ExamI2:INUR2633/INURI2633I(LatestI2024
/I2025IUpdate)IMaternalIChildIHealthI
CompleteIReview|IQuestionsIandIVerifiedI
Answers|I100%ICorrect|IGradeIA-
IRasmussen
Q:IBehaviorIofImomIduringIActiveIPhaseIofIlabor
Answer:
anxiety,Irestlessness,IfocusedIonIcontractions,IandIintroverted
Q:IMedicationsIduringIActiveIPhaseIofIlabor
Answer:
-IVIpush-INubain,IStadol,IDemerol
***bestItimeItoIgiveIisIatItheIpeakIofIaIcontraction,IbecauseIlessImedIgoesItoIbaby!!I(duringIc
ontractions,ItheIbabyIhasIlessIplacentalIbloodflow)
Q:ITransitionIPhaseIofILaborI(3rdIphaseIofIstageI1)
Answer:
-contractionsI2ItoI3IminsIapart,IlastingI60ItoI90Iseconds
-fromI8ItoI10IcmIdilated
-patientIisItired,IfeelsIlikeIsheIhasItoIpush,IandIirritableI(DOINOTILETIHERIPUSH!I-
IsheIwillItearIherIcervix)
,-mightIsayIsheIneedsItoIhaveIaIbowelImovementI(indicativeIofIfullIdilation)
Q:IStageI2IofILaborI[DeliveryIofItheIBaby]
Answer:
-lastsInoIlongerIthanI2IhoursI(couldIbeIreallyIfastIforImultiparousIwomen)
-intenseIcontractionsIeveryI1-2Iminutes
-BP,Ipulse,IrespirationsIqI5-15Imins
-patientItoIpushIwithIeachIcontraction
-resultsIinIdeliveryIofIbaby
Q:IStageI3I[DeliveryIofIPlacenta]
Answer:
-5ItoI30IminsIinIduration
-evidenceIofIplacentalIseperationIfromItheIuterus:
**gushIofIblood/fluidIfromItheIintroitus
**umbilicalIcordIlengthensIasIplacentaIdecends
**uterusIcontractsIfirmlyIrisingIupwardIinIabdomen
**fullnessIinItheIperineumI
-instructIptItoIpushIonceIthereIisIevidenceIofIplacentalIseparation
-BP,Ipulse,IrespirationsIqI15Imins
-
oxytocicImedicationsIcanIbeIadministeredIduringIthisIstageItoIstimulateIuterineIcontractionsIan
dIreducingIriskIofIpostpartumIhemorrhage
,Q:IStageI4I[Recovery]
Answer:
-2Ihours
-contractionsIcontinueI/IpreventIexcessiveIbloodIloss
Q:ILabsIessentialItoIhaveIforIpt.IpriorItoIdelivery
Answer:
BloodItypeIandIRh,ICBCI(Hgb,IHct,Iplatelets),IGBSI[ifIunsureIofIstatus,IgiveIabxIforIunknow
nIpreventionIinfectionItoIbaby]
Q:IKnowItheIreasonsIandItheIfindingsIofIeachIvaginalIexam.
Answer:
Effacement,Idilation,Ipresentation,I(descent)Istation,Iposition
Q:IExplainIContractionsIforI12Ihours,IwhatIisI4/90/I-2?
Answer:
4IcmIdilated,I90%IeffacedIandI2IcmIaboveIischialIspineI[activeIphaseIofIlabor—admitIpatient]
Q:IExplainIwhatIisI1/50/I-1?
Answer:
1IcmIdilated,I50%Ieffaced,I1IcmIaboveIischialIspine
, Q:IExplainIComplete/completeI(orIfully/fully)/I+2
Answer:
10IcmIdilated,I100%,I2IcmIbelowIischialIspines.
Q:IRememberIwhereIbabyIisIischialIspine:
Answer:
+4IonItheIfloorI"below",IandI-I(minus)IisIawayIfromI"above"
Q:IDetermineIPresentationIofIbaby:
Answer:
vaginalIexamIandILeopold's,IheadIdownIorIvertex
Q:IMedicationsIofIlaborIandIwhenItoIadministerIthem.
Answer:
-SytemicIMeds-IIVIpush-INubain,IStadol,IDemerol
-BestItimeItoIgiveIisIduringIcontractionI
-PeakIofIcontractionI=IlessImedItoIbaby
Q:INubainI[nalbuphine]
Answer:
-Narcotic.IKicksIinIwithinI2-3Iminutes.ILastsI10IorIsoIhours.I
