NRSG 2500 EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NRSG 2500 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
Are early decelerations bad or good?
Answer:
Good- They are a "Mirror" image of mother's contractions (they don't technically come
early)

Question:
Why do early decelerations occur?
Answer:
pressure on baby's head causes vagal response

Question:
interventions for early decelerations
Answer:
vaginal examination to determine labor progress (baby is coming!)- continue to
monitor

Question:
what is happening during late decelerations?
Answer:
uteroplacental oxygen deficiency- Literally comes late after mothers contraction.

Question:
interventions for late decelerations
Answer:
Roll mom onto side, oxygen 8L non-rebreather, fluids, elevate legs to decrease
hypotension

Question:
variable decelerations are caused by
Answer:
pressure on the umbilical cord,

Question:
interventions for variable decelerations
Answer:
Discontinue Oxytocin, roll mom side to side, amnioinfusion, Oxygen non-rebreather

,Question:
prolonged decelerations are caused by
Answer:
prolonged uteroplacental deoxygenation-placental abruption, prolapsed cord
-prolonged deceleration is a critical pattern where the fetal heart rate (FHR) drops at
least 15 bpm below baseline for 2 to 10 minutes.

Question:
What are the 5 factors that affect the process of birth?
Answer:
Passenger, passageway, position, power, psychology

Question:
passenger
Answer:
fetus

Question:
passageway
Answer:
birth passage

Question:
Types of Pelvis
Answer:
GYNECOID • Classic female type ANDROID • Resembling the male pelvis ANTHROPOID •
Oval-shaped • Wider anteroposterior diameter PLATYPELLOID -Flat pelvis

Question:
powers
Answer:
physiological forces of laborcontractions: Primary & secondary Involuntary &
voluntary powers are used to expel the baby & the placenta from the uterus

Question:
Birth and pain
Answer:
photo

Question:
attitude
Answer:
relationship of fetus body parts to one another GENERAL FLEXION • Back of the fetus is
rounded so that the chin is flexed on the chest, thighs are flexed on the abdomen & legs
are flexed at the knees BIPARIETAL DIAMETER • 9.25 cm at term, the largest transverse
diameter & an important indicator of fetal head size SUBOCCIPITOBREGMATIC
DIAMETER • Most critical & smallest of the anteroposterior diameters

, Question:
lie
Answer:
how spine of baby corresponds with spine of mother

Question:
What is fetal presentation?
Answer:
Refers to the part of the fetus that first enters the pelvic inlet through the birth canal.

Question:
3 most common fetal presentations
Answer:
Cephalic(Head- back of head/skull), Breech (Buttocks,feet, or both-Sacrum) Shoulder
(Shoulders-Scapula)

Question:
Position/Station
Answer:
FETAL STATION • Where the baby's presenting part is located in the pelvis
• Measured in centimeters (cm) Head, foot, buttocks (closest to exit of uterus)

Question:
engagement (baby's dropped, lightening)
Answer:
ENGAGEMENT • Fetal station zero = baby is "engaged" • Engaged: Presenting parts have
entered down into the pelvic inlet & are at the ischial spine line (0)

Question:
symptoms of engagement in mother
Answer:
will feel lighter and be able to breathe easier

Question:
Nullipara- Multipara-
Answer:
• nullipara: 38 weeks
• multipara:
Can happen when labor starts

Question:
When are leopold's maneuvers performed?
Answer:
after 36 weeks to determine baby's position