NURS 3730 Exam 2 Questions and
Answers 100% PASS
Passenger, Passageway, Position, Powers, Psychologic response - CORRECT
ANSWER-5 factors affecting labor
Passenger - CORRECT ANSWER-The baby is the ________ in the 5 factors
affecting labor.
Fetal size (LGA), anomalies (spina bifida, ancephalic), head (size, position: if the
head is positioned incorrectly, the process of birth is affected), presentation (how
passenger is presenting; usually vertex or cephalic presentation--head first; vertex:
chin is tucked to chest; brow: baby's face is presenting first; breach: buttocks or
feet are presenting first; lie (longitudinal lie; transverse lie); attitude (position; we
want flexion attitude; suboccipitobregmatic should be expelled first); position
(presenting part in relationship to mom's pelvis) - CORRECT ANSWER-
Passenger (the baby)
Passageway - CORRECT ANSWER-Mom's pelvis is the ____________; how it's
shaped & how big it is; once baby is at pubic bone, the baby is engaged; true pelvis
vs. false pelvis; cervix & soft tissues (if cervical procedure made scar tissue, it could
cause the cervix not to dilate fully; episiotomy: could cause ineffective stretching)
,Powers - CORRECT ANSWER-Uterine contractions: force generated by the
myometrium; measured by palpation (feeling belly & inside)--tocotransducer: does
NOT measure intensity, just duration & IUPC: measures intensity of contractions
Primary powers - CORRECT ANSWER-Contractions
Secondary powers - CORRECT ANSWER-Mom's bear down efforts
Ferguson reflex - CORRECT ANSWER-uncontrollable reflex for the urge to
push; she absolutely has to push; usually does not happen if she received an
epidural
Position - CORRECT ANSWER-Maternal position; before & after labor; if mom
is laying down & staying sideways, the baby will have trouble dropping into the
birth canal; if mom is being active towards the end of pregnancy & walking, the
baby will better engage into the birth canal; encourage moving around, getting up,
& changing positions; most woman delivery in lithotomy position (Not EBP
because gravity does not help)
Psychologic response - CORRECT ANSWER-Maternal history: if the mom has a
traumatic history, it can affect the process (like fear or rape)
Nurse's role in pain management - CORRECT ANSWER-- Non-pharmacologic
(doula; pursed lips breathing; acupressure/aroma therapy/hydrotherapy; position
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,changes; OP baby --> back labor: frequent position changes, hands & knees
position, counter pressure)
- Pharmacologic (sedatives; analgesics (fentanyl-short acting, stadol-will need
respiratory equipment for baby & narcan); nerve blocks for perineum
Spinal - CORRECT ANSWER-Done for scheduled C-sections; covers more than
an epidural; goes in subarachnoid space
Spinal headache - CORRECT ANSWER-Caused by spinals; some of the CSF
leaks out; pain increases when they stand up
Treatment for spinal headache - CORRECT ANSWER-Turn off the lights; keep
them laying down; caffeine (cokes); if that doesn't help in a couple of days, they go
back to the spot & patch the leak with a blood patch of the patient's own blood
Epidural - CORRECT ANSWER-If a natural birth has to be turned into a C-
section, they increase this dose based on weight; given whenever the patient wants
it; T10-S5
Patient preparation/education - CORRECT ANSWER-If our patient says they
want an epidural, we need to know platelet count & H&H; important to hydrate
before getting an epidural because when they get their meds, the vessels dilate,
which causes a drop in the BP--prevent this by pre-hydrating; consents
Epidural/spinal monitoring - CORRECT ANSWER-VS/EFM (during the test
dose, if the test dose is given in the wrong spot--like the catheter isn't positioned
, right like in a vein/vessel--we will see an increase in HR, drop in O2, ringing in the
ears, etc.)
Epidural/spinal interventions - CORRECT ANSWER--Hold mom & talk her
through what is happening
-Position QH
-Empty bladder Q2H (in & out cath)
- Signs to intervene: decels in HR --> decreased placental perfusion, TURN mom
& check her BP--if BP is low, increase her fluids
-If mom is in trendelenburg & mom feels like she can't breathe, sit her up because
her epidural went by gravity up & is making her diaphragm numb
True labor - CORRECT ANSWER-contractions are regular, more intense, last
longer, occur close together; contractions do not stop with ambulation; cervix
shows progressive changes
False labor - CORRECT ANSWER-contractions are irregular; stop with
ambulation/position change; cervix may be soft, but with no significant change in
effacement or dilation
Labor - CORRECT ANSWER-If she is not making cervical change, she is not in
______
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Answers 100% PASS
Passenger, Passageway, Position, Powers, Psychologic response - CORRECT
ANSWER-5 factors affecting labor
Passenger - CORRECT ANSWER-The baby is the ________ in the 5 factors
affecting labor.
Fetal size (LGA), anomalies (spina bifida, ancephalic), head (size, position: if the
head is positioned incorrectly, the process of birth is affected), presentation (how
passenger is presenting; usually vertex or cephalic presentation--head first; vertex:
chin is tucked to chest; brow: baby's face is presenting first; breach: buttocks or
feet are presenting first; lie (longitudinal lie; transverse lie); attitude (position; we
want flexion attitude; suboccipitobregmatic should be expelled first); position
(presenting part in relationship to mom's pelvis) - CORRECT ANSWER-
Passenger (the baby)
Passageway - CORRECT ANSWER-Mom's pelvis is the ____________; how it's
shaped & how big it is; once baby is at pubic bone, the baby is engaged; true pelvis
vs. false pelvis; cervix & soft tissues (if cervical procedure made scar tissue, it could
cause the cervix not to dilate fully; episiotomy: could cause ineffective stretching)
,Powers - CORRECT ANSWER-Uterine contractions: force generated by the
myometrium; measured by palpation (feeling belly & inside)--tocotransducer: does
NOT measure intensity, just duration & IUPC: measures intensity of contractions
Primary powers - CORRECT ANSWER-Contractions
Secondary powers - CORRECT ANSWER-Mom's bear down efforts
Ferguson reflex - CORRECT ANSWER-uncontrollable reflex for the urge to
push; she absolutely has to push; usually does not happen if she received an
epidural
Position - CORRECT ANSWER-Maternal position; before & after labor; if mom
is laying down & staying sideways, the baby will have trouble dropping into the
birth canal; if mom is being active towards the end of pregnancy & walking, the
baby will better engage into the birth canal; encourage moving around, getting up,
& changing positions; most woman delivery in lithotomy position (Not EBP
because gravity does not help)
Psychologic response - CORRECT ANSWER-Maternal history: if the mom has a
traumatic history, it can affect the process (like fear or rape)
Nurse's role in pain management - CORRECT ANSWER-- Non-pharmacologic
(doula; pursed lips breathing; acupressure/aroma therapy/hydrotherapy; position
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
,changes; OP baby --> back labor: frequent position changes, hands & knees
position, counter pressure)
- Pharmacologic (sedatives; analgesics (fentanyl-short acting, stadol-will need
respiratory equipment for baby & narcan); nerve blocks for perineum
Spinal - CORRECT ANSWER-Done for scheduled C-sections; covers more than
an epidural; goes in subarachnoid space
Spinal headache - CORRECT ANSWER-Caused by spinals; some of the CSF
leaks out; pain increases when they stand up
Treatment for spinal headache - CORRECT ANSWER-Turn off the lights; keep
them laying down; caffeine (cokes); if that doesn't help in a couple of days, they go
back to the spot & patch the leak with a blood patch of the patient's own blood
Epidural - CORRECT ANSWER-If a natural birth has to be turned into a C-
section, they increase this dose based on weight; given whenever the patient wants
it; T10-S5
Patient preparation/education - CORRECT ANSWER-If our patient says they
want an epidural, we need to know platelet count & H&H; important to hydrate
before getting an epidural because when they get their meds, the vessels dilate,
which causes a drop in the BP--prevent this by pre-hydrating; consents
Epidural/spinal monitoring - CORRECT ANSWER-VS/EFM (during the test
dose, if the test dose is given in the wrong spot--like the catheter isn't positioned
, right like in a vein/vessel--we will see an increase in HR, drop in O2, ringing in the
ears, etc.)
Epidural/spinal interventions - CORRECT ANSWER--Hold mom & talk her
through what is happening
-Position QH
-Empty bladder Q2H (in & out cath)
- Signs to intervene: decels in HR --> decreased placental perfusion, TURN mom
& check her BP--if BP is low, increase her fluids
-If mom is in trendelenburg & mom feels like she can't breathe, sit her up because
her epidural went by gravity up & is making her diaphragm numb
True labor - CORRECT ANSWER-contractions are regular, more intense, last
longer, occur close together; contractions do not stop with ambulation; cervix
shows progressive changes
False labor - CORRECT ANSWER-contractions are irregular; stop with
ambulation/position change; cervix may be soft, but with no significant change in
effacement or dilation
Labor - CORRECT ANSWER-If she is not making cervical change, she is not in
______
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
