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Exam (elaborations)

Labor and Delivery Nursing Assessment questions with answers

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Labor and Delivery Nursing Assessment questions with answers

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Labor and Delivery Nursing Assessment
questions with answers

false labor vs true - ....🔰VERIFIED ANSWERS.... ✔✔lacks consistent contrxn
patterns, vary in length, and intensity of contrxns


no cervical efacement or thinning


no significant change in fetal position


contrxns ease w/ abulation


true labor- persists w/ ambulation


Prevent form DVT - ....🔰VERIFIED ANSWERS.... ✔✔application SCD, TED
HOSE, PLEXI-PULSES ETC


ROM (rupture of membrane) - ....🔰VERIFIED ANSWERS.... ✔✔breaking of
mucous plug over cervix, can have SROM and AROM- fluid is clear


Pt placed on bedrest espec. if crown not engaged, cord can prolapse and
become compressed. Cause increase infxn if base of h2o breaks and has
greenish cast is med emergency

, membrane rupture pt at risk- infection/prolasped cord


stage of labor - ....🔰VERIFIED ANSWERS.... ✔✔1. ends w/ transition phase
dilation is 7-10 cm
contrxns 2-3 mins apart
mom not interested in communicated


2.contrxns are strong and reg
assess fetal heart rate Q5 mins
baby norm. has monitor on
dilation of cervix is 10 cm, pushing is okay now, dilation and efacement
complete


3 starts w/ delivery of newborn and ends w/ placental delivery
rush of blood expelled
umbilical cord lengthens and placenta ready to be delivered


contrxns normal range - ....🔰VERIFIED ANSWERS.... ✔✔3-5 mins


contraction - ....🔰VERIFIED ANSWERS.... ✔✔Length- 20-90 seconds
Range-3-5min
How to count- time b/w start of contrxn and next one


Caution(tonic contraction)- last above 2 is abnormal

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