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Exam (elaborations)

NUR 337 Midterm ASU Questions and Correct Answers/ Latest Update / Already Graded

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NUR 337 Midterm ASU Questions and Correct Answers/ Latest Update / Already Graded

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NUR 337 Midterm ASU Questions and
Correct Answers/ Latest Update / Already
Graded
Preterm labor risks:

Ans: 1) history of premature baby in the past, 2) more than one
baby in womb (twins/triplets), 3) problems with uterus and
cervix. Other risk factors: being under or overweight, family
history, having second baby too soon after birth.


Early Labor:

Ans: upper uterus contract, cervix dilated 3cm, 30-45 sec
contractions & @ irregular at first, try to continue
resting/sleeping & can stay at home, light activity (bounce on
birthing ball, walking)


Active Labor

Ans: 3-5 hours, contractions 45-60 sec & 3-5 min apart, come to
hospital, spots of blood, cervix 7cm, assess dilation doing
vaginal exam, relaxation & pain management, baby starts
internal rotation (head should face back/anterior position)


Transition in Labor


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Ans: most intense, 30 min-2hr, can't get comfortable,
contractions 60-90 seconds & 1-3 minutes apart w/ 2 peaks,
cervix 10 cm, hot flashes/chills/shaking/n/v,
angry/disoriented/dependent on others, short direction


Pushing/Birth

Ans: 20 min-3 hr
· Contractions: 45-90 seconds, 3-5 min apart
· Urge to bear down & push to relieve pressure
· Emotions: relief or exhaustion
· Help change positions, you're almost there, rest between
pushes
· Descent (push down, slide back), baby pushed down pelvis
from -2 to +4 (measured q2), baby has 5 separate bony plates so
can get through birth canal but baby has cone shaped head for
a few days after birth


Delivery of Placenta

Ans: 5-20 min after birth of baby
· HCP checks that entire placenta is expelled
· Push a little bit
· Massage top of abdomen to help prevent excessive bleeding
with expulsion


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· Uterus contracts & reaches normal size 6 weeks later (pt may
experience pain)


IDEAL Fetal Position

Ans: Occipital Anterior (baby's back facing mom's front)


Fetal Positions

Ans: Occipital anterior (OA)
Occipital Posterior (head down, facing mother's front) (OP), can
still be born vaginally, painful, last longer
Transverse: babies sideways, early pregnancy, C -section
Breach: feet or butt down, early pregnancy, HCP may attempt
to turn baby manually prior to labor


Quantification of Blood Loss

Ans: Weigh ALL blood-soaked items & clots, subtract dry
weight from blood-soaked weight
1mL blood = 1 g


Nitrazine Test




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