NM704 Exam 3 - Questions With Expert-Approved
Solutions
When does Friedman's first stage of labor begin? Right Ans - With the
onset of regular contractions
WHO Statement on Latent Labor Duration Right Ans - Latent labor has no
standard duration
What should we teach expecting parents about latent labor? Right Ans - 1.
How to recognize uterine contractions
2. How to time contractions correctly
3. Time and record 5-6 contractions in a row to identify a pattern then wait
until the pattern changes to time again
4. Continue timing contractions on and off until a pattern emerges and are
progressing
5. Specific comfort and calming measures for labor progression at home
6. Who to call and when in terms of contraction pattern and the correct phone
numbers
7. What information to give when calling: contraction pattern and how it has
changed over time, whether they're leaking fluid or blood
How to correctly time contractions at home Right Ans - Record the number
of minutes from the beginning of one contraction to the beginning of the next,
the duration of seconds of the contractions, and whether the intensity of the
contractions are increasing over time
What does it mean for a pattern of contractions to emerge? Right Ans -
Over time, contractions are consistently exhibiting at least two of the
following:
- continually becoming more intense according to perception
, - continuing to become longer in duration
- continuing to become closer together (a few minutes between the beginning
of one to the beginning of another)
HX and Chart Review for Labor Onset Right Ans - - GBS status
- previous cervical exams
- family hx
- pregnancy hx (complications, previous interventions, parity)
- gestational age
- is there a birth plan?
- STI status
- chronic condition status
- EDoB
- Allergies (should be double checked with the birther)
- fetal testing
Physical Exam for Labor Onset Right Ans - - VS
- Heart and lung auscultation
- CVA tenderness
- Abdominal exam
- Skin assessment
- Urinalysis
- Emesis, N/V
- Contraction frequency and duration and intensity
- Purple line
- Fetal movement
- Meconium stained fluid
- FHR w/ a 20 minute strip
Pelvic Exam for Labor Onset Right Ans - - Effacement, dilation, consistency
- Station
- Position
- Membranes
- Presenting part
- Fetal flexion
- Molding and caput if possible
- Fetal head in relation to the cervix
Solutions
When does Friedman's first stage of labor begin? Right Ans - With the
onset of regular contractions
WHO Statement on Latent Labor Duration Right Ans - Latent labor has no
standard duration
What should we teach expecting parents about latent labor? Right Ans - 1.
How to recognize uterine contractions
2. How to time contractions correctly
3. Time and record 5-6 contractions in a row to identify a pattern then wait
until the pattern changes to time again
4. Continue timing contractions on and off until a pattern emerges and are
progressing
5. Specific comfort and calming measures for labor progression at home
6. Who to call and when in terms of contraction pattern and the correct phone
numbers
7. What information to give when calling: contraction pattern and how it has
changed over time, whether they're leaking fluid or blood
How to correctly time contractions at home Right Ans - Record the number
of minutes from the beginning of one contraction to the beginning of the next,
the duration of seconds of the contractions, and whether the intensity of the
contractions are increasing over time
What does it mean for a pattern of contractions to emerge? Right Ans -
Over time, contractions are consistently exhibiting at least two of the
following:
- continually becoming more intense according to perception
, - continuing to become longer in duration
- continuing to become closer together (a few minutes between the beginning
of one to the beginning of another)
HX and Chart Review for Labor Onset Right Ans - - GBS status
- previous cervical exams
- family hx
- pregnancy hx (complications, previous interventions, parity)
- gestational age
- is there a birth plan?
- STI status
- chronic condition status
- EDoB
- Allergies (should be double checked with the birther)
- fetal testing
Physical Exam for Labor Onset Right Ans - - VS
- Heart and lung auscultation
- CVA tenderness
- Abdominal exam
- Skin assessment
- Urinalysis
- Emesis, N/V
- Contraction frequency and duration and intensity
- Purple line
- Fetal movement
- Meconium stained fluid
- FHR w/ a 20 minute strip
Pelvic Exam for Labor Onset Right Ans - - Effacement, dilation, consistency
- Station
- Position
- Membranes
- Presenting part
- Fetal flexion
- Molding and caput if possible
- Fetal head in relation to the cervix
