Nursing 2500 - Final Review Questions
and Correct Answers
What are the 5 P's of pregnancy? ✅Passenger
Passageway
Powers
Position
Psychological considerations
How to determine if it's true labor? ✅-regular contractions
-increase in intensity and frequency
-unrelieved with rest
How to determine if it's false labor? ✅-irregular contractions
-no change in duration/ frequency
-contractions relieved with rest
What signifies the first stage of labor? ✅onset of contractions to complete cervical
dilation (latent, active, transitional)
What signifies the second stage of labor? ✅complete cervical dilation to birth
What signifies the third stage of labor? ✅birth to placental delivery
What signifies the fourth stage of labor? ✅initial recovery
What are the VS changes during the 4th stage of labor? ✅BP v
HR ^
*uterus midline & firm*
What is the most common form of pain control in labor? ✅epidural
(regional pain control)
-spinal block
-epidural space
-combination (CSE)
Types of fetal monitors ✅External: transducer, tocodynamometer
Internal: fetal scalp electrode, intrauterine pressure catheter
Baseline FHR ✅110-160
Variations in FHR ✅-variability (normal irregularities)
-accelerations (good)
, -Early decelerations (*head compression*, ok)
-Variable decelerations (*cord compression*, change position)
-Late decelerations: BAD (*uteroplacental insufficiency*) - requires intervention
Actions with Early deceleration ✅none
Caused by head compression
Actions with Variable deceleration ✅-turn mom onto side
Caused by cord compression
Late deceleration ✅caused by placental insufficiency
*requires intervention*
-left-lateral position
-increase IV fluids
-d/c oxytocin
-admin oxygen
-notify PCP
-prepare for c-section
What is the difference between PIH & the eclampsias? ✅proteinuria
What does HELLP stand for? ✅hemolysis, elevated liver enzymes, low platelets
What should be increased in the diet of a patient with preeclampsia? ✅protein (losing
protein in the urine = needs to be increased in the diet)
How is preeclampsia treated? ✅-magnesium sulfate
-delivery
What to do in case of magnesium sulfate OD? ✅calcium gluconate
What is the difference between PROM and PPROM? ✅1) PROM (premature rupture of
membranes) occurs after 38 weeks gestation prior to onset of labor
2) PPROM (preterm premature rupture of membranes) occurs before 38 weeks
gestation prior to onset of labor
What is the most common complication with prolonged ROM? ✅infection
Symptoms of abruption placentae? ✅severe abdominal pain
Bleeding
Painful uterus
Hard uterus
Abnormal FHR
and Correct Answers
What are the 5 P's of pregnancy? ✅Passenger
Passageway
Powers
Position
Psychological considerations
How to determine if it's true labor? ✅-regular contractions
-increase in intensity and frequency
-unrelieved with rest
How to determine if it's false labor? ✅-irregular contractions
-no change in duration/ frequency
-contractions relieved with rest
What signifies the first stage of labor? ✅onset of contractions to complete cervical
dilation (latent, active, transitional)
What signifies the second stage of labor? ✅complete cervical dilation to birth
What signifies the third stage of labor? ✅birth to placental delivery
What signifies the fourth stage of labor? ✅initial recovery
What are the VS changes during the 4th stage of labor? ✅BP v
HR ^
*uterus midline & firm*
What is the most common form of pain control in labor? ✅epidural
(regional pain control)
-spinal block
-epidural space
-combination (CSE)
Types of fetal monitors ✅External: transducer, tocodynamometer
Internal: fetal scalp electrode, intrauterine pressure catheter
Baseline FHR ✅110-160
Variations in FHR ✅-variability (normal irregularities)
-accelerations (good)
, -Early decelerations (*head compression*, ok)
-Variable decelerations (*cord compression*, change position)
-Late decelerations: BAD (*uteroplacental insufficiency*) - requires intervention
Actions with Early deceleration ✅none
Caused by head compression
Actions with Variable deceleration ✅-turn mom onto side
Caused by cord compression
Late deceleration ✅caused by placental insufficiency
*requires intervention*
-left-lateral position
-increase IV fluids
-d/c oxytocin
-admin oxygen
-notify PCP
-prepare for c-section
What is the difference between PIH & the eclampsias? ✅proteinuria
What does HELLP stand for? ✅hemolysis, elevated liver enzymes, low platelets
What should be increased in the diet of a patient with preeclampsia? ✅protein (losing
protein in the urine = needs to be increased in the diet)
How is preeclampsia treated? ✅-magnesium sulfate
-delivery
What to do in case of magnesium sulfate OD? ✅calcium gluconate
What is the difference between PROM and PPROM? ✅1) PROM (premature rupture of
membranes) occurs after 38 weeks gestation prior to onset of labor
2) PPROM (preterm premature rupture of membranes) occurs before 38 weeks
gestation prior to onset of labor
What is the most common complication with prolonged ROM? ✅infection
Symptoms of abruption placentae? ✅severe abdominal pain
Bleeding
Painful uterus
Hard uterus
Abnormal FHR
