NS 201 - Unit 2 Intrapartum Nursing and Labor Management Exam: Maternal Assessment and Monitoring, 5 Ps of Labor (Power, Passageway, Passenger, Psyche, Position), Uterine Contractions (Primary and Secondary Powers), Cervical Dilation and Effacement, Fetal

NS 201 - Unit 2 Intrapartum Nursing and Labor Management Exam: Maternal Assessment and Monitoring, 5 Ps of Labor (Power, Passageway, Passenger, Psyche, Position), Uterine Contractions (Primary and Secondary Powers), Cervical Dilation and Effacement, Fetal Position, Presentation, Attitude, and Lie, Mechanisms of Labor and Cardinal Movements, Stages and Phases of Labor, Maternal Vital Signs and Uterine Assessment, FHR Monitoring and Interpretation (Baseline, Variability, Accelerations, Early, Variable, Late, and Prolonged Decelerations), Interventions for Fetal Compromise, Nonstress Test Standards (Reactive vs Nonreactive) Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Start IV (18 g incase of c-section or bolusing) draw blood and collect urine VS provide continuous and intermittent fetal monitoring encourage the laboring pt to void at least every 2 hours assess progress of labor provide labor support provide pt education as needed administer pain medication nursing care during labor power passageway passenger psyche position 5 Ps of labor power refers to uterine contractions and pushing efforts passageway refers to the anatomy of the mother's bony pelvis and soft tissues passenger refers to fetal factors psyche refers to mother's state of mind position refers to maternal position involuntary uterine contractions primary powers of labor are: upper two thirds of the uterus and apply pressure to the fetus primary powers occur: dilates and effaces in response to the pressure caused by contractions, the cervix ___________ and _________, allowing for the passage of the fetus contraction frequency, duration, and intensity affect the power oxytocin can be administered to augment contraction power secondary powers voluntary action of pushing; the maternal pushing efforts after the cervix is completely dilated passageway depends on the ability of soft tissue to stretch muscles of the pelvic floor help turn and orient the fetus through the cardinal movements of delivery fetal station the relationship between the fetal presenting part and the pelvis is assessed by zero station means the presenting part is at the level of the ischial spines fetal head size fetal presentation fetal attitude fetal lie fetal position important factors r/t the fetus and labor fetal head largest part of the fetus fetal skull bones not fused and allow for the head to adjust in the birth canal fetal presentation refers to the part of the fetus entering the pelvis first cephalic presentation majority of babies are in a head first or cephalic presentation breech presentation means the baby is in buttocks or feet first presentation fetal attitude refers to the position of the fetal parts in relationship to each other vertex (full flexion) chin on chest, flexed senciput presentation fetal chin off chest neck straight -military attitude