Maternity ATI Final (Intrapartum)
Questions And Answers With Verified
Solutions Graded A+ Latest Update
2025.
LABOR & DELIVERY - ANSWER chapter 11
stages of labor - ANSWER 1st: dilating stage (3 phases: Latent (0-3cm) Active (4-7cm)
Transition (8-10cm w/ urge to push))
2nd stage: delivery
3rd: placental delivery
4th: recovery- primary goal to prevent hemorrhage from uterine atony, 1st void within 1 hour and then q2-
3 hrs, Rhogam
Physiologic Changes Preceding labor - ANSWER backache
weight loss (1 to 3.5 lbs)
lightening (easier breathing, more pressure on bladder)
contractions (braxton hicks, increase in strength)
increased vaginal discharge or blood show (onset of dilation and effacement)
energy burst ("nesting")
gastrointestinal changes
cervical ripening (soft and opens)
ROM (labor within 24 hours)
Assessment of Amniotic Fluid (alkaline and acidic urine)
5 P's of Labor - ANSWER Passenger (fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position (mom)
Psyche (response)
Fetal Presentation - ANSWER the foremost part of the fetus that enters the pelvic inlet
Fetal Lie - ANSWER transverse (horizontal) or longitudinal (cephalic or breech)
, Fetal Attitude - ANSWER Relationship of the fetal parts to one another
flexion or extension; flexion is desirable so that the smallest diameters of the presenting part move
through the pelvis
Fetal Station - ANSWER Measured by Vaginal exam
0 station = "engaged"
+/- = above/below the Ischial spines of pelvis
PreProcedure (Labor) - ANSWER Leopold maneuver
Tocotransducer
External Fetal Monitoring
GBS culture
Urinalysis (dehydration, ketonuria, UTI)
Blood Tests (CBC, ABO type)
Intraprocedure (Labor) - ANSWER Assess Maternal VS (temp every 2hrs)
Assess FHR (EFM or spiral electrode)
Uterine Labor Contraction Characteristics
- frequency
- duration
- intensity (strength at peak)
- resting tone (none= reduced blood flow, fetal hypoxia)
Intrauterine pressure catheter
Vaginal Exam (dilation, effacement, fetal descent, position, membranes)
Mechanism of labor in vertex presentation (Engagement, Descent, Flexion, internal rotation, extension,
external rotation, birth by expulsion)
Postprocedure - ANSWER Nursing Assessments (maternal VS, fundus, lochia, perineum,
urinary output, bonding)
Actions
(15 min BP & pulse for 2 hours)
fundal massage and oxytocin
comfort measures
encourage voiding to prevent bladder distention
watch for bleeding
Questions And Answers With Verified
Solutions Graded A+ Latest Update
2025.
LABOR & DELIVERY - ANSWER chapter 11
stages of labor - ANSWER 1st: dilating stage (3 phases: Latent (0-3cm) Active (4-7cm)
Transition (8-10cm w/ urge to push))
2nd stage: delivery
3rd: placental delivery
4th: recovery- primary goal to prevent hemorrhage from uterine atony, 1st void within 1 hour and then q2-
3 hrs, Rhogam
Physiologic Changes Preceding labor - ANSWER backache
weight loss (1 to 3.5 lbs)
lightening (easier breathing, more pressure on bladder)
contractions (braxton hicks, increase in strength)
increased vaginal discharge or blood show (onset of dilation and effacement)
energy burst ("nesting")
gastrointestinal changes
cervical ripening (soft and opens)
ROM (labor within 24 hours)
Assessment of Amniotic Fluid (alkaline and acidic urine)
5 P's of Labor - ANSWER Passenger (fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position (mom)
Psyche (response)
Fetal Presentation - ANSWER the foremost part of the fetus that enters the pelvic inlet
Fetal Lie - ANSWER transverse (horizontal) or longitudinal (cephalic or breech)
, Fetal Attitude - ANSWER Relationship of the fetal parts to one another
flexion or extension; flexion is desirable so that the smallest diameters of the presenting part move
through the pelvis
Fetal Station - ANSWER Measured by Vaginal exam
0 station = "engaged"
+/- = above/below the Ischial spines of pelvis
PreProcedure (Labor) - ANSWER Leopold maneuver
Tocotransducer
External Fetal Monitoring
GBS culture
Urinalysis (dehydration, ketonuria, UTI)
Blood Tests (CBC, ABO type)
Intraprocedure (Labor) - ANSWER Assess Maternal VS (temp every 2hrs)
Assess FHR (EFM or spiral electrode)
Uterine Labor Contraction Characteristics
- frequency
- duration
- intensity (strength at peak)
- resting tone (none= reduced blood flow, fetal hypoxia)
Intrauterine pressure catheter
Vaginal Exam (dilation, effacement, fetal descent, position, membranes)
Mechanism of labor in vertex presentation (Engagement, Descent, Flexion, internal rotation, extension,
external rotation, birth by expulsion)
Postprocedure - ANSWER Nursing Assessments (maternal VS, fundus, lochia, perineum,
urinary output, bonding)
Actions
(15 min BP & pulse for 2 hours)
fundal massage and oxytocin
comfort measures
encourage voiding to prevent bladder distention
watch for bleeding
