NUR2005 Exam Latest update
stages of labour - Answer Stage 1 - dilation of 0-4cms
contractions
appearance of bloody show
rupture of the amniotic sac
--> encourage woman to stay home, sleep, pain killers, fluids, continue normal activity
Stage 2 - full 10cm cervix dilation, longer contractions, pressure, try positions, fluids,
baths
fetal birth
crowning
baby passes through the birth canal
skin to skin
APGAR score (appearance, pulse, grimace, activity, respiratory effort)
Stage 3 - after birth of baby until placenta and membrane birthed
more contractions, fullness in vag
placenta separates from the uterine wall and is expelled,
stage 4 - postpartum period, supportive care, assessments
primigravida - Answer first pregnancy
1st: 12-16 hrs
2nd: 30-90 mins
3rd: 5-60 mins
multigravida - Answer many pregnancies
1st: 4-10 hrs
2nd: 5-60 mins
3rd: 5-30 mins
Spurious labour - Answer Uterine contractions which may be regular and/or painful, but
are not associated with cervical effacement and dilatation
,assessments during labour - Answer vitals
fluid balance
abdominal palpation (1-4 manoeuvre top to bottom)
infant HR. (110-160)
contractions
vaginal loss
coping and pain
onset of labour hormones - Answer oxytocin
prostagladin
fetal steroids
oest/prog
developmental milestones stages - Answer 3, 6, 12, 18, 24 and 36 months
3 months developmental milestones - Answer smile, lift head, fists, react to sudden
movements
6 months developmental milestones - Answer babble, recognise familiar faces, reach for
objects, turn to normal sound, help hold bottle
12 months developmental milestones - Answer Sit without support
Crawl
Put objects in a container
Know 5 or 6 words
Pull to standing
Stack 2 blocks
18 months developmental milestones - Answer Follow simple directions
Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
24 months developmental milestones - Answer Follow simple directions
, Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
36 months developmental milestones - Answer Follow simple directions
Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
term baby vitals - Answer RR: 30-40
HR: 100-170
Min systolic BP: 50
3 months vitals - Answer RR: 30-50
HR: 100-170
Min systolic BP: 50
6 months vitals - Answer RR: 30-50
HR: 100-170
Min systolic BP: 60
1 year old vitals - Answer RR: 30-40
HR: 110-160
Min systolic BP: 70-90
1-2 year old vitals - Answer RR: 25-35
HR: 100-150
Min systolic BP: 80-95
2-5 year old vitals - Answer RR: 25-30
HR: 95-140
Min systolic BP: 80-100
stages of labour - Answer Stage 1 - dilation of 0-4cms
contractions
appearance of bloody show
rupture of the amniotic sac
--> encourage woman to stay home, sleep, pain killers, fluids, continue normal activity
Stage 2 - full 10cm cervix dilation, longer contractions, pressure, try positions, fluids,
baths
fetal birth
crowning
baby passes through the birth canal
skin to skin
APGAR score (appearance, pulse, grimace, activity, respiratory effort)
Stage 3 - after birth of baby until placenta and membrane birthed
more contractions, fullness in vag
placenta separates from the uterine wall and is expelled,
stage 4 - postpartum period, supportive care, assessments
primigravida - Answer first pregnancy
1st: 12-16 hrs
2nd: 30-90 mins
3rd: 5-60 mins
multigravida - Answer many pregnancies
1st: 4-10 hrs
2nd: 5-60 mins
3rd: 5-30 mins
Spurious labour - Answer Uterine contractions which may be regular and/or painful, but
are not associated with cervical effacement and dilatation
,assessments during labour - Answer vitals
fluid balance
abdominal palpation (1-4 manoeuvre top to bottom)
infant HR. (110-160)
contractions
vaginal loss
coping and pain
onset of labour hormones - Answer oxytocin
prostagladin
fetal steroids
oest/prog
developmental milestones stages - Answer 3, 6, 12, 18, 24 and 36 months
3 months developmental milestones - Answer smile, lift head, fists, react to sudden
movements
6 months developmental milestones - Answer babble, recognise familiar faces, reach for
objects, turn to normal sound, help hold bottle
12 months developmental milestones - Answer Sit without support
Crawl
Put objects in a container
Know 5 or 6 words
Pull to standing
Stack 2 blocks
18 months developmental milestones - Answer Follow simple directions
Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
24 months developmental milestones - Answer Follow simple directions
, Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
36 months developmental milestones - Answer Follow simple directions
Walk without help
Feed themselves
Step off a low object & keep balance
Make marks on paper with crayons
term baby vitals - Answer RR: 30-40
HR: 100-170
Min systolic BP: 50
3 months vitals - Answer RR: 30-50
HR: 100-170
Min systolic BP: 50
6 months vitals - Answer RR: 30-50
HR: 100-170
Min systolic BP: 60
1 year old vitals - Answer RR: 30-40
HR: 110-160
Min systolic BP: 70-90
1-2 year old vitals - Answer RR: 25-35
HR: 100-150
Min systolic BP: 80-95
2-5 year old vitals - Answer RR: 25-30
HR: 95-140
Min systolic BP: 80-100