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NUR4445 Exam #2 Latest Update
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NUR4445 Exam #2 LatestUpdate
presentation - Answer the part of the fetus that enters the pelvic inlet first and leads
through the birth canal during labor at term; cephalic (head), breech (buttocks, feet, or
both first) and shoulder
lie - Answer the relation of the long axis (spine) of the fetus to the long axis (spine) of the
mother; two primary ones are longitude (vertical) and transverse/horizontal/oblique
attitude - Answer the relation of the fetal body parts to one another (characteristic
posture)
position - Answer the relationship of a reference point on the presenting part (occiput,
sacrum, chin, or sinciput) to the four quadrants of the mother's pelvis
Leopold maneuver feelings - Answer see picture
dilation - Answer the enlargement or widening of the cervical opening and the cervical
canal that normally occurs once labor has begun
effacement - Answer the shortening and thinning of the cervix during the first stage of
labor
station - Answer the relationship of the presenting fetal part to an imaginary line drawn
between the maternal ischial spines and is a measure of the degree of descent of the
presenting part of the fetus through the birth canal
first stage vs seconds stage of labor - Answer -first stage is much longer than the
second or third combined;
-first stage of labor begins with the onset of regular uterine contractions and ends with
complete cervical effacement and dilation;
- second stage starts with 10cm dilation & 3+ station and ends with the delivery of the
baby
NULLIPAROUS WOMAN: 2+ hrs (no anesthesia), 3+hrs (w/anesthesia)
MULTIPAROUS WOMAN: 1hr (no anesthesia), 2hrs (w/anesthesia)
-third stage is the delivery of the placenta and is typically one hour after the birth of the
baby
, the 5 P's - Answer -passengers (fetus and placenta),
-passageway (birth canal),
- powers (contractions),
-position of the mother,
-psychological response
what is molding - Answer molding is the shape of the head occurs during labor (usually
will go back to normal between 24-72 hours)
what is bloody show - Answer brownish or blood tinged cervical mucus may be passed/
it is pink and feels sticky because of its mucoid nature
represents the dilation and effacement of the cervix
when do you admit a laboring patient - Answer during the early phase (if they are making
progress)
true labor - Answer occur regularly and becoming stronger/lasting longer/and occurring
closer together, become more intense with walking, felt in lower back/radiating to the
lower portion of the abdomen, continually despite the use of comfort measure
(CERVICAL DILATION)
false labor - Answer occur irregularly or become regular only temporarily, often stop
with walking or position change, can be felt in the back or the abdomen above the
umbilicus, can often be stopped through the use of comfort measures (NO CERVICAL
DILATION)
nursing interventions for a laboring SA patient - Answer -asking permission prior to
touching the woman, allow of the woman as much choice as possible while maintaining
the safety of the birth (sense of control), limiting the number of people who interact with
the woman and maintaining continuity of care providers, explaining all procedures and
why they are needed, paying close attention to her requests
what is a consequence of rupture of membranes for a long period of time - Answer
infection; microorganisms from the vagina can then ascend into the amniotic sac,
causing chorioamnionitis and placentitis to develop
pain - Answer is INDIVIDUALIZED
non pharmaoligical techniques in reducing labor pains - Answer -cutaneous:
counterpressure, effleurage (light massage), therapeutic touch/massage, walking,
rocking, changing positions, heat/cold, transcutaneous electrical nerve stimulation
(TENS), water therapy (showers, baths, whirlpool baths), intradermal water block
-sensory: aromatherapy, breathing techniques, music, imagery, use of focal points
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