NURS 351 EXAM 2 FULLY UPDATED.

NURS 351 EXAM 2 FULLY UPDATED.

Riskyfactorsyforyectopicypregnancyy-yCORRECTyANSWER-
historyyofyectopicypregnancy,yhistoryyofySTIs,ymultipleyinducedyabortions,yassistiveyr
eproductiveytechnology,yIUD,y25-34,ymultipleysexualypartners

Whatyareytheyfourymajorycomponentsyofytheybirthyprocessy-yCORRECTyANSWER-
Powers,yPassage,ypassenger,ypsyche

Whatyhappensyinytheypowersycomponentyofytheybirthyprocessy-yCORRECTyANSWER-
uterineycontractionsyandybearingydown(coordinated,yinvoluntary,yintermittent)

Coordinatedycontractionythingsy(Powers)y-yCORRECTyANSWER-
frequency,yduration,yandyintensity

Incrementy(contractionyphase)y-yCORRECTyANSWER-periodyofyincreasingystrength

Acmey(peak)yofycontractiony-yCORRECTyANSWER-
periodyduringywhichytheycontractionyisymostyintense

Decrementy(contractionyphase)y-yCORRECTyANSWER-
periodyofydecreasingyintensityyasytheyuterusyrelaxes

Bloodyflowy___yduringycontractionsy-yCORRECTyANSWER-
decreases,yMuscleyfibersyofytheyuterusyconstrictyaroundymaternalyspinalyarteriesywhi
chysupplyytheyplacenta.

WhenyareyVSybestyassessedyonyaywomanyinylabory-yCORRECTyANSWER-
inybetweenycontractions

forcesythatymoveyfetusythroughypelvisy(primaryyandysecondary)y-
yCORRECTyANSWER-

uterineycontractionsy(primary),ymaternalypushingyeffortsy"bearingydown"

WhatycomponentsymakeyupytheyPassageypartyofytheybirthyprocessy-
yCORRECTyANSWER-

maternalypelvisyandysoftytissues,ytheyabilityyofysoftytissuesy(cervix)ytoyeffaceyandydila
te;ybonyypelvisy(usuallyymoreyimportantytoytheyoutcomeyofylaborythanysoftytissues.

Cervicalydilationy-yCORRECTyANSWER-
openingyofycervixyfromy1ycmy(fingertip)ytoyo10ycmy(complete)

Cervicalyeffacementy-yCORRECTyANSWER-thinningyandyshorteningyofycervix.

WhatycomponentsymakeyupytheyPassengerypartyofytheybirthyprocessy-
yCORRECTyANSWER-contractionycycle:yinvolvesyfetus,ymembranes,yandyplacenta.

, fetalyhead/fetalyliey-yCORRECTyANSWER-
impactyhowyeasyyitywillybeyforytheybabyytoybeydelivered

fetalylieytypesy-yCORRECTyANSWER-longitudinaly(vertical),ytransversey(horizontal)

Fetalyattitudey-yCORRECTyANSWER-relationshipyofyfetalypartsytoyoneyanother

flexiony(normal)
Extensiony(abnormal)

Fetalypresentationy-yCORRECTyANSWER-fetalypartythatyfirstyentersytheypelvis

Cephalic/Headyfetalypresentationy-yCORRECTyANSWER-vertex/occiputy-
yheadyisyfullyyflexed



facey-yheadyisyextended

Breechyfetalypresentationy-yCORRECTyANSWER-Frank:yBabyyfoldedyinyhalf
Full/complete:ykneesyareybentybutybottomyfirst
Footling:yoneyorybothyfeetyfirst

Fetalypositionyacronymyincludes:y-yCORRECTyANSWER-
Orientationytoysideyofymaternalypelvisy(left/right)

Fetalypresentingypart:y(occiput,ymentum/chin,ysacrum)

Orientationyofytheypresentingypartytoytheymothery(anterior/front;yposterior/back;yTr
ansverse)

WhatycomponentsymakeyupytheyPsycheypartyofytheybirthyprocessy-
yCORRECTyANSWER-

anxiety,ycultureyandyexpectations,ylifeyexperiences,ysocialysupport

factorsythatypromoteytheystartyofylabory-yCORRECTyANSWER-
progesteroneylevelsyfall,yincreasedyreleaseyofyprostaglandins,yincreasedysecretionyofy
naturalyoxytocin,ycortisolysecretedybyyfetalyadrenalyglands,yincreasedystretchingyandy
pressureyofytheyuterusyandycervix

Premonitoryysignsyofylabory(anticipatoryysigns)y-yCORRECTyANSWER-
increasedyBraxton-
hicks,ylightening,ymoreyvaginalysecretion,ycervicalychangesy(softening,ydilation,ybloo
dyyshowy(bloodyymucus),yenergyyspurt/weightyloss