NUR 254 GALEN COLLEGE EXAM
QUESTIONS AND ANSWERS 2025
VEAL CHOP - ANSWERSV- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - Oxygen OK
L-Late Decels P - Placenta
cord compression - ANSWERSchange position, oxygen, d/c oxytocin, vaginal exam to
assess for cord prolapse
placental insufficiency - ANSWERSd/c oxytocin, change position, IV fluids, administer
oxygen, consider internal fetal monitoring & prepare for delivery
HOPP - ANSWERShydrate, 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 -
ANSWERSFirst stage early phase
head compression - ANSWERSprepare for delivery
placenta delivery, firm contractions if the uterus, feeling vaginal fullness, cord elongation
with gush of bloody fluid from vaginal vault - ANSWERSthird stage placenta delivered
first 2 hours post-delivery; mother and infant monitored closely, encouraged to bond,
visit with family, breast feed infant; most mothers skin to skin with neonate for first hour
unless complications - ANSWERSFourth stage recovery
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 - ANSWERSFirst stage active phase
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated),
descent 0-+2 station, may feel relief, tired; laboring down - ANSWERSLatent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant, -
ANSWERSsecond stage active phase
QUESTIONS AND ANSWERS 2025
VEAL CHOP - ANSWERSV- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - Oxygen OK
L-Late Decels P - Placenta
cord compression - ANSWERSchange position, oxygen, d/c oxytocin, vaginal exam to
assess for cord prolapse
placental insufficiency - ANSWERSd/c oxytocin, change position, IV fluids, administer
oxygen, consider internal fetal monitoring & prepare for delivery
HOPP - ANSWERShydrate, 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 -
ANSWERSFirst stage early phase
head compression - ANSWERSprepare for delivery
placenta delivery, firm contractions if the uterus, feeling vaginal fullness, cord elongation
with gush of bloody fluid from vaginal vault - ANSWERSthird stage placenta delivered
first 2 hours post-delivery; mother and infant monitored closely, encouraged to bond,
visit with family, breast feed infant; most mothers skin to skin with neonate for first hour
unless complications - ANSWERSFourth stage recovery
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 - ANSWERSFirst stage active phase
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated),
descent 0-+2 station, may feel relief, tired; laboring down - ANSWERSLatent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant, -
ANSWERSsecond stage active phase
