maternal newborn nursing exam 3-103 questions with complete solutions

maternal newborn nursing exam 3-103 questions with complete solutions -passageway -psychological -powers -position -passenger - CORRECT ANSWER what are the five Ps? -cervical changes -lightening -energy -bloody show -braxton hicks contractions -PROM - CORRECT ANSWER signs of labor: -dilatation -able to breath better -frequent urination -less reflux -backache -increased pelvic pressure -wattle-gait - CORRECT ANSWER what sx might change in the pregnant woman after lightening occurs: increase of epinephrine released right before labor due to the decrease in progesterone - CORRECT ANSWER what causes the surge of energy right before going into labor? the fetal presenting part begins to descend into the true pelvis - CORRECT ANSWER when does lightening occur? changes from an elongated structure to a shortened, thinned one - CORRECT ANSWER as labor approaches, what cervical changes are made? ripening and softening of the cervix - CORRECT ANSWER what changes in the cervix are essential for effacement and dilation? 2 or more weeks before labor - CORRECT ANSWER in primiparas when does lightening start? may not occur until labor starts - CORRECT ANSWER in multiparas when does lightening start? bloody show - CORRECT ANSWER ruptures capillaries due to pressure and thinning of the cervix -walking -changing positions -lying down -increase fluid intake - CORRECT ANSWER how can BH contrax be decreased? no cervical changes in BH contrax - CORRECT ANSWER whats the difference in BH contrax and true contrax? usually about 30 seconds but can persist for up to 2 minutes - CORRECT ANSWER how long to BH contrax last? when they last longer than 30 secs and happen more than 4-6 times in an hr - CORRECT ANSWER when should a pt. seek medical attention concerning BH contrax? -regular -becoming closer together -usually 4-6 minutes apart -lasting 30-60 seconds - CORRECT ANSWER contrax timing in true labor: