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BSNC 5000 (Maternity) Module 2 Test Questions and Correct Answers
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What is the first stage of labor? Begins with the onset of uterine contractions that result in cervical change ends with complete cervical effacement and dilation. What is effacement? Shortening and thinning of the cervix during the first stage of labor, and dilation of the cervix is the enlargeme...

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  • August 27, 2024
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  • 2024/2025
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  • bsnc 5000 maternity module 2 test questions and
  • what is the first stage of labor begins with the
  • what is effacement shortening and thinning of th

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BSNC 5000 (Maternity) Module 2 Test
Questions and Correct Answers
What is the first stage of labor? ✅Begins with the onset of uterine contractions that
result in cervical change ends with complete cervical effacement and dilation.

What is effacement? ✅Shortening and thinning of the cervix during the first stage of
labor, and dilation of the cervix is the enlargement of cervical opening.

What is the latent stage of first stage of labor? ✅Defined as a cervix that is found to be
0 to 3cm dilated and less than 1 cm. Contractions become more regular and painful. 6
to 8 hours. Morphine and Gravol are used.

What is the active stage of labor? ✅Defined as beginning when the cervix is 4cm
dilated in a nullparous patient and 4 to 8 cm dilated in a parous patient. Contractions
become more painful, frequent, longer and closer together. 3 to 6 hours. Opioids,
epidurals, and anesthesias used here.

Difference between prelabour and true labour. ✅Prelabour:
Contractions occur irregularly or become regular only temporarily. Often stop with
walking or position change.

Labour: Occur regularly, become stronger, last longer, become more intense with
walking. Continue despite use of comfort measures.

Analysis of a urine specimen. ✅Ketones - Nutritional status is shown.

Specific gravity - color and amount

Leukocytes - infection

Protein - preeclampsia

Nurses responsibility in assessment of labour ✅Monitoring uterine contractions

Determine frequency and intensity

Any unit-specific documentation

When does fetal heart rate (FHR) need to be assessed? ✅Immediately after ROM,
due to an increased risk for the umbilical cord to prolapse

, After any change in the contraction pattern or patient status

Before and after administering medication or performing a procedure

Who can do vaginal examinations? When should they be performed? ✅Done by
specially trained nurses or the physician

Should be performed only when absolutely required by patient or fetus

On admission

When significant changes occur, patient perception of perineal pressure or the urge to
bar down

When labouring patient requests pain medication

When abnormal FHR present

Perineal lacerations types ✅First degree laceration - extends through the skin and
structures superficial to muscles

Second degree - extends through muscles of perineal body

Third degree - continues through anal sphincter muscle

Fourth degree - extends completely through the anal sphincter and the rectal mucosa

What is the third stage of labour? ✅Assessment:
Contracting fundus
Change in uterus from a discoid to a globular ovular shape as the placenta moves into
the lower uterine segment

What interventions can be done in the third-stage of labour? ✅Assist labouring patient
to bear down, to facilitate expulsion of the separated placenta.

Administer oxytoxic medication

Perform hygiene cleansing measures

Introduce patient to baby and facilitate attachment process

What is the fourth stage of labour? ✅The fourth stage of labours begins with expulsion
of the placenta and lasts until the patient is stable in the immediate postpartum period.
1-2 hours post delivery.
This is when the patients undergo readjustment to their non-pregnant body and
function.

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