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nur124exam1
NUR 124 exam 1
| Question | Answer |
|---|---|
| Why is a vertex presentation the most likely to result in a normal delivery? | It is hard and round and helps to dilate the cervix |
| The nurse sees variable decelerations on a fetal monitoring strip. What is the most likely cause of this pattern? | Cord compression |
| Which statement correctly describes station | Relationship of the presenting part to the ischial spines |
| The nurse takes the blood pressure of a woman in labor, it is 85 systolic and 52 diastolic. The woman is lying on her back. What is the most important nursing action? | Turn the woman on her side |
| Which maternal position during labor results in a shorter labor? | Upright position |
| Which statement describes the beginning of true labor? | Contractions continue despite movement |
| A woman in labor is intensely concentrating on contractions, what phase of labor is she most likely in? | The active phase |
| Which type of anesthesia is most commonly used for elective or emergency cesarean sections? | Spinal anesthesia |
| The nurse is caring for a woman who has just had placement of epidural anesthesia. The woman becomes hypotensive, and the nurse notes fetal bradycardia on the fetal monitoring strip. What is the most important nursing intervention? | Administer oxygen via face mask |
| Which of the following is a contraindication to epidural anesthesia? | Fetal tachycardia and maternal fever |
| The relationship of the long axis of the fetus to the long axis of the mother | fetal lie |
| The relationship of the fetal body parts to one another | fetal attitude |
| fetal attitude | left occipito posterior? |
| A complication of back lying in labor | supine hypotension |
| When the presenting part is at the level of the ischial spines | engagement |
| Fluctuations in the fetal heart beat in response to all the things that are happening in utero | variability |
| Average fetal heart rate for 10 minutes excluding accelerations, decelerations and periods of marked variability | baseline fetal heart rate? |
| Abrupt decrease from baseline usually means cord compression, intervention is knee chest position | variable decelerations |
| A normal part of variability in which the fetal heart rises by 15 beats per minute for 15 seconds | accelerations |
| A cause of late decelerations | uteroplacental insufficiency? |
| Abolishment of pain perception by interruption of nerve impulses to the brain | anesthesia |
| Alleviation of the sensation of pain without loss of consciousness | analgesia |
| A complication that can occur from any spinal anesthesia. IV fluids are given prior to administration to prevent it from happening | hypotension with decreased placental perfusion |
| Injection of a local anesthetic agent into the epidural space between the fourth and fifth lumbar vertebrae. | epidural anesthesia |
| Injection of anesthetic solution into the subarachnoid space where it mixes with the cerebrospinal fluid | spinal anesthesia |
| A method of expressing the mothers wishes that will make the woman an active participant | birth plan |
| A method of preparing for childbirth by teaching active relaxation and breathing techniques | Lamaze method |
| A method of partner coached childbirth using breath control and general body relaxation | Bradley method |
| Light stroking massage usually of the abdomen in rhythm with breathing during contractions | effleurage and counterpressure |
| Contractions, preparation, culture, age, anxiety level, previous experience | factors that affect perception of pain in labor |
| The mood of women in the latent phase of the first stage of labor | excited, and slightly anxious |
| Nursing intervention to prevent a situation in which the descent of the presenting part could be impeded | encouraging voiding every two hours |
| Low blood pressure resulting from pressure on the vena cava | supine hypotension |
| A measure to prevent infection during labor | changing linen that is wet or stained with blood regularly |
| Method of identifying number of fetuses, presenting part, fetal lie and attitude, degree of descent and expected location of the fetal heart | Leopold’s maneuver |
| The relationship of the presenting part to the ischial spines | station |
| The part of the fetus that enters the pelvis first | Fetal presentation |
| head of baby | vertex |
| The relationship of the long axis (spine) of the fetus to the long axis of the mother. | Fetal lie |
| Is the relationship of the body parts to one another. | Fetal attitude-fetal attitude is one of flexion the smallest diameter of the fetal head is presenting, this allows the fetal head to easily pass through the pelvis |
| : the relationship of the presenting part (in a vertex position=occiput ) to the four quadrants of the mothers pelvis. | Fetal position |
| the relationship of the presenting part to the ischial spines. | Station |
| At the level of the ischial spines the presenting part is at zero station | engagement-measured in cm below/above ischium spines. +4 is on the floor. |
| There are four maternal pelvic types | gynecoid, android, anthropod, platypelloid. gynecoid most common |
| The Powers | Contractions involuntary- primary powers Pushing voluntary-secondary powers |
| beginning to end of one contraction | duration |
| beginning of one contraction to the beginning of another contraction | frequency |
| signs of labor | nesting, mucus plug, bloody show,backache, lightening (when baby drops |
| contractions stop with movement | false labor |
| contractions dont stop with movement | true labor |
| stage 1 of labor | cervical dialtion; latent 0-3, active 4-7, trans 8-10 |
| stage 2 of labor | expulsion |
| stage 3 of labor | placental delivery |
| stage 4 of labor | maternal homeostasis stabilization |
| Fetal Heart rate | 140 beats per minute; term fetus the normal range is between 110 and 160 BPM |
| this type of monitoring the membranes must be ruptured, and the cervix dilated to 2 to 3 cm | Internal Monitoring |
| The fetal heart increases and decreases in response to all the things that are happening to the fetus in utero. | Variability |
| contains accelerations (rise in fetal heart rate above baseline by 15 BPM for 15 seconds). | Normal variability |
| the average rate during a 10 minute period that excludes accelerations, decelerations and periods of marked variability. | Baseline FHR |
| a sign of a structural defect in the fetal heart infetus | bradycardia |
| can be an early sign of fetal hypoxia, or a sign of maternal or fetal infection. | tachycardia |
| gradual decrease in fetal heart rate from baseline at the start of a contraction, with a return to a baseline at the end of the contraction. | Early deceleration; from fetal head compression of vagus nerve. its okay |
| decelerations begin after the contraction has started, the lowest point of the deceleration occurs after the peak of the contraction, and it does not return to baseline until the contraction has finished. | Late decelerations; insufficient placenta prefusion, hypoxia of fetus,lack of O |
Created by:
vstein
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