NUR 106 Final verified questions and answers A+ Grade
4 P's
- correct answer Powers, Passage, Passenger, Psyche
Powers
- correct answer Uterine contractions, pressure, and pushing
Uterine Contractions
- correct answer Rhythmic tightening of the uterine muscles which results in the expulsion of the fetus.
Full dilation
- correct answer 10 cm.
Passage
- correct answer Pelvis/canal that the fetus descends through. Helps to push excess fluid from baby's
lungs
Clinical Pelyimetry
- correct answer Measures the dimensions of the pelvis to estimate pelvic size/adequacy for birth.
Passenger
- correct answer Fetus. Gestational age/muscle tone/position/cardinal movements effect birth. EX)
flacid baby = not in state of flexion = slowing of birth process
Position
- correct answer The relation of fetal parts to itsself and the mother.
Lie
- correct answer Vertical or transverse
,Attitude
- correct answer Flexion or extension
Presentation
- correct answer Part of the fetus that comes out first. EX) cephalic, shoulder, breech
Cardinal Movements
- correct answer Normal movements of fetus as it travels through the birth canal. Descent/Engagement,
flexion, internal rotation, extension, externam rotation/restitution, expulsion
Descent/Engagement
- correct answer Fetal presenting part moves into true pelvis. At 0 station
Flexion
- correct answer "Chin to chest" position to aid in descent. Causes smallest diameter of head to present
first
Internal Rotation
- correct answer Fetus turns to place largest diameter of head in line with largest diameter of pelvis
Extension
- correct answer rotation of head once its below the symphysis pubis. Head begins to emerge from canal
and perineal muscles guide it up and out
External Rotation/Restitution
- correct answer Shoulders rotate into largest diameter of maternal pelvis. Usually assumes position that
is was inutero
Expulsion
- correct answer Fetus fully expelled from body
, Amnion Membrane
- correct answer Located closest to fetus. Holds amniotic fluid. Can develop infection when ruptured for
a long time
Placenta Previa
- correct answer Placenta attached in a way that covers the cervix. Makes vaginal delivery dangerous
Low Lying Placenta
- correct answer 2cm or less away from cervical opening
Psyche
- correct answer Maternal readiness for labor. Fear->tension->pain cycle.
Nursing Care: Psyche
- correct answer Calm supportive environment. Ask pt how she deals with fear/anxiety/pain. Reinforce
positive coping
Nursing Responsibilities on Admission to L&D unit
- correct answer Initial assessment, monitoring, notifying MD, documenting progress of labor. Greet pt,
establish rapport, prenatal hx, vitals, contraction monitoring, FHT, labs, documentation
First Stage of Labor
- correct answer Usually lasts 8-10 hrs. Includes latent, active, and transition phases
Latent Phase
- correct answer Start of contractions to 4cm
Active Phase
- correct answer 4cm - 7cm. Cervical dilation occurs most rapidly. Acceleration phase
Transition Phase
- correct answer 7cm-10cm. Dilation slows. Painful. Encourage movement, only ligh eating, hydration.
4 P's
- correct answer Powers, Passage, Passenger, Psyche
Powers
- correct answer Uterine contractions, pressure, and pushing
Uterine Contractions
- correct answer Rhythmic tightening of the uterine muscles which results in the expulsion of the fetus.
Full dilation
- correct answer 10 cm.
Passage
- correct answer Pelvis/canal that the fetus descends through. Helps to push excess fluid from baby's
lungs
Clinical Pelyimetry
- correct answer Measures the dimensions of the pelvis to estimate pelvic size/adequacy for birth.
Passenger
- correct answer Fetus. Gestational age/muscle tone/position/cardinal movements effect birth. EX)
flacid baby = not in state of flexion = slowing of birth process
Position
- correct answer The relation of fetal parts to itsself and the mother.
Lie
- correct answer Vertical or transverse
,Attitude
- correct answer Flexion or extension
Presentation
- correct answer Part of the fetus that comes out first. EX) cephalic, shoulder, breech
Cardinal Movements
- correct answer Normal movements of fetus as it travels through the birth canal. Descent/Engagement,
flexion, internal rotation, extension, externam rotation/restitution, expulsion
Descent/Engagement
- correct answer Fetal presenting part moves into true pelvis. At 0 station
Flexion
- correct answer "Chin to chest" position to aid in descent. Causes smallest diameter of head to present
first
Internal Rotation
- correct answer Fetus turns to place largest diameter of head in line with largest diameter of pelvis
Extension
- correct answer rotation of head once its below the symphysis pubis. Head begins to emerge from canal
and perineal muscles guide it up and out
External Rotation/Restitution
- correct answer Shoulders rotate into largest diameter of maternal pelvis. Usually assumes position that
is was inutero
Expulsion
- correct answer Fetus fully expelled from body
, Amnion Membrane
- correct answer Located closest to fetus. Holds amniotic fluid. Can develop infection when ruptured for
a long time
Placenta Previa
- correct answer Placenta attached in a way that covers the cervix. Makes vaginal delivery dangerous
Low Lying Placenta
- correct answer 2cm or less away from cervical opening
Psyche
- correct answer Maternal readiness for labor. Fear->tension->pain cycle.
Nursing Care: Psyche
- correct answer Calm supportive environment. Ask pt how she deals with fear/anxiety/pain. Reinforce
positive coping
Nursing Responsibilities on Admission to L&D unit
- correct answer Initial assessment, monitoring, notifying MD, documenting progress of labor. Greet pt,
establish rapport, prenatal hx, vitals, contraction monitoring, FHT, labs, documentation
First Stage of Labor
- correct answer Usually lasts 8-10 hrs. Includes latent, active, and transition phases
Latent Phase
- correct answer Start of contractions to 4cm
Active Phase
- correct answer 4cm - 7cm. Cervical dilation occurs most rapidly. Acceleration phase
Transition Phase
- correct answer 7cm-10cm. Dilation slows. Painful. Encourage movement, only ligh eating, hydration.
