Exam (elaborations)
Ticket to Exam 2-Childbearing
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- Chamberlain College Of Nursng
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Ticket to Exam 2-Childbearing, Ticket to Exam 2 Answers
1. Signs and symptoms of true labor and false labor. p424 Table 13.1
True Labor:
Contractions: Regular, becoming closer together usually 4-6 minutes apart, lasting 30-60
seconds
Contraction strengths: becomes stronger with time, vaginal pressure is usually felt
Contraction discomfort: starts in the back and radiates around toward the front of the
abdomen
Any changes in activity: contractions continue no matter what positional change is made
False Labor:
Contractions are irregular, not occurring close together
Contraction strength frequently weak, not getting stronger with time or alternating.
Contraction discomfort usually felt in the front of abdomen
m
er as
Any changes in activity contractions may stop or slow down with walking or making a
co
position change
eH w
2. How do you know when the placenta is separating from the uterus? P 444
o.
rs e
a. The uterus rises upward
ou urc
b. The umbilical cord lengthens
c. A sudden trickle of blood is released from the vaginal opening
d. The uterus changes it shape to globular
o
aC s
3. What is cervical effacement? P 426
vi y re
The cervix effaces things to allow the presenting fetal part to descend into the vagina
4. A nurse should advise a women to come to the hospital her contractions are _5____ min
ed d
apart and lasting __45-60_________ seconds and are strong enough so that a
conversation during once is not possible. P 424 Chart 13.1
ar stu
5. What kind of delivery would be expected for a baby in the shoulder presentation? P 430
Cesarean birth
6. Name the 4 pelvic shapes and what kind a delivery would be expected. P 426
is
a. Gynecoid- best for vaginal birth
Th
b. Android prognosis for labor is poor and usually c-section is performed
c. Anthropoid- vaginal birth
d. Platypelloid –c-section
sh
7. Breech presentation name the four positions, positioning of the leg(s), and what part is
presenting. P 429
a. Frank- buttock presenting legs are extending straight up to face
b. Complete Breech- baby is sitting cross ways over the cervix
c. Single Footling breech- one leg is presenting
d. Double footling breech both legs are presenting
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