageway* references what? Right Ans - Pelvic shape and birth canal
*The Five P's of Labor:*
*Passenger* references what? Right Ans - Fetus, placenta (fetal lie)
,*The 5 P's of Labor: Passenger:*
Because of it's size, the fetal __________ is a major factor is determining the
course of birth. If there is a mismatch to the maternal pelvis, it is called
*cephalopelvic disproportion (CPD)* Right Ans - Head
*The Five P's of Labor:*
*Powers* references what? Right Ans - Primary (uterine contractions) and
Secondary (maternal effort/valsalva)
*Breathing Technique:* Valsalva Right Ans - Inhalation and suspension of
breath coupled with abdominal muscle contraction to increase abdominal
pressure; Assists in pushing infant out of birth canal (Secondary power)
*The Five P's of Labor:*
*Position* references what? Right Ans - Maternal posture and movement
during labor
*The Five P's of Labor:*
*Psyche* references what? Right Ans - Response and emotions to situation
coupled with support systems and past experiences
Size of fetal head, fetal presentation, lie, attitude and position are all *factors
of the _______________________* that affects labor. Which of the 5 P's of Labor
should be filled in the blank? Right Ans - Passenger
Bony pelvis, soft cervical tissues, the pelvic floor, the vagina and introitus
(external vaginal opening) are all *factors of the _______________________* that
affects labor. Which of the 5 P's of Labor should be filled in the blank? Right
Ans - Passageway
Frequent positional changes that relieve fatigue, increase comfort and
improve circulation are all *factors of the _______________________* that affects
labor. Which of the 5 P's of Labor should be filled in the blank? Right Ans -
Position
, Maternal excitement, worry, stress, energy, fatigue and emotional exhaustion
or distress are all *factors of the _______________________* that affects labor. Which
of the 5 P's of Labor should be filled in the blank? Right Ans - Psyche
Maternal fatigue, labor knowledge, uterine strength, and physical exhaustion
are all *factors of the _______________________* that affects labor. Which of the 5
P's of Labor should be filled in the blank? Right Ans - Power
*Uterine Contractions:*
Beginning of one contraction to the end of the same contraction is known as?
Right Ans - Duration
*Uterine Contractions:*
Beginning of one contraction to the beginning of another *new* contraction is
known as? Right Ans - Frequency
*Uterine Contractions:*
The resting time between contractions allows for placental perfusion is
known as? Right Ans - Interval
During childbirth, the baby's head pushes against sensors near the opening of
the uterus to release __________________________ (hormone) which stimulates
contractions. The more contractions, the more hormone is released and it only
stops when *pushing* stops. (This is a positive feedback response) Right
Ans - Oxytocin
*The 5 P's of Labor: Passenger*
Fetal Presentation Right Ans - The manner in which the fetus appears to
the examiner during delivery
*Fetal Presentation:*
Cephalic Right Ans - Birth position in which any part of the head emerges
first
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