Nur 337 Midterm Asu Questions With
Correct Answers
Preterm clabor crisks: c- ccorrect canswers✔✔1) chistory cof cpremature cbaby cin cthe cpast,
c2) cmore cthan cone cbaby cin cwomb c(twins/triplets), c3) cproblems cwith cuterus cand
ccervix. cOther crisk cfactors: cbeing cunder cor coverweight, cfamily chistory, chaving
csecond cbaby ctoo csoon cafter cbirth.
Early cLabor: c- ccorrect canswers✔✔upper cuterus ccontract, ccervix cdilated c3cm, c30-45
csec ccontractions c& c@ cirregular cat cfirst, ctry cto ccontinue cresting/sleeping c& ccan cstay
cat chome, clight cactivity c(bounce con cbirthing cball, cwalking)
Active cLabor c- ccorrect canswers✔✔3-5 chours, ccontractions c45-60 csec c& c3-5 cmin
capart, ccome cto chospital, cspots cof cblood, ccervix c7cm, cassess cdilation cdoing cvaginal
cexam, crelaxation c& cpain cmanagement, cbaby cstarts cinternal crotation c(head cshould
cface cback/anterior cposition)
Transition cin cLabor c- ccorrect canswers✔✔most cintense, c30 cmin-2hr, ccan't cget
ccomfortable, ccontractions c60-90 cseconds c& c1-3 cminutes capart cw/ c2 cpeaks, ccervix
c10 ccm, chot cflashes/chills/shaking/n/v, cangry/disoriented/dependent con cothers, cshort
cdirection
Pushing/Birth c- ccorrect canswers✔✔20 cmin-3 chr
· cContractions: c45-90 cseconds, c3-5 cmin capart
· cUrge cto cbear cdown c& cpush cto crelieve cpressure
· cEmotions: crelief cor cexhaustion
· cHelp cchange cpositions, cyou're calmost cthere, crest cbetween cpushes
· cDescent c(push cdown, cslide cback), cbaby cpushed cdown cpelvis cfrom c-2 cto c+4
c(measured cq2), cbaby chas c5 cseparate cbony cplates cso ccan cget cthrough cbirth ccanal
cbut cbaby chas ccone cshaped chead cfor ca cfew cdays cafter cbirth
Delivery cof cPlacenta c- ccorrect canswers✔✔5-20 cmin cafter cbirth cof cbaby
· cHCP cchecks cthat centire cplacenta cis cexpelled
· cPush ca clittle cbit
· cMassage ctop cof cabdomen cto chelp cprevent cexcessive cbleeding cwith cexpulsion
· cUterus ccontracts c& creaches cnormal csize c6 cweeks clater c(pt cmay cexperience cpain)
IDEAL cFetal cPosition c- ccorrect canswers✔✔Occipital cAnterior c(baby's cback cfacing
cmom's cfront)
, Fetal cPositions c- ccorrect canswers✔✔Occipital canterior c(OA)
Occipital cPosterior c(head cdown, cfacing cmother's cfront) c(OP), ccan cstill cbe cborn
cvaginally, cpainful, clast clonger
Transverse: cbabies csideways, cearly cpregnancy, cC-section
Breach: cfeet cor cbutt cdown, cearly cpregnancy, cHCP cmay cattempt cto cturn cbaby
cmanually cprior cto clabor
Quantification cof cBlood cLoss c- ccorrect canswers✔✔Weigh cALL cblood-soaked citems
c& cclots, csubtract cdry cweight cfrom cblood-soaked cweight
1mL cblood c= c1 cg
Nitrazine cTest c- ccorrect canswers✔✔paper cused cto ctest cpH cof cvaginal cfluid,
camniotic cfluid cpH cof c7-7.3 cas ccompared cto cvaginal cpH cof c3.8-4.2, cand curine<6.0,
cFALSE cnegatives cor cpositives cwhen camniotic cfluid cdiluted cby cbeing cmixed cw/
cother cvaginal cfluids
Fern cTest c- ccorrect canswers✔✔dried camniotic cfluid cshows carborization c(delicate
cfern) cpattern cwhen cviewed cunder cmicroscope(dried ccervical cmucus cwould cbe cthick
cand cwide carborization), cfluid cfrom cposterior cvaginal cfornix cswabbed conto cglass
cslide cand cdried cfor c10minutes, cfalse cpositives cor cnegatives cfrom cfingerprint con
cslide cor cmixing cof cother cfluids cin csample
Tocodynamometer: c- ccorrect canswers✔✔measures cmaternal ccontractions c(frequency
c& cduration), cknob, con ctop cof cuterus, camniotic cfluid cremains cintact!
Ultrasound cTransducer c- ccorrect canswers✔✔measures cFHR, csmooth cdisc, cplace con
clower cabdomen, ceach cbeep c= cone cheartbeat
Intrauterine cPressure cCatheter c(IUPC) c- ccorrect canswers✔✔measures
cintensity/strength, cfrequency, cand cduration cof ccontractions
Fetal cScalp cElectrode c(FSE): c- ccorrect canswers✔✔assess cFHR, capplied cto chead cof
cfetus
BUBBLE cLE c(1st cB) c- ccorrect canswers✔✔Breasts:
Palpate cboth cbreasts cfor cengorgement/filling
Minimize cpalpation cfor cbottle- cfeeding cmother cto cavoid cstimulation.
Check cnipples cfor cpressure csores, ccracks, cor cfissures.
Evaluate cwhether cnipples care c(want cthem cto cbe ceverted), cflat, cor cinverted.
All cmothers cshould cwear ca csupportive cbra c24 chours ca cday cfor cthe cfirst cfew cdays
cpostpartum.
Engorgement-- cusually coccurs c2-3 cdays cpost-partum.
Teach cmom cto capply cwarm cpacks cor cK-pad c15-20 cminutes cpre-nursing, ctry ca
cwarm cshower cbefore cnursing, cice cbags cand/or cbinders cfor cnon-nursing cmoms
BUBBLE cLE c(U) c- ccorrect canswers✔✔Uterus c(fundus)