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NUR 4445 ( LATEST 2024 / 2025 ) EXAM TWO COMPLETE OVERVIEW | ALL Q&AS BRAND NEW GUARANTEED A+++
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NUR 4445 ( LATEST 2024 / 2025 ) EXAM TWO COMPLETE OVERVIEW | ALL Q&AS BRAND NEW GUARANTEED A+++
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NUR 4445 Exam Two COMPLETEOVERVIEW
1. List some ways that the nurse can non pharmacologically reduce pain in a mother?
Answer
1. Distraction
2. Effleurage
3. Counterpressure
2. What are the 5 P's of labor?
Answer
1. Passageway
2. Passenger
3. Position
4. Physiological force
5. Psychosocial influence
3. Which part of the pelvis most influences engagement?
Answer
True pelvis.
4. What pelvic type is most desirable for vaginal birth?
Answer
Gynecoid
5. What is involved in the FIRST STEP of Leopold's maneuver?
Answer
Facing the woman, palpate the upper abdomen with both hands. *Note the details and what
you're feeling!
6. What is involved in the SECOND STEP of Leopold's maneuver?
,Answer
Move the hands from the upper abdomen to the pelvis, palpate gently but deeply. *Note fetal
back and extremities.
7. What is involved in theTHIRD STEP of Leopold's maneuver?
Answer
Place one hand above the symphysis, deduce whether the palpated area feels like fetal head or
breech. *Note engagement!
8. What is involved in the FOURTH STEP of Leopold's maneuver?
Answer
Place both hands on the lower abdomen and move down the uterus to the pubis. *Note cephalic
prominence!
9. The position in which the baby is lined up with mom's spine is known as?
Answer
Fetal lie.
10. The fetal presentation is determined by?
Answer
The fetal lie and the body part of the fetus that enders the pelvis.
11. What are the 4 types of cephalic distinction?
Answer
1. Vertex
2. Sinciput
3. Brow
4. Complete / Frank / Footling
12. What are the 3 landmarks included in describing fetal position?
Answer
1. Infant landmark.
2. Position between mom and baby.
3. A/P/T
, 13. What are the key elements of contraction activity to record?
Answer
1. Frequency
2. Duration
3. Intensity
14. A woman presents to the unit with progressive D & E and pain that begins in the back and
radiates to the front. The pain is not relieved by ambulation since it causes her contractions to be
stronger.The woman is in?
Answer
TRUE labor.
15. A woman presents to the unit with little to no D & E and pain in the lower abdomen. The
pain is relieved by ambulation since it causes her contractions to disappear. The woman is in?
Answer
FALSE labor.
16. Dilation is the of the cervix, effacement is the of
Answer
Opening ; Thinning.
17. The physician just examined the laboring woman and tells the RN, "She's 4/90/-1, vtx."
What does this mean?
Answer
4 cm dilated, 90% effaced, -1 station, head down.
18. How far is the cervix dilated in the latent phase of labor?
Answer
0-5 cm.
19. Describe the frequency and duration of contractions during the latent phase?
Answer
Every 2 to 30 minutes, irregularly lasting 30 to 40 seconds at a mild-mod- erate intensity.
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