NR327 EXAM 2 (MATERNAL HEALTH/OB) QUESTIONS AND ANSWERS

NR327 EXAM 2 (MATERNAL HEALTH/OB) QUESTIONS AND ANSWERS 1. How does a nurse know if a woman is in labor?: cervix is dilated and regular contractions are present 2. What is effacement?: thinning of the cervix 3. How many stages of labor are there?: 4 stages 4. What are contractions necessary for?: the cervix to dilate 5. - 0-10cm - main job = effacement and dilation of cervix - 12.5+ hours Phase 1 = latent/early - 4-6+ hours- 0-3cm dilation - mild/moderate irregular contractions (5-30 minutes apart) that last 30-45 seconds- mom is home, talking, happy- good time for teaching Phase 2 = active - 2-3+ hours- 4-7cm dilation - more regular contractions every 3-5 minutes with moderate to strong intensity lasting 40-70 seconds - mom starts to feel agitated - best time for medication Phase 3 = transition - 20-40+ minutes- 8-10cm dilation - strong contractions every 2-3 minutes lasting 45-90 seconds long - mom is combative and restless; urge to poop, increased bloody show: 1st stage of labor 6. - complete dilation of the cervix to newborn delivery- 5 minutes - 2+ hours - strong contractions every 1-2 minutes- mom is pushing during this time period - pudendal block: 2nd stage 7. - birth of baby to delivery of placenta