NUR 303 Exam 4 With
Complete Solution
Stage 1: Phase 1 of labor - dilation/effacement/contractions - ANSWER 0-3
cm, 0% - 30%, mild (tip of nose) frequency: 5 min duration: 30 sec
Stage 1: Phase 2 of labor - dilation/effacement/other changes - ANSWER 4-7
cm, 30% - 100%, moderate (chin) q 2-5 min for 40-60 sec
Stage 1: Phase 3 of labor - dilation/effacement/other changes - ANSWER
8-10 cm, 100%, strong (forehead) q 2-3 min for 90 sec
dysarthria - ANSWER slurred or slow speech (can be associated with brain
tumors)
Dysmetria - ANSWER The inability to control the distance, speed, and range
of motion necessary to perform smoothly coordinated movements.
Dysmetria = sign of cerebellar damage
factors affecting labor? (5 P's) - ANSWER 5P's - passenger (fetus/placenta),
passageway (birth canal), powers (of contractions/pushing), position (of
mother), and psychologic response.
factors affecting "passenger" - ANSWER Size of fetal head
Fetal presentation
Fetal lie
Fetal attitude
, Fetal position
If a mom delivered a large baby, what postpartum complication is more likely
for her and why? - ANSWER Postpartum hemorrhage. The larger baby will
stretch the uterus more and postpartum the excessively stretched uterus may
have a harder time with involution.
How are fontanels used in labor? - ANSWER They allow the provider to
ascertain which way the baby's head is facing.
what is meant by the terms "fetal presentation" or "presenting part"? and
what are the presentations? - ANS the portion of the fetus that first enters
the pelvic inlet and precedes the rest of the fetus through the birth canal.
presentations = cephalic/vertex [(head first), breech [(booty, feet or both
first), shoulder [(rare)
what is fetal lie? - ANS The relationship of the spine of the mother to the
spine of the fetus. It can be longitudinal, transverse, or oblique.
fetal attitude - ANS relationship of fetal parts to one another - general
flexion is "normal" with back rounded, chin to chest, arms and legs crossed
into chest/abdomen.
Complete Solution
Stage 1: Phase 1 of labor - dilation/effacement/contractions - ANSWER 0-3
cm, 0% - 30%, mild (tip of nose) frequency: 5 min duration: 30 sec
Stage 1: Phase 2 of labor - dilation/effacement/other changes - ANSWER 4-7
cm, 30% - 100%, moderate (chin) q 2-5 min for 40-60 sec
Stage 1: Phase 3 of labor - dilation/effacement/other changes - ANSWER
8-10 cm, 100%, strong (forehead) q 2-3 min for 90 sec
dysarthria - ANSWER slurred or slow speech (can be associated with brain
tumors)
Dysmetria - ANSWER The inability to control the distance, speed, and range
of motion necessary to perform smoothly coordinated movements.
Dysmetria = sign of cerebellar damage
factors affecting labor? (5 P's) - ANSWER 5P's - passenger (fetus/placenta),
passageway (birth canal), powers (of contractions/pushing), position (of
mother), and psychologic response.
factors affecting "passenger" - ANSWER Size of fetal head
Fetal presentation
Fetal lie
Fetal attitude
, Fetal position
If a mom delivered a large baby, what postpartum complication is more likely
for her and why? - ANSWER Postpartum hemorrhage. The larger baby will
stretch the uterus more and postpartum the excessively stretched uterus may
have a harder time with involution.
How are fontanels used in labor? - ANSWER They allow the provider to
ascertain which way the baby's head is facing.
what is meant by the terms "fetal presentation" or "presenting part"? and
what are the presentations? - ANS the portion of the fetus that first enters
the pelvic inlet and precedes the rest of the fetus through the birth canal.
presentations = cephalic/vertex [(head first), breech [(booty, feet or both
first), shoulder [(rare)
what is fetal lie? - ANS The relationship of the spine of the mother to the
spine of the fetus. It can be longitudinal, transverse, or oblique.
fetal attitude - ANS relationship of fetal parts to one another - general
flexion is "normal" with back rounded, chin to chest, arms and legs crossed
into chest/abdomen.
