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Exam (elaborations)

NSG 210 Questions with Detailed Verified Answers

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NSG 210 Questions with Detailed Verified Answers

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NSG 210 Questions with Detailed
Verified Answers


Question: What is a normal fetal heart rate?


Ans: 110-160


Question: What drug is used to stimulate uterine contractions?


Ans: Oxytocin


Question: What are the desired parameters for uterine contractions?


Ans: Lasting 60 seconds or less


Not more often than 2 minutes


Question: What does Terbutaline do & what are its contraindications?


Ans: Delays delivery time, but does not stop it.


Contraindicated for gestation 34 weeks or greater & cervical dilation >6
cm.


Question: What does nifedipine do & what is a side effect to watch for?

, Page | 2

Ans: Helps suppress contractions


Watch for orthostatic hypotension


Question: When does progesterone levels start to drop?


Ans: Around 37 weeks. Was previously high because progesterone relaxes
smooth muscle of the uterus


Question: What happens to Estrogen around delivery time?


Ans: Remains high. Combination of lower progesterone and high estrogen
makes uterus more responsive to other hormones (oxytocin)


Question: What are Braxton Hick's contractions?


Ans: They are false labor contractions which are occurring due to the
decreased levels of progesterone.


Question: Explain dilation and effacement.


Ans: Dilation is the opening of the cervix to 10 cm & effacement is the
thinning of the cervical walls expressed in percentage.


Question: Where is relaxin and what does it do?

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Ans: Produced in the placenta


Loosens pelvic ligaments, opens pelvic outlet, causes cervical dilation


Question: What are the stages of labor & what happens in each?


Ans: Stage 1 - Cervical dilation


*cervix dilates to about 10 cm


Stage 2 - Expulsion of fetus


*starts when fetal head enters the birth canal and ends when fetus is
delivered


Stage 3- Afterbirth


*starts immediately after fetal delivery and ends with delivery of the
placenta


Stage 3 - Recovery


Question: Explain an early deceleration


Ans: Considered normal


Fetal heart rates drops and mirrors maternal contraction


caused by compression of fetal head on pelvis/soft tissue.

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Question: Explain Late Decelerations


Ans: Is not normal and requires intervention


Fetal heart rate drops after maternal contraction


Caused by uteroplacental insufficiency (baby not getting enough oxygen?


Question: Explain Variable Deceleration


Ans: Not normal and requires intervention


There is not relationship between fetal heart rate drops and maternal
contraction


Caused by umbilical cord compression


Question: During Leoupold's Maneuver, you find the fetal lie to be straight up
and down. What is this called?


Ans: Longitudinal lie


Question: During Leoupold's Maneuver, you find the fetal lie to be at an
angle. What is this called?


Ans: Oblique


Question: During Leoupold's Maneuver, you find the fetal lie to be horizontal.
What is this called?

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