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
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