1
NUR 335 EXAM 2 STUDY GUIDE INTRAPARTUM CARE EXAM
WITH ANSWERS
What is the focus of the NUR Intrapartum Care, including High-Risk Intrapartum
335 Exam 2 Study Guide? Care, FHR assessment, and operative vaginal delivery.
What are the five P's in
intrapartum care? The five P's refer to the Passenger, Passageway, Powers,
Position, and Psychological response.
What is the purpose of
electronic fetal monitoring To assess fetal heart rate (FHR) and ensure adequate oxygenation
during labor? and uterine activity.
What is the difference between
true labor and false labor? True labor involves regular contractions that lead to cervical
dilation, while false labor has irregular
contractions that do not result in cervical change.
What is tachysystole and how
is it managed? Tachysystole is defined as more than 5 uterine
contractions in 10 minutes or contractions lasting longer than 90
seconds; it is managed with
What is the recommended
terbutaline.
treatment for maternal
hypertension during labor? IV push of hydralazine or labetalol to improve blood flow to the
fetus.
What are the nursing actions
to support fetal
assessment during labor?
Review plans with the woman and family, maintain a calm
What is the significance of late
environment, monitor at the necessary level, and encourage
decelerations in fetal heart
frequent position changes.
rate?
Late decelerations can indicate fetal distress, often associated with
maternal hypotension.
, 2
What is the management for Administer an IV bolus prior to the epidural to prevent hypotension and monitor
post-epidural for late decelerations.
hypotension?
What are the signs of umbilical Variable decelerations in fetal heart rate can indicate umbilical
cord cord compression.
compression?
What is the role of Pitocin in Pitocin is used to induce or augment labor by stimulating
labor? uterine contractions.
What is the purpose of using Terbutaline is used to slow down tachysystole and manage
terbutaline during labor? excessive uterine contractions.
What is the management for
meconium-stained amniotic Close monitoring of the fetus for signs of distress and potential
fluid? need for resuscitation after delivery.
What is the role of Cefazolin
in intrapartum care? Cefazolin is an antibiotic used to prevent infections during labor.
What is the significance of the
cardinal movements during Cardinal movements refer to the specific movements the fetus
delivery? makes to navigate through the birth canal during delivery.
What is the definition of Dystocia is a difficult or abnormal labor that may require
dystocia? intervention.
What is the purpose of non- To provide comfort and support to the laboring woman without
pharmacological pain the use of medications.
management during
labor?
What are the potential risks Anemia can lead to postpartum infections and
of anemia during labor? complications for both mother and baby.
What is the significance of
uterine rupture during Uterine rupture is a serious complication that can endanger both
labor? the mother and fetus.
NUR 335 EXAM 2 STUDY GUIDE INTRAPARTUM CARE EXAM
WITH ANSWERS
What is the focus of the NUR Intrapartum Care, including High-Risk Intrapartum
335 Exam 2 Study Guide? Care, FHR assessment, and operative vaginal delivery.
What are the five P's in
intrapartum care? The five P's refer to the Passenger, Passageway, Powers,
Position, and Psychological response.
What is the purpose of
electronic fetal monitoring To assess fetal heart rate (FHR) and ensure adequate oxygenation
during labor? and uterine activity.
What is the difference between
true labor and false labor? True labor involves regular contractions that lead to cervical
dilation, while false labor has irregular
contractions that do not result in cervical change.
What is tachysystole and how
is it managed? Tachysystole is defined as more than 5 uterine
contractions in 10 minutes or contractions lasting longer than 90
seconds; it is managed with
What is the recommended
terbutaline.
treatment for maternal
hypertension during labor? IV push of hydralazine or labetalol to improve blood flow to the
fetus.
What are the nursing actions
to support fetal
assessment during labor?
Review plans with the woman and family, maintain a calm
What is the significance of late
environment, monitor at the necessary level, and encourage
decelerations in fetal heart
frequent position changes.
rate?
Late decelerations can indicate fetal distress, often associated with
maternal hypotension.
, 2
What is the management for Administer an IV bolus prior to the epidural to prevent hypotension and monitor
post-epidural for late decelerations.
hypotension?
What are the signs of umbilical Variable decelerations in fetal heart rate can indicate umbilical
cord cord compression.
compression?
What is the role of Pitocin in Pitocin is used to induce or augment labor by stimulating
labor? uterine contractions.
What is the purpose of using Terbutaline is used to slow down tachysystole and manage
terbutaline during labor? excessive uterine contractions.
What is the management for
meconium-stained amniotic Close monitoring of the fetus for signs of distress and potential
fluid? need for resuscitation after delivery.
What is the role of Cefazolin
in intrapartum care? Cefazolin is an antibiotic used to prevent infections during labor.
What is the significance of the
cardinal movements during Cardinal movements refer to the specific movements the fetus
delivery? makes to navigate through the birth canal during delivery.
What is the definition of Dystocia is a difficult or abnormal labor that may require
dystocia? intervention.
What is the purpose of non- To provide comfort and support to the laboring woman without
pharmacological pain the use of medications.
management during
labor?
What are the potential risks Anemia can lead to postpartum infections and
of anemia during labor? complications for both mother and baby.
What is the significance of
uterine rupture during Uterine rupture is a serious complication that can endanger both
labor? the mother and fetus.
