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NR 324 Final Exam

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Exam of 19 pages for the course NM 704 at NM 704 (NR 324 Final Exam)

Institution
NM 704
Course
NM 704

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NM 704 Exam
What are the 3 functions of the bony pelvis? - (1) attachment site and support for pelvic organs
(2) site of attachment and articulation to the lower limbs (3) supports the weight of the upper
trunk and distributes to lower extremities



What nerve innervates the perineum? - Pudenal nerve



What pelvis includes the iliac fossa and the iliac crest, and has little obstetric significance? -
False pelvis



What pelvis includes the pelvic brim from the superior part of the symphysis pubis around the
sacral promontory? - True pelvis



Where does the pudenal nerve originate? - S2, S3, S4



What are hormones that cause an effect on the uterus, such as estrogen and progesterone? -
Uterotropins



What are hormones that cause an effect on the inducing uterine contractions, such as oxytocin
and prostaglandins? - Uterotonins



What are the traditions 4 Ps of labor? - (1) passenger (2) power (3) passage (4) psyche



What is the descent of the fetus into the true pelvis? - Lightening



Who is lightening more common with? - Nulliparous



When does lightening normally occur? - As early as 4 weeks prior to the start of labor

,What is the result of the lengthening of the muscle fibers at the internal os, which stretch the
endocervix upward into the lower uterine segment? - Effacement



In nulliparous women, _______ typically proceeds dilation? - Effacement



The passing of the mucus plug often indicates that labor will start within when? - 48 hours



What is the widening of the external os? - Dilation



What are inhibitors of uterine contractions? - (1) progesterone (2) prostacyclin (3) relaxin (4)
nitric oxide (5) other hormones



When are the inhibitors of uterine contractions present? - Quiescence



What is the main characterization of the activation phase (1) of partuition? - Loss of
progesterone dominance



Where is the uterine muscle the thickest? - At the fundus



What phase of parturition is the stimulation of uterine myometrial activity? - Phase 2



What does the placenta release during phase 1 of partuition that can help transition from
progesterone to estrogen dominance? - CRH



What layer of muscle of the uterus do contractions originate from? - Myometrium

, What happens to the myometrium during the activation phase of parturition? - Becomes more
sensitive to labor hormones



What happens to the myometrium during the activation phase of parturition? - Regular
contractions due to influence of oxytocin and prostaglandings



What hormones predominate during the activation phase of parturition? - (1) oxytocin (2)
prostaglandins



Propagation of contractions wave of fundal dominance? - (1) start in the fundus (2) last longer in
the fundus (3) progress from the fundus toward the isthmus



https://quizlet.com/305168123/nm704-exam-1-modules-1-3-flash-cards/ -



What are the 3 fetal presentations? - (1) cephalic (2) breech (3) shoulder



What is fetal presentation determined by? - First portion of the fetus to enter the pelvis



Flexion of the fetal head during labor results in what? - Presentation of a smaller diameter



What is the untwisting of the neck after birth of the head? - Restitution



What type of pelvis has a short anteroposterior diameter and a wide transverse diameter? -
Platypelloid



What are the positional changes the fetus undergoes to accommodate itself to the maternal
pelvis? - Mechanisms of labor

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Institution
NM 704
Course
NM 704

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