NURS 306: Pregnancy and Labor (Week 2+PCA) Questions & Answers 2024/2025

NURS 306: Pregnancy and Labor (Week 2+PCA) Questions & Answers 2024/2025 Assessment for Risk Factors - ANSWER-1-*Biophysical* -from mother or fetus >genetic >medical 2-*Psychosocial* >smoking >drugs 3-*Sociodemographic* >age >ethnicity >marital >income 4-*Environmental* >chemical >radiation Nurse's Role in Antepartum Test - ANSWER-‐Provide information ‐Provide comfort ‐Provide reassurance ‐Documentation +consent +resources/referrals Ultrasonography (*General*) - ANSWER-Ultrasound use varies based on trimester and is used to obtain vital info such as: -Presence of gestational sac -Gestational age -Fetal growth -Fetal anatomy and presentation when performed in the *2nd & 3rd trimesters -Placental location & possible abnormalities -Fetal activity -# of fetuses -Viability -Amount of amniotic fluid -Visual assistance for some invasive procedures, such as amniocentesis Onset of Labor (*Bloody show*) - ANSWER-blood-tinged mucus created by extrusion and passage of the mucous plug that filled the cervical canal during pregnancy Ultrasonography (*Types*) - ANSWER-*Standard* *Limited obstetric* *Specialized* *3D* & *4D* Mechanism of Labor (*Cardinal movements*) - ANSWER-*Engagement* 2 -greatest diameter of the head passes the pelvic inlet *Descent* 2 -fetus through the birth canal *Flexion* 2 -Chin moves to the chest *Internal rotation* 3 -head aligns to the long axis *Extension* 4-5 -resistance of the pelvic floor, pubic symphysis, & head *External rotation* 6 -head angles (& exits) -shoulders rotate *Expulsion* 7 -head and anterior shoulder exit followed by the rest of the body Ultrasonography (*Types*-Standard) - ANSWER--fetal presentation -placental position -amniotic fluid volume -cardiac activity -gestational age -measurements -fetal # -fetal anatomy Labor - ANSWER-Labor is the process in which the fetus, placenta, and membranes are expelled through the uterus. MD = 92.1% CNM= 8.1% -certified nurse midwife Ultrasonography (*Types*-Limited obstetric) - ANSWER-Performed when focused/fetal ultrasound indicates need for further evaluation -amniotic fluid volume -interval growth Continues...