NUR 254 Exam 1 | Child Bearing and Child Caring Families Exam 1 Study Guide | Galen

NUR 254 Exam 1 | Child Bearing and
Child Caring Families Exam 1 Study
Guide | Galen

The five P's - Correct Answer - Passenger (fetus and
placenta)
Passageway (birth canal)
Powers (contractions)
Position of mother
Psychologic response


fetal presentation
- Correct Answer - Part entering pelvic inlet first
-cephalic (vertex/head)
-breech (buttocks, feet or both)
-shoulder (scapula)


Fetal lie
- Correct Answer - the relation of the long axis (spine) of the
fetus to the long axis (spine) of the mother


-longitudinal/vertical: parallel
-transverse/horizontal

,-oblique: in between, at an angle




fetal attitude
- Correct Answer - fetal head flexed or relaxed
typically flexed, chin to chest
if extended, it may not be able to fit through the pelvis




fetal position
- Correct Answer - Relationship of the landmark on the
presenting fetal part to the front, sides, or back of the maternal
pelvis.


occiput- back of head
mentum - face


station
- Correct Answer - Relationship of the presenting fetal part to
an imaginary line drawn between the pelvic ischial spines.




problems with passageway
- Correct Answer - -if mothers pelvis is not gynecoid shape
may not accommodate baby

, -macrosomia
-cephalopelvic disproportion (CPD) baby's head is unable to fit
through maternal pelvis




Powers
- Correct Answer - Primary-involuntary contractions
-effacement: thinning of cervix (0-100%)
-dilation-opening of cervix (0-10cm)


Secondary- mothers bearing down or pushing with contractions




Ineffective Primary Powers
- Correct Answer - Amniotomy-puncture hole in amniotic sac,
fetal head applies pressure to cervix
-FHR, also asses amount, color, odor


Augmentation
-IV pitocin, increase amount until contractions are evry 2-3 mins
& moderate intensity


Induction of labor - Correct Answer - chemical or mechanical
initiation of uterine contractions before their spontaneous onset
Chemical