PPN 301 FINAL EXAM PAPER
QUESTIONS WITH ANSWERS GRADED A
◉ What are the four basic types of pelves classification? Answer:
gynecoid
android
anthropoid
platypelloid
◉ When is the bony pelvis assessed? Answer: during first prenantal
evaluation by HCP; need not be repeated if pelvis is of adequate size and
suitable shape
3rd trim may do again is there is increased relaxation and mobility
◉ Term for involuntary contractions where effacement and dilation are
occuring Answer: Primary powers
◉ Term for presenting part reaching pelvic floor where contractions are
now voluntary and gestating parent uses bearing-down efforts;
experience may feel involuntary urge to push. Answer: Secondary
powers
,◉ You are intermittently auscultating and the FHR has an irregular heart
rate (fetal arrhythmia), what should the nurse next initiate? Answer: -
EFM
-communicate with primary cary provider to initiate further fetal testing
-consider causative factors (maternal positional for example)
- auscultate FHR immediately after next contraction
◉ If the client is in latent phase of labour and hospitalized, how frequent
should IA be performed? Answer: Done at admission time then Q1H
◉ If the client is in active phase of Stage 1 of labour, how frequent
should IA be performed? Answer: Q15min - Q30min
◉ If the client is in active phase of stage 2 of labour (pushing) how
frequent should IA be performed? Answer: q5min or immediately
following each contraction
◉ Why shouldn't EFM be used routinely? Answer: -tracing can be
inaccurate and anbiguous causing needless anxiety
-risk of false alarms and legal vulnerability of ambiguous patterns may
contribute to increased caesareans
, ◉ Why isn't external electronic fetal monitoring not ideal in preterm
UA? Answer: tocotransducers of most electronic fetal monitors are
designed for assessing UA in term pregnancy
In preterm, fundus amy be located below the level of the umbilicus and
nurse may need to rely on labouring pt to indicate when UA is occuring
and to use palpation as additiona sessment
◉ What anatomical factors of the client do you need in order to use
continuous internal electronic FHR or UA? Answer: -membranes must
be ruptured
-cervix sufficiently dilated (2 - 3 cm)
-presenting part low enough to allow placement of the spiral electrode,
IUPC, or both
◉ Define gravida Answer: a person who is pregnant
◉ Define Gravidity Answer: pregnancy
◉ nulligravida Answer: never been pregnant and currently not pregnant
◉ primigravida Answer: pregnant for the first time
◉ multigravida Answer: hx two or more pregnancies
QUESTIONS WITH ANSWERS GRADED A
◉ What are the four basic types of pelves classification? Answer:
gynecoid
android
anthropoid
platypelloid
◉ When is the bony pelvis assessed? Answer: during first prenantal
evaluation by HCP; need not be repeated if pelvis is of adequate size and
suitable shape
3rd trim may do again is there is increased relaxation and mobility
◉ Term for involuntary contractions where effacement and dilation are
occuring Answer: Primary powers
◉ Term for presenting part reaching pelvic floor where contractions are
now voluntary and gestating parent uses bearing-down efforts;
experience may feel involuntary urge to push. Answer: Secondary
powers
,◉ You are intermittently auscultating and the FHR has an irregular heart
rate (fetal arrhythmia), what should the nurse next initiate? Answer: -
EFM
-communicate with primary cary provider to initiate further fetal testing
-consider causative factors (maternal positional for example)
- auscultate FHR immediately after next contraction
◉ If the client is in latent phase of labour and hospitalized, how frequent
should IA be performed? Answer: Done at admission time then Q1H
◉ If the client is in active phase of Stage 1 of labour, how frequent
should IA be performed? Answer: Q15min - Q30min
◉ If the client is in active phase of stage 2 of labour (pushing) how
frequent should IA be performed? Answer: q5min or immediately
following each contraction
◉ Why shouldn't EFM be used routinely? Answer: -tracing can be
inaccurate and anbiguous causing needless anxiety
-risk of false alarms and legal vulnerability of ambiguous patterns may
contribute to increased caesareans
, ◉ Why isn't external electronic fetal monitoring not ideal in preterm
UA? Answer: tocotransducers of most electronic fetal monitors are
designed for assessing UA in term pregnancy
In preterm, fundus amy be located below the level of the umbilicus and
nurse may need to rely on labouring pt to indicate when UA is occuring
and to use palpation as additiona sessment
◉ What anatomical factors of the client do you need in order to use
continuous internal electronic FHR or UA? Answer: -membranes must
be ruptured
-cervix sufficiently dilated (2 - 3 cm)
-presenting part low enough to allow placement of the spiral electrode,
IUPC, or both
◉ Define gravida Answer: a person who is pregnant
◉ Define Gravidity Answer: pregnancy
◉ nulligravida Answer: never been pregnant and currently not pregnant
◉ primigravida Answer: pregnant for the first time
◉ multigravida Answer: hx two or more pregnancies
