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N164 | Sherpath Week 2 Questions With Complete Solutions

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N164 | Sherpath Week 2 Questions With Complete Solutions

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  • December 6, 2024
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N164 | Sherpath Week 2 Questions With Complete Solutions

Match the component of the birth process to the corresponding
description.

Component of the Birth Process:
- Maternal pelvic and soft tissues
- Uterine contractions and maternal pushing efforts
- Fetus, membranes, and placenta
- Adaptive or maladaptive responses that alter the birth process

Description:
- Psyche
- Passenger
- Passage
- Powers Correct Answers Maternal pelvic and soft tissues -->
Passage

Uterine contractions and maternal pushing efforts --> Powers

Fetus, membranes, and placenta --> Passenger

Adaptive or maladaptive responses that alter the birth process --
> Psyche

Which statements describe how the Ferguson reflex supports
maternal pushing efforts? Select all that apply.

a) The Ferguson reflex causes the cervix to dilate to 10 cm.
b) The fetal head pushing on the vaginal tissue triggers the
Ferguson reflex.

,c) When tissues are stretched, an endogenous surge of oxytocin
is released.
d) The Ferguson reflex is a biological response causing an
overwhelming urge to bear down.
e) When tissues are stretched, an endogenous surge of
progesterone is released. Correct Answers b) The fetal head
pushing on the vaginal tissue triggers the Ferguson reflex.
c) When tissues are stretched, an endogenous surge of oxytocin
is released.
d) The Ferguson reflex is a biological response causing an
overwhelming urge to bear down.

Which pelvic type is most favorable for vaginal birth?

a) Gynecoid
b) Platypelloid
c) Anthropoid
d) Android Correct Answers a) Gynecoid
--> the classic female pelvis

Which phrases describe how cephalic presentation of the fetus
facilitates labor? Select all that apply.

a) Facilitates dilatation of the cervix
b) Facilitates the delivery of the fetal buttocks first
c) Allows the fetal head to adapt to the maternal pelvis
d) Hastens labor because of cephalopelvic proportion
e) Enables fetal parts to be born from smallest to largest Correct
Answers a) Facilitates dilatation of the cervix
c) Allows the fetal head to adapt to the maternal pelvis

,Which statements explain how the maternal psyche facilitates
childbirth? Select all that apply.

a) Fatigue numbs the woman's reaction to pain.
b) Relaxation supports the natural process of labor.
c) Increased anxiety can motivate the woman to push more
effectively.
d) Calmness increases a woman's ability to cope with pain
during labor.
e) Maternal catecholamines secreted in response to anxiety can
increase uterine contractility. Correct Answers b) Relaxation
supports the natural process of labor.
d) Calmness increases a woman's ability to cope with pain
during labor.

Which terms describe progressive changes that occur in the
cervix during labor? Select all that apply.

a) Rupture
b) Prolapse
c) Dilatation
d) Laceration
e) Effacement Correct Answers c) Dilatation
e) Effacement

At _____ station, the fetal head is considered "engaged" in the
maternal pelvis. Correct Answers 0
--> when it reaches the ischial spines

At _____ cm, the cervix is considered to be fully dilated.
Correct Answers 10

, Occiput posterior refers to which component of the birth
process?

a) Powers
b) Passenger
c) Passage
d) Psyche Correct Answers b) Passenger

Which passenger position would interfere with a safe vaginal
birth?

a) Transverse fetal lie
b) Flexed fetal head
c) Cephalic presentation
d) Longitudinal fetal lie Correct Answers a) Transverse fetal
lie

A woman is visibly anxious, refuses position changes in labor,
and verbalizes, "I'm afraid I'm going to die." The nurse knows it
is important to help the woman relax through effective coaching
because of which responses to stress experienced in labor?
Select all that apply.

a) Fetal intolerance to labor
b) Bradycardia related to a vagal response
c) Release of catecholamines in the mother's body
d) Inhibited uterine contractions because of decreased blood
flow to the placenta
e) Umbilical cord prolapse Correct Answers a) Fetal
intolerance to labor

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