CNUR 303 | QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST UPDATE
GUARANTEED PASS
What are the three aspect of a fetopelvic relationship? Lie: relationship of fetal spine to
moms spine (longitudinal, transverse)
Attitude: relationship of fetal parts to one another (full flexion)
Presentation: fetal parts that enter the pelvic passage first (head aka cephalic, breach)
What are the two different powers during active labour primary power- uterine muscular
contractions
secondary power- how hard mom is pushing during contractions
What does progesterone do in active labour? relaxes smooth muscle
what does estrogen do during active labour? stimulation of uterine muscle contraction
what do prostaglandins do during labour? contribute to cervical ripening and dilation
What are the 4 stages of labour? 1st Stage:
1a- Early/Latent
1b- Active
2nd Stage: fully dilated and birth
3rd stage: placental birth
4th stage: can be placenta and 1-4 hours PP
What is the early 1st stage of labour? 0-3cm dilated
,0-40% effaced
regular mild contractions
Fetal and Mothers HR q4h
if ROM MHR is q2h
What is the active 1st stage of labour? 4-7cm dilated
40-80% effaced
stronger contractions
increased pain
FHR q15-30 mins
MHR q2h
what is the transition 1st stage of labour? 8-10cm dilated
80-100% effaced
stronger contractions
pressure
urge to push
increase in fecal matter
FHR 15/30 mins
What is the second stage of labour? 10 cm, fully effaced
urge to push
can take minutes or several hours
crowning
perineal stretching/burning
MHR q15-30mins
, FHR q contraction for at least 5 mins
delayed umbilical cord clamping for 60 seconds is recommended
What is the third stage of labour? placenta is delivered
Oxytocin given IM or IV
lengthening of the umbilical cord
sudden gush of blood
monitor q15minx4 (fundus, flow, BP, Pulse)
What is the fourth stage of labour? immediate PP period 1-4 hours
increased pulse
decreased BP
shakiness
try to get voiding
Definition of induction initiation of contractions
Definition of augmentation enhancement of existing contractions
indications for induction postdates 41 3+
PROM
Maternal morbidity
Fetal distress
Fetal size (LGA, growth restriction)
fetal death
GUARANTEED PASS
What are the three aspect of a fetopelvic relationship? Lie: relationship of fetal spine to
moms spine (longitudinal, transverse)
Attitude: relationship of fetal parts to one another (full flexion)
Presentation: fetal parts that enter the pelvic passage first (head aka cephalic, breach)
What are the two different powers during active labour primary power- uterine muscular
contractions
secondary power- how hard mom is pushing during contractions
What does progesterone do in active labour? relaxes smooth muscle
what does estrogen do during active labour? stimulation of uterine muscle contraction
what do prostaglandins do during labour? contribute to cervical ripening and dilation
What are the 4 stages of labour? 1st Stage:
1a- Early/Latent
1b- Active
2nd Stage: fully dilated and birth
3rd stage: placental birth
4th stage: can be placenta and 1-4 hours PP
What is the early 1st stage of labour? 0-3cm dilated
,0-40% effaced
regular mild contractions
Fetal and Mothers HR q4h
if ROM MHR is q2h
What is the active 1st stage of labour? 4-7cm dilated
40-80% effaced
stronger contractions
increased pain
FHR q15-30 mins
MHR q2h
what is the transition 1st stage of labour? 8-10cm dilated
80-100% effaced
stronger contractions
pressure
urge to push
increase in fecal matter
FHR 15/30 mins
What is the second stage of labour? 10 cm, fully effaced
urge to push
can take minutes or several hours
crowning
perineal stretching/burning
MHR q15-30mins
, FHR q contraction for at least 5 mins
delayed umbilical cord clamping for 60 seconds is recommended
What is the third stage of labour? placenta is delivered
Oxytocin given IM or IV
lengthening of the umbilical cord
sudden gush of blood
monitor q15minx4 (fundus, flow, BP, Pulse)
What is the fourth stage of labour? immediate PP period 1-4 hours
increased pulse
decreased BP
shakiness
try to get voiding
Definition of induction initiation of contractions
Definition of augmentation enhancement of existing contractions
indications for induction postdates 41 3+
PROM
Maternal morbidity
Fetal distress
Fetal size (LGA, growth restriction)
fetal death
