2025\2026 A+ Grade
VEAL CHOP
- correct answer V- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - Oxygen OK
L-Late Decels P - Placenta
cord compression
- correct answer change position, oxygen, d/c oxytocin, vaginal exam to assess for cord prolapse
head compression
- correct answer prepare for delivery
placental insufficiency
- correct answer d/c oxytocin, change position, IV fluids, administer oxygen, consider internal fetal
monitoring & prepare for delivery
HOPP
- correct answer hydrate, oxygen, position, stop pitocyn
0-5 cm, mild-moderate contractions, 30-2 min apart, 30-40 seconds long, excited, able to walk & talk
through contractions, calm or tense, receptive to instruction
- correct answer First stage early phase
6-10 cm, moderate to strong contractions 1.5-5 minutes apart, 40-90 seconds long, more introspective,
need to work with most contractions; at end (transition), increased pressure, feel need to pass bowel
movement (anal pressure), fear of loss of control, restless, irritable, nausea, vomiting, shaking
- correct answer First stage active phase