NSPN 7100 EXAM TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔What do catecholamines do in labour? - ✔✔- released in response to fear/stress
- supports newborn transition
- responsible for newborn increased BP and initiation of thermogenesis
✔✔What does cortisol do in labour? - ✔✔- late preg surge preps fetus for birth
- promotes fetal lung maturation/clearance of fluid
- may promote contractions and increase central oxytocin effects
- high levels linked w positive mothering
✔✔What are signs of true labour? - ✔✔- contractions that are regular, increasing in
intensity and becoming more frequent
- contractions more intense with position changes
- pain in lower back radiating towards the front
- contractions continue despite comfort measures
✔✔What are signs of false labour? - ✔✔- irregular contractions
- contractions stop with walking or position change
- contractions felt in lower abdomen
- contractions stop with the use of comfort measures
✔✔What are the 7 cardinal movements? - ✔✔Engagement
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
✔✔First stage of labour - ✔✔Starts with the onset of contractions/cervical changes and
ends when fully dilated
,1. Latent: contractions q2-30min
2. Active: labour well established (contractions q2-3min)
✔✔Second stage of labour - ✔✔Starts with full dilation and ends with the birth of the
infant
1. Latent: no urge to push
2. Active: urge to push
✔✔Third stage of labour - ✔✔From birth of baby until the delivery of the placenta
✔✔Signs of placental seperation - ✔✔- cord lengthening
- sudden gush of blood
- firmly contracted uterus
- change in shape from discoid to globular
- feeling of vaginal fullness
✔✔Fourth stage of labour: - ✔✔1-4 hours after birth, time of recovery and stabilization
for mom and baby
✔✔APGAR - ✔✔Appearance
Pulse
Grimace
Activity
Respiration
Assessed at 1 and 5 minutes a score of 7 or less at 5 minutes warrants further
assessment
✔✔First stage of labour assessments - ✔✔- vitals q1h
- FHR q15-30min
- coping
- contractions
- leopards manuever
✔✔What does leopards maneuver tell us? - ✔✔presention, lie, position
✔✔How often do you assess FHR in the second stage? - ✔✔q5min
✔✔What do vaginal exams tell us? - ✔✔position of cervix, effacement, dilation, station,
presence of caput or molding, presenting part of fetus, status of membranes
✔✔What is continuous labour supports? - ✔✔emotional, physical support, education
and advocacy
✔✔What does PAIN stand for - ✔✔Purposeful
, Anticipated
Intermittent
Normal
✔✔Non-pharmacological pain relief - ✔✔- relaxation
- massage
- water therapy
- position changes
- hypnosis
- TENS
- sterile water injections
- music
- breathing
✔✔Pharmacologic pain relief - ✔✔Inhalation analgesia
Narcotics
Regional
✔✔What are risks associated with epidural use? - ✔✔- increased risk of instrumental
delivery
- increased risk of c section
- infection requiring antibiotics
- nerve damage
- can slow labour progression
✔✔What criteria needs to be met to start pushing? - ✔✔fetus station 2+, urge to push,
OA
✔✔Tachysystole - ✔✔More than 5 contractions in 10 minutes
One contraction lasting >90 seconds
Less than 30 second resting tone between
✔✔What is the rule of 3's? - ✔✔Stop if:
- 3 pop offs
- 30 minutes has elapsed no progress
- 3 pulls no progress
✔✔BUBBLES - ✔✔Breast
Uterus
Bowel
Bladder
Lochia
Episiotomy
Supports
ANSWERS SET A+
✔✔What do catecholamines do in labour? - ✔✔- released in response to fear/stress
- supports newborn transition
- responsible for newborn increased BP and initiation of thermogenesis
✔✔What does cortisol do in labour? - ✔✔- late preg surge preps fetus for birth
- promotes fetal lung maturation/clearance of fluid
- may promote contractions and increase central oxytocin effects
- high levels linked w positive mothering
✔✔What are signs of true labour? - ✔✔- contractions that are regular, increasing in
intensity and becoming more frequent
- contractions more intense with position changes
- pain in lower back radiating towards the front
- contractions continue despite comfort measures
✔✔What are signs of false labour? - ✔✔- irregular contractions
- contractions stop with walking or position change
- contractions felt in lower abdomen
- contractions stop with the use of comfort measures
✔✔What are the 7 cardinal movements? - ✔✔Engagement
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
✔✔First stage of labour - ✔✔Starts with the onset of contractions/cervical changes and
ends when fully dilated
,1. Latent: contractions q2-30min
2. Active: labour well established (contractions q2-3min)
✔✔Second stage of labour - ✔✔Starts with full dilation and ends with the birth of the
infant
1. Latent: no urge to push
2. Active: urge to push
✔✔Third stage of labour - ✔✔From birth of baby until the delivery of the placenta
✔✔Signs of placental seperation - ✔✔- cord lengthening
- sudden gush of blood
- firmly contracted uterus
- change in shape from discoid to globular
- feeling of vaginal fullness
✔✔Fourth stage of labour: - ✔✔1-4 hours after birth, time of recovery and stabilization
for mom and baby
✔✔APGAR - ✔✔Appearance
Pulse
Grimace
Activity
Respiration
Assessed at 1 and 5 minutes a score of 7 or less at 5 minutes warrants further
assessment
✔✔First stage of labour assessments - ✔✔- vitals q1h
- FHR q15-30min
- coping
- contractions
- leopards manuever
✔✔What does leopards maneuver tell us? - ✔✔presention, lie, position
✔✔How often do you assess FHR in the second stage? - ✔✔q5min
✔✔What do vaginal exams tell us? - ✔✔position of cervix, effacement, dilation, station,
presence of caput or molding, presenting part of fetus, status of membranes
✔✔What is continuous labour supports? - ✔✔emotional, physical support, education
and advocacy
✔✔What does PAIN stand for - ✔✔Purposeful
, Anticipated
Intermittent
Normal
✔✔Non-pharmacological pain relief - ✔✔- relaxation
- massage
- water therapy
- position changes
- hypnosis
- TENS
- sterile water injections
- music
- breathing
✔✔Pharmacologic pain relief - ✔✔Inhalation analgesia
Narcotics
Regional
✔✔What are risks associated with epidural use? - ✔✔- increased risk of instrumental
delivery
- increased risk of c section
- infection requiring antibiotics
- nerve damage
- can slow labour progression
✔✔What criteria needs to be met to start pushing? - ✔✔fetus station 2+, urge to push,
OA
✔✔Tachysystole - ✔✔More than 5 contractions in 10 minutes
One contraction lasting >90 seconds
Less than 30 second resting tone between
✔✔What is the rule of 3's? - ✔✔Stop if:
- 3 pop offs
- 30 minutes has elapsed no progress
- 3 pulls no progress
✔✔BUBBLES - ✔✔Breast
Uterus
Bowel
Bladder
Lochia
Episiotomy
Supports
