NSG 210 Questions and Answers Already Graded
Q: What is a normal fetal heart rate? ✓✓ 110-160
What drug is used to stimulate uterine contractions? ✓✓ Oxytocin
What are the desired parameters for uterine contractions? ✓✓
Lasting 60 seconds or less
Not more often than 2 minutes
What does Terbutaline do & what are its contraindications? ✓✓
Delays delivery time, but does not stop it.
Contraindicated for gestation 34 weeks or greater & cervical dilation
>6 cm.
What does nifedipine do & what is a side effect to watch for? ✓✓
Helps suppress contractions
Watch for orthostatic hypotension
When does progesterone levels start to drop? ✓✓ Around 37
weeks. Was previously high because progesterone relaxes smooth
muscle of the uterus
What happens to Estrogen around delivery time? ✓✓ Remains high.
Combination of lower progesterone and high estrogen makes uterus
more responsive to other hormones (oxytocin)
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, What are Braxton Hick's contractions? ✓✓ They are false labor
contractions which are occurring due to the decreased levels of
progesterone.
Explain dilation and effacement. ✓✓ Dilation is the opening of the
cervix to 10 cm & effacement is the thinning of the cervical walls
expressed in percentage.
Where is relaxin and what does it do? ✓✓ Produced in the placenta
Loosens pelvic ligaments, opens pelvic outlet, causes cervical dilation
What are the stages of labor & what happens in each? ✓✓ Stage 1 -
Cervical dilation
*cervix dilates to about 10 cm
Stage 2 - Expulsion of fetus
*starts when fetal head enters the birth canal and ends when fetus is
delivered
Stage 3- Afterbirth
*starts immediately after fetal delivery and ends with delivery of the
placenta
Stage 3 - Recovery
Explain an early deceleration ✓✓ Considered normal
Fetal heart rates drops and mirrors maternal contraction
caused by compression of fetal head on pelvis/soft tissue.
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, Explain Late Decelerations ✓✓ Is not normal and requires
intervention
Fetal heart rate drops after maternal contraction
Caused by uteroplacental insufficiency (baby not getting enough
oxygen?
Explain Variable Deceleration ✓✓ Not normal and requires
intervention
There is not relationship between fetal heart rate drops and
maternal contraction
Caused by umbilical cord compression
During Leoupold's Maneuver, you find the fetal lie to be straight up
and down. What is this called? ✓✓ Longitudinal lie
During Leoupold's Maneuver, you find the fetal lie to be at an angle.
What is this called? ✓✓ Oblique
During Leoupold's Maneuver, you find the fetal lie to be horizontal.
What is this called? ✓✓ Transverse
During Leoupold's Maneuver, you find one side of the fetus hard &
the other side soft. What does this indicate? ✓✓ hard - back
soft - front
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, How can you assess to see if the fetal head has dropped into the
pelvis? ✓✓ Face the mother's feet
Place your fingertips just above the pubic bone
Can you get your fingers between the fetal head and the maternal
pubic bone?
Yes - fetal head has not dropped into pelvis
No - fetal head has dropped into pelvis
Where would you expect to find the fundal height of a woman 12
weeks pregnant? ✓✓ Just above pubic bone
Where would you expect to find the fundal height of a woman 16
weeks pregnant? ✓✓ 1/2 way between pubic bone and umbilicus
Where would you expect to find the fundal height of a woman 20
weeks pregnant? ✓✓ At umbilicus
Where would you expect to find the fundal height of a woman 24
weeks pregnant? ✓✓ Finger or two above umbilicus
Where would you expect to find the fundal height of a woman 36
weeks pregnant? ✓✓ At the xiphoid process
Where would you expect to find the fundal height of a woman post
36 weeks pregnant? ✓✓ Below the xiphoid process (lightening
occurs)
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Q: What is a normal fetal heart rate? ✓✓ 110-160
What drug is used to stimulate uterine contractions? ✓✓ Oxytocin
What are the desired parameters for uterine contractions? ✓✓
Lasting 60 seconds or less
Not more often than 2 minutes
What does Terbutaline do & what are its contraindications? ✓✓
Delays delivery time, but does not stop it.
Contraindicated for gestation 34 weeks or greater & cervical dilation
>6 cm.
What does nifedipine do & what is a side effect to watch for? ✓✓
Helps suppress contractions
Watch for orthostatic hypotension
When does progesterone levels start to drop? ✓✓ Around 37
weeks. Was previously high because progesterone relaxes smooth
muscle of the uterus
What happens to Estrogen around delivery time? ✓✓ Remains high.
Combination of lower progesterone and high estrogen makes uterus
more responsive to other hormones (oxytocin)
© 2025 Get it right Stuvia US All rights reserved
, What are Braxton Hick's contractions? ✓✓ They are false labor
contractions which are occurring due to the decreased levels of
progesterone.
Explain dilation and effacement. ✓✓ Dilation is the opening of the
cervix to 10 cm & effacement is the thinning of the cervical walls
expressed in percentage.
Where is relaxin and what does it do? ✓✓ Produced in the placenta
Loosens pelvic ligaments, opens pelvic outlet, causes cervical dilation
What are the stages of labor & what happens in each? ✓✓ Stage 1 -
Cervical dilation
*cervix dilates to about 10 cm
Stage 2 - Expulsion of fetus
*starts when fetal head enters the birth canal and ends when fetus is
delivered
Stage 3- Afterbirth
*starts immediately after fetal delivery and ends with delivery of the
placenta
Stage 3 - Recovery
Explain an early deceleration ✓✓ Considered normal
Fetal heart rates drops and mirrors maternal contraction
caused by compression of fetal head on pelvis/soft tissue.
© 2025 Get it right Stuvia US All rights reserved
, Explain Late Decelerations ✓✓ Is not normal and requires
intervention
Fetal heart rate drops after maternal contraction
Caused by uteroplacental insufficiency (baby not getting enough
oxygen?
Explain Variable Deceleration ✓✓ Not normal and requires
intervention
There is not relationship between fetal heart rate drops and
maternal contraction
Caused by umbilical cord compression
During Leoupold's Maneuver, you find the fetal lie to be straight up
and down. What is this called? ✓✓ Longitudinal lie
During Leoupold's Maneuver, you find the fetal lie to be at an angle.
What is this called? ✓✓ Oblique
During Leoupold's Maneuver, you find the fetal lie to be horizontal.
What is this called? ✓✓ Transverse
During Leoupold's Maneuver, you find one side of the fetus hard &
the other side soft. What does this indicate? ✓✓ hard - back
soft - front
© 2025 Get it right Stuvia US All rights reserved
, How can you assess to see if the fetal head has dropped into the
pelvis? ✓✓ Face the mother's feet
Place your fingertips just above the pubic bone
Can you get your fingers between the fetal head and the maternal
pubic bone?
Yes - fetal head has not dropped into pelvis
No - fetal head has dropped into pelvis
Where would you expect to find the fundal height of a woman 12
weeks pregnant? ✓✓ Just above pubic bone
Where would you expect to find the fundal height of a woman 16
weeks pregnant? ✓✓ 1/2 way between pubic bone and umbilicus
Where would you expect to find the fundal height of a woman 20
weeks pregnant? ✓✓ At umbilicus
Where would you expect to find the fundal height of a woman 24
weeks pregnant? ✓✓ Finger or two above umbilicus
Where would you expect to find the fundal height of a woman 36
weeks pregnant? ✓✓ At the xiphoid process
Where would you expect to find the fundal height of a woman post
36 weeks pregnant? ✓✓ Below the xiphoid process (lightening
occurs)
© 2025 Get it right Stuvia US All rights reserved
