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Exam (elaborations)

NU 404: Unit 4 Questions With Complete Solutions

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NU 404: Unit 4 Questions With Complete Solutions

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NU 404: Unit 4 Questions With Complete Solutions

7 cardinal movements Correct Answers -engagement
-descent: past inlet
-flexion: smallest A/P presenting
-internal rotation: occiput rotates
-extension: head born
-restitution & external rotation: head turns to one side
-expulsion: anterior shoulder born

Absent Correct Answers -0 BPM
-none; bad
-baby crashes

Accelerations Correct Answers -abrupt increase in fetal heart
rate above the baseline of 15 BPM or greater lasting longer than
15 secs*
-good; happy baby

Active phase Correct Answers -4-7 cm
-getting down to business; serious
-comfort measures
-pain relief
-contractions stronger & more frequent

Android Correct Answers -heart shaped
-spines come in sharply so little room for baby
-usually c-section

Anterior fontanel Correct Answers -larger
-diamond shaped

, -closes around 12-18 months
-closed at birth: concerned about microcephaly (caused by zika,
drug use, etc.)
-the bregma

Anthropoid Correct Answers -almost oval from front to back
-problem is when head enters pelvis it has to rotate so oval
makes it difficult
-most have c-section

Assessing ROM Correct Answers -normal vaginal pH: 4.5-6.0;
paper doesn't change color
-ruptured vaginal pH: 7.1-7.3; suggests PROM (paper blue)
-causes: false positive nitrazine positive (pH>7), blood, semen,
antiseptic solutions, urine with increased pH (alkaline urine),
vaginal infection (BV)

Baseline FHR Correct Answers -avg. rate during a 10 min
segment that excludes periodic or episodic changes, periods of
marked variability, segments of _ that differ by more than 25
BPM
-must be at least 2 mins of interpretable data
-normal: 110-160*

Biparital Correct Answers diameter of skull that tells us how
far along pregnancy is during 2nd trimester

Birth plans Correct Answers -care provider: physicians,
midwives, doulas
-birth settings: LDR, LDRP, home, free standing birthing
centers

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