NSNE 7100 - Module 5B Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Dysfunctional labour - CORRECT ANSWER General term used to describe a long,
difficult and abnormal labour
Dystocia - CORRECT ANSWER Refers to a lack of progress in labour. Is most often a
result of variance with one of the 5P's and where possible make changes that promote the
normal progress of labour
What are some factors that increase a woman's risk of labour dystocia? - CORRECT
ANSWER Obesity
Short Stature
Advanced maternal age
Infertility
Uterine abnormalities
Malpresentation
Malposition
Overstimulation of Uterus with oxytocin
Maternal fatigue, dehydration, fear
Use of epidural analgesia
Macrosomia - CORRECT ANSWER When the fetus is above the 90th percentile and
considered LGA
Cephalo-pelvic disproportion - CORRECT ANSWER Is when the fetal head is too big
to move through the maternal pelvis. Can also result from malposition of the presenting part
, What are some signs that help suspect macrosomia? - CORRECT ANSWER SPH
measures larger than the weeks of gestation
The woman did not experience lightening (may indicate that the fetal head is not engaged
especially in primigravid women)
Excess weight gain during the pregnancy
A partner who is above average height-weight
Can you predict CPD? - CORRECT ANSWER No, there is no way to know for sure
until labour has started
What changes can you see with a large fetus? - CORRECT ANSWER Changes in the
contraction patter, changes in the fetal heart rate and the possibility of uterine rupture
increases if intervention (caesarian birth) is not performed
Molding - CORRECT ANSWER Is an overlapping of the bones of the skull and is a
normal adaptation that allows the fetal head to maneuver through the pelvis. It is common in
many births, however when descent or rotation of the fetal head is not occurring, molding is
observed early in labour, is excessive or increasing, it may be a sign of CPD
Caput Succedaneum - CORRECT ANSWER Is a generalized, easily identifiable
edematous area of the scalp, most often on the occiput. With vertex presentation the sustained
pressure of the presenting part against the cervix results in compression of local vessels,
slowing venous return. Usually disappears within 3-4 days after birth. May also be
accompanied by a cephalohematoma which can increase risk of hyperbilirubinemia
Shoulder Dystocia - CORRECT ANSWER When the head is born, but the anterior
shoulder cannot pass under the pubic arch
What causes shoulder dystocia - CORRECT ANSWER Can result when fetus is too
large, or pelvis is too small.
What can happen to the fetus in cases of shoulder dystocia? - CORRECT
ANSWER May result in fetal injury such as asphyxia, fractures to the humerus or
clavicle, and brachial plexus nerve injuries and post partum hemorrhage
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Dysfunctional labour - CORRECT ANSWER General term used to describe a long,
difficult and abnormal labour
Dystocia - CORRECT ANSWER Refers to a lack of progress in labour. Is most often a
result of variance with one of the 5P's and where possible make changes that promote the
normal progress of labour
What are some factors that increase a woman's risk of labour dystocia? - CORRECT
ANSWER Obesity
Short Stature
Advanced maternal age
Infertility
Uterine abnormalities
Malpresentation
Malposition
Overstimulation of Uterus with oxytocin
Maternal fatigue, dehydration, fear
Use of epidural analgesia
Macrosomia - CORRECT ANSWER When the fetus is above the 90th percentile and
considered LGA
Cephalo-pelvic disproportion - CORRECT ANSWER Is when the fetal head is too big
to move through the maternal pelvis. Can also result from malposition of the presenting part
, What are some signs that help suspect macrosomia? - CORRECT ANSWER SPH
measures larger than the weeks of gestation
The woman did not experience lightening (may indicate that the fetal head is not engaged
especially in primigravid women)
Excess weight gain during the pregnancy
A partner who is above average height-weight
Can you predict CPD? - CORRECT ANSWER No, there is no way to know for sure
until labour has started
What changes can you see with a large fetus? - CORRECT ANSWER Changes in the
contraction patter, changes in the fetal heart rate and the possibility of uterine rupture
increases if intervention (caesarian birth) is not performed
Molding - CORRECT ANSWER Is an overlapping of the bones of the skull and is a
normal adaptation that allows the fetal head to maneuver through the pelvis. It is common in
many births, however when descent or rotation of the fetal head is not occurring, molding is
observed early in labour, is excessive or increasing, it may be a sign of CPD
Caput Succedaneum - CORRECT ANSWER Is a generalized, easily identifiable
edematous area of the scalp, most often on the occiput. With vertex presentation the sustained
pressure of the presenting part against the cervix results in compression of local vessels,
slowing venous return. Usually disappears within 3-4 days after birth. May also be
accompanied by a cephalohematoma which can increase risk of hyperbilirubinemia
Shoulder Dystocia - CORRECT ANSWER When the head is born, but the anterior
shoulder cannot pass under the pubic arch
What causes shoulder dystocia - CORRECT ANSWER Can result when fetus is too
large, or pelvis is too small.
What can happen to the fetus in cases of shoulder dystocia? - CORRECT
ANSWER May result in fetal injury such as asphyxia, fractures to the humerus or
clavicle, and brachial plexus nerve injuries and post partum hemorrhage
