DAVIS ADVANTAGE FOR MATERNAL NEWBORN
NURSING DURHAM PRACTICE QUESTIONS
AND DETAILED SOLUTIONS
◉ Bishop Score.
Answer: A system for assessing cervical readiness for labor based on
dilation, effacement, station, consistency, and position. A score ≤6
suggests cervical ripening is needed, while a score of 8-10 is
favorable for induction.
◉ Tachysystole.
Answer: Uterine hyperstimulation, defined as more than 5
contractions in 10 minutes or inadequate resting tone between
contractions. It is a major complication of labor
induction/augmentation.
◉ Labor Dystocia.
Answer: Dysfunctional or difficult labor, characterized by stalled or
ineffective progress. Can be hypotonic (weak contractions) or
hypertonic (strong, uncoordinated contractions).
◉ Pain Progression through Stages.
, Answer: Pain intensifies through Stage 1 (Latent, Active, Transition).
Stage 2 pain is intense perineal pressure and burning ("ring of fire").
Stage 3 involves cramping with placental delivery. Stage 4 pain
includes uterine cramping and perineal soreness.
◉ Factors Influencing Pain.
Answer: Perception is affected by anxiety, sleep deprivation, cultural
norms for pain expression, the support system, and previous birth
experiences.
◉ Non-Pharmacological Pain Management.
Answer: Goal: To reduce anxiety and promote relaxation without
medication. Techniques include cognitive strategies (breathing,
distraction, music), cutaneous stimulation (massage, counter-
pressure, walking, rocking), hydrotherapy (shower/tub), and
position changes.
◉ Opioids in Labor.
Answer: Opioids (Fentanyl, Stadol, Nubain): Given IV. The main
safety concern is respiratory depression in the newborn, so they are
avoided if birth is imminent (transition phase). The antidote is
Narcan.
◉ Sedatives in Labor.
NURSING DURHAM PRACTICE QUESTIONS
AND DETAILED SOLUTIONS
◉ Bishop Score.
Answer: A system for assessing cervical readiness for labor based on
dilation, effacement, station, consistency, and position. A score ≤6
suggests cervical ripening is needed, while a score of 8-10 is
favorable for induction.
◉ Tachysystole.
Answer: Uterine hyperstimulation, defined as more than 5
contractions in 10 minutes or inadequate resting tone between
contractions. It is a major complication of labor
induction/augmentation.
◉ Labor Dystocia.
Answer: Dysfunctional or difficult labor, characterized by stalled or
ineffective progress. Can be hypotonic (weak contractions) or
hypertonic (strong, uncoordinated contractions).
◉ Pain Progression through Stages.
, Answer: Pain intensifies through Stage 1 (Latent, Active, Transition).
Stage 2 pain is intense perineal pressure and burning ("ring of fire").
Stage 3 involves cramping with placental delivery. Stage 4 pain
includes uterine cramping and perineal soreness.
◉ Factors Influencing Pain.
Answer: Perception is affected by anxiety, sleep deprivation, cultural
norms for pain expression, the support system, and previous birth
experiences.
◉ Non-Pharmacological Pain Management.
Answer: Goal: To reduce anxiety and promote relaxation without
medication. Techniques include cognitive strategies (breathing,
distraction, music), cutaneous stimulation (massage, counter-
pressure, walking, rocking), hydrotherapy (shower/tub), and
position changes.
◉ Opioids in Labor.
Answer: Opioids (Fentanyl, Stadol, Nubain): Given IV. The main
safety concern is respiratory depression in the newborn, so they are
avoided if birth is imminent (transition phase). The antidote is
Narcan.
◉ Sedatives in Labor.
