NSG 3800 EXAM 3 CERTIFICATION
EVALUATION QUESTIONS WITH
ACCURATE ANSWERS
●● True labor
Answer: Cervical change with regular, stronger, longer, and closer
contractions that continue despite comfort measures.
●● False labor
Answer: Irregular contractions that stop with walking or position
change, no cervical change.
●● Progesterone withdrawal
Answer: Decreases before labor; allows contractions to begin.
●● Oxytocin production
Answer: Produced by anterior pituitary; increases before labor,
stimulated by estrogen.
●● Prostaglandin production
Answer: Increases before labor; enhances oxytocin and cervical
ripening.
,●● Estrogen stimulation
Answer: Increases before labor; increases uterine sensitivity to oxytocin
and prostaglandins.
●● Fetal cortisol
Answer: Decreases progesterone, increases prostaglandins to help
initiate labor.
●● Uterine distention (Stretch theory)
Answer: Overstretching of uterus increases uterine irritability and
triggers contractions.
●● Labor care providers
Answer: RN, birth attendant (MD or CNM), and doula.
●● Passenger
Answer: The fetus; includes size, position, and relationship to maternal
pelvis.
●● Engagement
Answer: Largest diameter of fetal presenting part passes through pelvic
inlet.
, ●● Lightening
Answer: Fetal head moves into pelvis; mother feels baby 'drop.'
●● Fetal lie
Answer: Relationship of fetal spine to maternal spine (longitudinal,
transverse, oblique).
●● Longitudinal lie
Answer: Fetal spine parallel to maternal spine; can be vertex or breech.
●● Transverse lie
Answer: Fetal spine perpendicular to maternal spine; shoulder
presentation.
●● Oblique lie
Answer: Diagonal lie; usually unstable and changes during labor.
●● Fetal attitude
Answer: Relationship of fetal body parts to each other (flexion,
extension).
●● Vertex attitude
Answer: Fetal head flexed toward chest; smallest diameter presents.
EVALUATION QUESTIONS WITH
ACCURATE ANSWERS
●● True labor
Answer: Cervical change with regular, stronger, longer, and closer
contractions that continue despite comfort measures.
●● False labor
Answer: Irregular contractions that stop with walking or position
change, no cervical change.
●● Progesterone withdrawal
Answer: Decreases before labor; allows contractions to begin.
●● Oxytocin production
Answer: Produced by anterior pituitary; increases before labor,
stimulated by estrogen.
●● Prostaglandin production
Answer: Increases before labor; enhances oxytocin and cervical
ripening.
,●● Estrogen stimulation
Answer: Increases before labor; increases uterine sensitivity to oxytocin
and prostaglandins.
●● Fetal cortisol
Answer: Decreases progesterone, increases prostaglandins to help
initiate labor.
●● Uterine distention (Stretch theory)
Answer: Overstretching of uterus increases uterine irritability and
triggers contractions.
●● Labor care providers
Answer: RN, birth attendant (MD or CNM), and doula.
●● Passenger
Answer: The fetus; includes size, position, and relationship to maternal
pelvis.
●● Engagement
Answer: Largest diameter of fetal presenting part passes through pelvic
inlet.
, ●● Lightening
Answer: Fetal head moves into pelvis; mother feels baby 'drop.'
●● Fetal lie
Answer: Relationship of fetal spine to maternal spine (longitudinal,
transverse, oblique).
●● Longitudinal lie
Answer: Fetal spine parallel to maternal spine; can be vertex or breech.
●● Transverse lie
Answer: Fetal spine perpendicular to maternal spine; shoulder
presentation.
●● Oblique lie
Answer: Diagonal lie; usually unstable and changes during labor.
●● Fetal attitude
Answer: Relationship of fetal body parts to each other (flexion,
extension).
●● Vertex attitude
Answer: Fetal head flexed toward chest; smallest diameter presents.
