Maternal Newborn ATI ch 11,12,13 Exam
Questions & Solutions
When is a labor considered preterm? - -20-37 weeks
-What characteristics define the four stages of labor? - -1) True labor-fully
dilated (0-10 cm)
2) Full dilation to birth
3) Birth to placenta expulsion
4) Placenta expulsion to stable vital signs for mom
-What are the names of the 3 subcategories of the first stage of labor? - -
Latent, Active, transition
-What happens in the latent stage? - -0-3 cm; mom is excited and talkative
-What happens in active stage of labor? - -dilated 3-7 cm. Anxious, worried,
helpless feeling
-What happens in the transitional stage (of stage 1) of labor? - -7-10 cm,
mom says she "can't continue", feels like she needs to push, has feelings of
having a bowel movement
-What are some changes that occur when labor is about to onset (5) - -1)
lighting- fetus "falls" down in pelvis to the opening
2) Braxton Hicks Ctx: relieved when walking, felt in upper ab, go away with
rest
3)rupture of membranes (test with nitrazine paper-blue)
4) Bloody show: mucus plug is expulsed
5) energy burst: Nesting reflex
-Characteristics of true labor - --regular frequency
-become stronger with walking
-felt in lower back
-bloody show
-do not go away with water or rest
-What is effleurage and sacral counterpressure/ - -Pain management
techniques
effleurage: gentle circular stroking of abdomen with findertips in rhythm with
breathing during the contractions
SC: pushing against sacrum to relieve back pain
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