NUR 230 MATERNAL EXAM 2 PREP WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
How long usually is the first stage of labor in the latent phase?
Nullipara: 8.6 hours
Multipara: 5.3 hours
How long usually is the first stage in the active phase?
Nullipara: 4.6 hours
Multipara: 2.4 hours
How long usually is the first stage in the transition phase?
Nullipara: 3 hours
Multipara: less than 1 hour
How long does the second stage of labor usually last?
Nullipara: up to 3 hours
Multipara: less than one hour (less than 15 minutes)
How long can the fourth stage of labor last?
From the time of delivery of placenta until up to 4 hours after birth
What is a key advantage of external electronic fetal heart monitoring?
Produces a continuous graphic recording.
What can external electronic fetal heart monitoring show?
1|Page
,Baseline, baseline variability, and changes in the fetal heart rate (FHR).
Is external electronic fetal heart monitoring invasive?
No, it is noninvasive.
Does external electronic fetal heart monitoring require rupture of membranes?
No, it does not require rupture of membranes.
What is a disadvantage of external electronic fetal heart monitoring?
It is susceptible to interference from maternal and fetal movement.
What issue may arise with the signal during external electronic fetal heart monitoring?
It may produce a weak signal.
What can happen to the tracing in external electronic fetal heart monitoring?
The tracing may become sketchy and difficult to trace.
What is a Tocodynamometer (Toco)?
A device used for external electronic uterine monitoring.
What are the advantages of using a Tocodynamometer?
Noninvasive, easy to place, can be used before and after rupture of membranes, can be used
intermittently, provides permanent continuous recording, and allows the nurse to palpate
contractions for intensity.
What are the disadvantages of using a Tocodynamometer?
The nurse must compare subjective findings with the monitor, the belt may become
uncomfortable and require frequent readjustment, the mother may feel limited in movement,
and it does not provide information on intensity.
What are the advantages of internal electronic fetal heart monitoring?
Clearer tracings, provides better information about variability, and the nurse can place.
2|Page
,What are the disadvantages of internal electronic fetal heart monitoring?
Infection, injury, requires ruptured membranes, and sufficient cervical dilation.
What are the advantages of internal electronic uterine monitoring?
Provides pressure measurements for contraction intensity and uterine resting tone, allows for
very accurate timing of contractions, provides a permanent record of uterine activity.
What are the disadvantages of internal electronic uterine monitoring?
Membranes must be ruptured, adequate cervical dilation must be achieved, it is invasive,
increases the risk of uterine infection or perforation, and is contraindicated in cases with active
infections.
Nitrazine Tape: Testing for ROM
- Negative: yellow color, urine?
- Positive: deep blue color, amniotic fluid - alkaline
Ferning Test: Testing for ROM
Positive test- ferning present in amniotic fluid (slide under microscope)
What is the first step in the Amnisure testing process for ROM?
Collect a sample of vaginal discharge with a sterile collection swab for 1 minute.
What is the second step in the Amnisure testing process for ROM?
Transfer the sample to a solvent vial by rinsing the specimen in the vial and discarding the swab
within 1 minute.
What is the third step in the Amnisure testing process for ROM?
Insert the test strip into the vial to initiate the PAMG-1 detection process. A positive result is
indicated by two visible lines on the strip.
How long does it take to call a negative result in the Amnisure test?
3|Page
, 5 minutes.
What should you do after removing the test strip from the vial in the Amnisure test?
Observe and record the results, and do not read the strip after 15 minutes have passed since
dipping it into the vial.
How should faint or broken lines be interpreted in the Amnisure test?
They should always be read as positive.
Fetal heart rate
- baseline FHR is 110-160 and must be observed for 10 minutes
- Changes in FHR: accelerations, decelerations (early, late, variable, prolonged or sinusoidal
pattern)
- episodic: not associated with uterine contractions
- periodic: associated with uterine contractions
- Variability: absent, minimal, moderate, marked
- fetal bradycardia
- fetal tachycardia
What are early decelerations usually related to?
Head compression
In early decelerations, when does the nadir of deceleration occur?
At the peak of contraction
What is the duration from onset to nadir in early decelerations?
Greater than 30 seconds
What are late decelerations usually related to?
Uteroplacental insufficiency
How do the onset, nadir, and recovery of late decelerations relate to contractions?
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
How long usually is the first stage of labor in the latent phase?
Nullipara: 8.6 hours
Multipara: 5.3 hours
How long usually is the first stage in the active phase?
Nullipara: 4.6 hours
Multipara: 2.4 hours
How long usually is the first stage in the transition phase?
Nullipara: 3 hours
Multipara: less than 1 hour
How long does the second stage of labor usually last?
Nullipara: up to 3 hours
Multipara: less than one hour (less than 15 minutes)
How long can the fourth stage of labor last?
From the time of delivery of placenta until up to 4 hours after birth
What is a key advantage of external electronic fetal heart monitoring?
Produces a continuous graphic recording.
What can external electronic fetal heart monitoring show?
1|Page
,Baseline, baseline variability, and changes in the fetal heart rate (FHR).
Is external electronic fetal heart monitoring invasive?
No, it is noninvasive.
Does external electronic fetal heart monitoring require rupture of membranes?
No, it does not require rupture of membranes.
What is a disadvantage of external electronic fetal heart monitoring?
It is susceptible to interference from maternal and fetal movement.
What issue may arise with the signal during external electronic fetal heart monitoring?
It may produce a weak signal.
What can happen to the tracing in external electronic fetal heart monitoring?
The tracing may become sketchy and difficult to trace.
What is a Tocodynamometer (Toco)?
A device used for external electronic uterine monitoring.
What are the advantages of using a Tocodynamometer?
Noninvasive, easy to place, can be used before and after rupture of membranes, can be used
intermittently, provides permanent continuous recording, and allows the nurse to palpate
contractions for intensity.
What are the disadvantages of using a Tocodynamometer?
The nurse must compare subjective findings with the monitor, the belt may become
uncomfortable and require frequent readjustment, the mother may feel limited in movement,
and it does not provide information on intensity.
What are the advantages of internal electronic fetal heart monitoring?
Clearer tracings, provides better information about variability, and the nurse can place.
2|Page
,What are the disadvantages of internal electronic fetal heart monitoring?
Infection, injury, requires ruptured membranes, and sufficient cervical dilation.
What are the advantages of internal electronic uterine monitoring?
Provides pressure measurements for contraction intensity and uterine resting tone, allows for
very accurate timing of contractions, provides a permanent record of uterine activity.
What are the disadvantages of internal electronic uterine monitoring?
Membranes must be ruptured, adequate cervical dilation must be achieved, it is invasive,
increases the risk of uterine infection or perforation, and is contraindicated in cases with active
infections.
Nitrazine Tape: Testing for ROM
- Negative: yellow color, urine?
- Positive: deep blue color, amniotic fluid - alkaline
Ferning Test: Testing for ROM
Positive test- ferning present in amniotic fluid (slide under microscope)
What is the first step in the Amnisure testing process for ROM?
Collect a sample of vaginal discharge with a sterile collection swab for 1 minute.
What is the second step in the Amnisure testing process for ROM?
Transfer the sample to a solvent vial by rinsing the specimen in the vial and discarding the swab
within 1 minute.
What is the third step in the Amnisure testing process for ROM?
Insert the test strip into the vial to initiate the PAMG-1 detection process. A positive result is
indicated by two visible lines on the strip.
How long does it take to call a negative result in the Amnisure test?
3|Page
, 5 minutes.
What should you do after removing the test strip from the vial in the Amnisure test?
Observe and record the results, and do not read the strip after 15 minutes have passed since
dipping it into the vial.
How should faint or broken lines be interpreted in the Amnisure test?
They should always be read as positive.
Fetal heart rate
- baseline FHR is 110-160 and must be observed for 10 minutes
- Changes in FHR: accelerations, decelerations (early, late, variable, prolonged or sinusoidal
pattern)
- episodic: not associated with uterine contractions
- periodic: associated with uterine contractions
- Variability: absent, minimal, moderate, marked
- fetal bradycardia
- fetal tachycardia
What are early decelerations usually related to?
Head compression
In early decelerations, when does the nadir of deceleration occur?
At the peak of contraction
What is the duration from onset to nadir in early decelerations?
Greater than 30 seconds
What are late decelerations usually related to?
Uteroplacental insufficiency
How do the onset, nadir, and recovery of late decelerations relate to contractions?
4|Page
