NUR 254 Galen College Exam
Questions and Accurate Detailed
Answers
VEAL CHOP - Answer: V- Variable C- Cord Compression
E- Early Decals H- Head Compression
A- Accelerations O - Oxygen OK
L-Late decals’ P - Placenta
cord compression - Answer: change position, oxygen, d/c oxytocin, vaginal exam to assess for cord
prolapse
head compression - Answer: prepare for delivery
placental insufficiency - Answer: d/c oxytocin, change position, IV fluids, administer oxygen,
consider internal fetal monitoring & prepare for delivery
HOPP - Answer: hydrate, oxygen, position, stop pitocyn
0-5 cm, mild-moderate contractions, 30-2 min apart, 30-40 seconds long, excited, able to walk & talk
through contractions, calm or tense, receptive to instruction - Answer: First stage early phase
6-10 cm, moderate to strong contractions 1.5-5 minutes apart, 40-90 seconds long, more
introspective, need to work with most contractions; at end (transition), increased pressure, feel
need to pass bowel movement (anal pressure), fear of loss of control, restless, irritable, nausea,
vomiting, shaking - Answer: First stage active phase
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated), descent 0-+2
station, may feel relief, tired; laboring down - Answer: Latent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant, - Answer: second stage
active phase
Questions and Accurate Detailed
Answers
VEAL CHOP - Answer: V- Variable C- Cord Compression
E- Early Decals H- Head Compression
A- Accelerations O - Oxygen OK
L-Late decals’ P - Placenta
cord compression - Answer: change position, oxygen, d/c oxytocin, vaginal exam to assess for cord
prolapse
head compression - Answer: prepare for delivery
placental insufficiency - Answer: d/c oxytocin, change position, IV fluids, administer oxygen,
consider internal fetal monitoring & prepare for delivery
HOPP - Answer: hydrate, oxygen, position, stop pitocyn
0-5 cm, mild-moderate contractions, 30-2 min apart, 30-40 seconds long, excited, able to walk & talk
through contractions, calm or tense, receptive to instruction - Answer: First stage early phase
6-10 cm, moderate to strong contractions 1.5-5 minutes apart, 40-90 seconds long, more
introspective, need to work with most contractions; at end (transition), increased pressure, feel
need to pass bowel movement (anal pressure), fear of loss of control, restless, irritable, nausea,
vomiting, shaking - Answer: First stage active phase
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated), descent 0-+2
station, may feel relief, tired; laboring down - Answer: Latent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant, - Answer: second stage
active phase
