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Exam (elaborations)

NSG432; Laboring Women and Family during birth Part 1 questions with answers

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NSG432; Laboring Women and Family during birth Part 1 questions with answers

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NSG432; Laboring Women and Family
during birth Part 1 questions with
answers

Labor - ANS ✔✔represents the end of pregnancy and beginning of external life for the newborn
and change in life for entire family.



Nursing. Care During Labor and Birth - ANS ✔✔•Labor begins with first uterine contraction,
continues with hard work during cervical dilation and birth, and ends as woman and family
begin attachment process with infant.



Ferns - ANS ✔✔-seen when a patient is ruptured.

-not always ruptured. Many people have urine leakage.

-AmniSure- (come in with good story) swab and will show if its positive or negative.

-Ultrasound-measurement of amniotic fluid or amount and if it is low, yes rupture.



COAT acronym - ANS ✔✔color

odor

amount

time of rupture



Rupture for more than 18 hours - ANS ✔✔-prolonged rupture

-increase risk of infection



True labor - ANS ✔✔-Contractions regular (every 2-3 mins)

-Pain felt in back radiating to front

, -Cervical change (making cervical change and cervix is opening)

-Fetus engages (fetus descent into pelvis)

-Change of position doesn't matter

-Bloody show (cervix dilates as it opens up)

-Cervical friability-capillaries break easily-can cause bleeding



False labor - ANS ✔✔-Contractions irregular (1 in hour or 1 in 30 minutes)

-Lie down or move may make labor stop

-No change in cervical dilation, effacement, or bloody show (ambulation helps with descent)

-Fetus not engaged often posterior

-NO cervical change



Only way to show dilation - ANS ✔✔Sterile vaginal exam



Psychosocial - ANS ✔✔•History of abuse

•Stress in labor

•Cultural factors

•Culture and father participation

•Non-English speaking woman

•Verbal interactions

•Body language

•Perceptual ability

•Discomfort level



Physical Examination - ANS ✔✔-OB triage is first stop

1) FIRST THING TO DO: PUT MOM ON MONITOR

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