NRSG 2500- Exam 1 Review (Unit 1: Reproduction Unit 2:
Reproduction Grief and Loss) Questions With Complete
Solutions
What is the second stage of labor?
-complete cervical dilation to birth
-will see cardinal movements
-have mom choose whatever position she is most comfortable
with
What is the third stage of labor?
-birth to delivery of placenta
-lengthening of cord/ gush of blood
-watch for hemorrhage
What is the fourth stage of labor?
-recovery
-expect to see slight decrease in BP and increase in HR
-uterus will be midline and firm (palpable midline between
symphysis pubis and umbilicus
What is effacement?
-the cervix thins and shortens in labor
What should you watch out for when you give opioids during
labor?
-watch for respiratory depression
-naloxone for reversal
, -used in early labor to prevent respiratory depression in the baby
-should only be given 4 hours or more before delivery
What must you always have when a patient gets and epidural
and why?
-IV
-the meds can cause a decrease in BP (will need a bolus)
What are external fetal monitors?
-transducer for FHR (goes on the bottom)
-tocodynamometer monitors contractions (goes on top)
What are internal fetal monitors?
-fetal scalp electrode
-intrauterine pressure catheter
-these can only be used if the amniotic sac is ruptured first
-most accurate method
What is required in order to have internal monitors?
-rupture of membranes
-2 cm dilated
T or F? Maternal position changes/movement do not interfere
with the quality of continuous internal monitoring.
True
What is the normal range for FHR?
-110-160
What is the non-stress test reactive pattern?
Reproduction Grief and Loss) Questions With Complete
Solutions
What is the second stage of labor?
-complete cervical dilation to birth
-will see cardinal movements
-have mom choose whatever position she is most comfortable
with
What is the third stage of labor?
-birth to delivery of placenta
-lengthening of cord/ gush of blood
-watch for hemorrhage
What is the fourth stage of labor?
-recovery
-expect to see slight decrease in BP and increase in HR
-uterus will be midline and firm (palpable midline between
symphysis pubis and umbilicus
What is effacement?
-the cervix thins and shortens in labor
What should you watch out for when you give opioids during
labor?
-watch for respiratory depression
-naloxone for reversal
, -used in early labor to prevent respiratory depression in the baby
-should only be given 4 hours or more before delivery
What must you always have when a patient gets and epidural
and why?
-IV
-the meds can cause a decrease in BP (will need a bolus)
What are external fetal monitors?
-transducer for FHR (goes on the bottom)
-tocodynamometer monitors contractions (goes on top)
What are internal fetal monitors?
-fetal scalp electrode
-intrauterine pressure catheter
-these can only be used if the amniotic sac is ruptured first
-most accurate method
What is required in order to have internal monitors?
-rupture of membranes
-2 cm dilated
T or F? Maternal position changes/movement do not interfere
with the quality of continuous internal monitoring.
True
What is the normal range for FHR?
-110-160
What is the non-stress test reactive pattern?
