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Exam (elaborations)

NUR 335 / NUR335 EXAM 2. QUESTIONS WITH 100% CORRECT ANSWERS.

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This medication is given to stop vaginal bleeding, but contraindicated with hypertension. Methergine This drug is always administered via small titrations for induction during labor. Pitocin or oxytocin This needs to be administrated intravenously before an epidural is placed. IV fluids bolus This medication crosses the placenta and makes baby sleepy Opioid -You do this with cervidil if the contractions are every minute -Remove it This is the definition of tachystole. 6 contractions in 10 minutes When contractions last this long, could be a sign of tachystole. 2 minutes or 120 seconds This maneuver is done when shoulder dystocia is expected? McRoberts This worst complication when mom has prolonged labor and is pushing for more than 3 hours. Fetal/ neonatal asphyxia When using the vacuum how many pulls can you have? 3

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NUR 335 EXAM 2
What are the phases of labor?
- Early 0-3cm
- Active 4-7cm
- Transition 8-10cm




What happens during the early phase of labor?
Fun and exciting = signs all consent




How are the contractions measured in the early phase of labor, and describe the
pain?
- Contractions are every 10-30 minutes for 30-40 seconds.
- Pain: Mild




What happens during the active phase of labor?
Mom not having fun anymore but she's not angry.




How are the contractions measured in the active phase of labor?

,- Contractions are every 2-3 minutes for 40-60 seconds.
- Pain: Moderate to strong




What happens during the transition phase of labor?
- Mom's personality & physiological changes (might have hiccups, nausea, &
vomiting)
- Pain: Strong




How are the contractions measured in the transition phase of labor?
Contractions are every 1-2 minutes for 60-90 seconds.




What are the stages of labor?
- Stage 1: whole labor process till 10cm
- Stage 2: birth of the baby
- Stage 3: delivery of the placenta
- Stage 4: 1-4 hours after delivery




What happens in the first stage of labor?

, - Dilatation & effacement
- Includes all phases




First Stage of Labor: 1st time mom.
Primipara = 8-20 hours




First Stage of Labor: 2nd time mom.
Multipara = 5-14 hours




What happens in the second stage of labor?
Ends with birth of the baby.




What happens in the third stage of labor?
Delivery of the placenta




What happens in the fourth stage of labor? (What should you monitor for?)

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