NUR 102 Exam 2 Questions And Correct Answers
What can trigger a women to go into labor?
Sex, bouncing on a ball, spicy food, sex, curb walking, exercise, nipple stimulation,
hormones, stress, when the baby is ready
Preliminary signs of labor
- Lightening (drops)
- Bloody show
- ROM
- Increase in level of activity
- Braxton Hicks contractions
- Ripening of cervix (thinning)
- slight weight loss (1-3 pounds)
Signs of true labor
- Regular uterine contractions every 3-5 minutes apart lasting 60-90 seconds
- Dilating (cervix)
- Bloody show
- Rupture of membranes (ROM)
- Lower back ache sweeps to abdomen
C.E.F.
signs of false labor
- Contractions stop with ambulating or sleep
- No cervical dilation
- Patient comfortable
,5 components of labor
- Passageway (birth canal)
- Passenger (baby)
- Power (contractions)
- Position (of the baby)
- Psyche (mom's behavior)
passage
- pelvis and birth canal
- gynecoid pelvis is the norm
- pelvis shape effects whether you can have a vaginal delivery
passenger
- baby
- fetal skull (fontanelles)
molding of the fetal head
power
- Contractions cause the following Cervical Changes
- Effacement
- Dilation
- SVE
- ex.
effacement
Shortening and thinning of the cervix (higher percentage= thinner cervix)
dilation
enlargement or widening of the cervical opening and the cervical canal that occurs
once labor has begun 0-10 cm
,Sterile Vaginal Exam (SVE)
A bimanual examination of the vagina, cervix adnexa and fetus in labor. It is used to
ascertain the progress of labor, e.g. the position of the fetus, its engagement and the
dilatation of the cervix, with least risk of introducing harmful bacteria.
station
The relationship of the presenting part of the fetus to the level of the ischial spines.
0 station= engaged
+ station= floating
- -station (on the way out)
Th-position
position and presentation of the baby
- Maternal pelvis: left, right or transverse (L,R,T)
- Fetal landmarks: occiput (O), chin (M), sacrum (S), scapula (A)
- Anterior or Posterior (A,P)
- Labeled with 3 letters
- Most common LOA (Left occiput anterior)
Head Presentation
cephalic presentation (vertex, occiput)
birth position in which any part of the head emerges first (vertex, military, brow, face)
Breech presentation
birth position in which the buttocks, feet, or knees emerge first-complete, frank, footling
shoulder presentation
shoulder first
fetal attitude
relationship of fetal body parts to one another
, Vertex presentation
complete flexion-(easiest to come out)
Military presentation
no flexion or extension
Brow presentation
partial extension
face presentation
full extension
Complete presentation
hips and knees flexed
frank presentation
Feet in front of face.-(concern for hip dysplasia)
footling presentation
Feet are presented first
left position
baby's body is towards mothers left
right position
baby's body is towards mothers right
What can trigger a women to go into labor?
Sex, bouncing on a ball, spicy food, sex, curb walking, exercise, nipple stimulation,
hormones, stress, when the baby is ready
Preliminary signs of labor
- Lightening (drops)
- Bloody show
- ROM
- Increase in level of activity
- Braxton Hicks contractions
- Ripening of cervix (thinning)
- slight weight loss (1-3 pounds)
Signs of true labor
- Regular uterine contractions every 3-5 minutes apart lasting 60-90 seconds
- Dilating (cervix)
- Bloody show
- Rupture of membranes (ROM)
- Lower back ache sweeps to abdomen
C.E.F.
signs of false labor
- Contractions stop with ambulating or sleep
- No cervical dilation
- Patient comfortable
,5 components of labor
- Passageway (birth canal)
- Passenger (baby)
- Power (contractions)
- Position (of the baby)
- Psyche (mom's behavior)
passage
- pelvis and birth canal
- gynecoid pelvis is the norm
- pelvis shape effects whether you can have a vaginal delivery
passenger
- baby
- fetal skull (fontanelles)
molding of the fetal head
power
- Contractions cause the following Cervical Changes
- Effacement
- Dilation
- SVE
- ex.
effacement
Shortening and thinning of the cervix (higher percentage= thinner cervix)
dilation
enlargement or widening of the cervical opening and the cervical canal that occurs
once labor has begun 0-10 cm
,Sterile Vaginal Exam (SVE)
A bimanual examination of the vagina, cervix adnexa and fetus in labor. It is used to
ascertain the progress of labor, e.g. the position of the fetus, its engagement and the
dilatation of the cervix, with least risk of introducing harmful bacteria.
station
The relationship of the presenting part of the fetus to the level of the ischial spines.
0 station= engaged
+ station= floating
- -station (on the way out)
Th-position
position and presentation of the baby
- Maternal pelvis: left, right or transverse (L,R,T)
- Fetal landmarks: occiput (O), chin (M), sacrum (S), scapula (A)
- Anterior or Posterior (A,P)
- Labeled with 3 letters
- Most common LOA (Left occiput anterior)
Head Presentation
cephalic presentation (vertex, occiput)
birth position in which any part of the head emerges first (vertex, military, brow, face)
Breech presentation
birth position in which the buttocks, feet, or knees emerge first-complete, frank, footling
shoulder presentation
shoulder first
fetal attitude
relationship of fetal body parts to one another
, Vertex presentation
complete flexion-(easiest to come out)
Military presentation
no flexion or extension
Brow presentation
partial extension
face presentation
full extension
Complete presentation
hips and knees flexed
frank presentation
Feet in front of face.-(concern for hip dysplasia)
footling presentation
Feet are presented first
left position
baby's body is towards mothers left
right position
baby's body is towards mothers right
