NRSG 2500 Final Exam Questions With Already Passed Answers.
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Course
NRSG 2500
Institution
NRSG 2500
five Ps of labor - Answer Passenger (fetus)
Passageway (the birth passage)
Powers (physiological forces of labor)
Position (relation between fetus and passage)
Psychological considerations
first stage of labor - Answer -Onset of contractions to complete cervical dilation: Includes 3 ph...
NRSG 2500 Final Exam Questions With
Already Passed Answers.
five Ps of labor - Answer Passenger (fetus)
Passageway (the birth passage)
Powers (physiological forces of labor)
Position (relation between fetus and passage)
Psychological considerations
first stage of labor - Answer -Onset of contractions to complete cervical dilation: Includes 3 phases
(Latent, Active, Transitional)
-Frequent monitoring of patient and labor progression
second stage of labor - Answer -Complete cervical dilation to birth.
-Variable; pushing stage.
third stage of labor - Answer -Birth to delivery of placenta.
-Placenta is guided out as expelled; watch for hemorrhage.
fourth stage of labor - Answer -Initial recovery.
-Monitor VS as scheduled & lacerations degrees.
-Will have slight decrease in BP, slight increase in HR, uterus will be midline & firm = normal. (Uterus will
be palpable midline between symphysis pubis & umbilicus.)
early decelerations - Answer Usually benign, no treatment needed. Early decels mirror contractions.
Caused by head compression.
, variable decelerations - Answer -Caused by cord compression. Vary from 1 to next contraction; "U" or
"V" shaped. (Txs: Turn mom side-to-side; amnioinfusion.)
-Bad = persistent variable decelerations.
-If variable decels only happen rarely & return to normal pattern, means fetus is tolerating decelerations.
late decelerations - Answer -BAD (need STAT attention). Decels start late in contraction. Caused by
uteroplacental insufficiency. Non-reassuring. Requires intervention!
•Position client into left-lateral position, start IV or increase IV fluids, discontinue oxytocin, administer
oxygen (8-10L by mask), notify PCP, prepare for assisted vaginal birth or cesarean section
preeclampsia risk factors - Answer Preeclampsia is most often seen in first-time pregnancies, in
pregnant teens, and in women over 40.
Other risk factors include:
-A history of high blood pressure prior to pregnancy
-A history of preeclampsia
-Having a mother or sister who had preeclampsia
-A history of obesity
-Carrying more than one baby
-History of diabetes, kidney disease, lupus, or rheumatoid arthritis
eclampsia - Answer •Prepare for emergent delivery (if it hasn't already occurred)
•Administer medications immediately (need IV access)
•Start Magnesium and other meds as needed ie (Hydralazine, Labetalol Nifedipine, Sodium
nitroprusside, lasix)
•Seizure precautions
•Monitor vital signs, Deep Tendon Reflexes (DTR) and check for clonus.
•Quiet environment low light to prevent cerebral disturbances
•Monitor labs
•Monitor for progression to HELLP
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