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NUR 208
NUR 208/ NUR208 Exam 2| Questions &
Answers| Grade A| 100% Correct (Verified
Solutions) (2025/ 2026 Update)
1. What are the most favorable positions inutero for delivery?:
LOA & ROA Right and left occiput anterior
2. what is the most favorable pelvic shape?: Gyncoid
3. Passageway: Pelvis, cervix, vagina: -birthing parent pelvis must
be the correct shape and size with a wide enough anterior-
posterior diameter
-cervix must efface (thin) & dilate (open) in response to contractions
and pressure of presenting part
4. engagement: 0 station (@ level of ischial spines) each centimeter
above the ischial spines is a negative # (-1, -2, etc) and each cm
below the ischial spines is a positive # (+1, +2)
5. descent: a baby must descend from 0 through +4 stations
NUR 208
,6. vaginal exam: find ischial spines and then assess if occiput is
above or below the bone
7. Powers: Uterine contractions: -involuntarily, rhythmic
contractions of uterine muscle which lead to effacement and
dilation of the cervix
-Frequency; time from beginning of one contraction to the beginning of
the next
-Duration; how many secs does contraction last
-Intensity; strength of a contraction at its peak measured by palpation,
external, or internal monitor in mm. of mercury: > 30-40 needed for
adequate power
8. 3 phases of a uterine contraction: 1. increment; beginning and
increasing intensity
2. Acme; peak, highest intensity
3. Decrement; relaxation, decreasing intensity
9. duration of contraction: from beginning of the contraction to the
end of the same contraction
, 10. frequency of contraction: from the beginning of one
contraction to the beginning of another contraction
11. interval of contraction: resting time between contractions
allows for placental perfusion
12. rupture of membranes (ROM): -can initiate labor or occur
any time during labor
-immediately following ROM, nurse must assess FHR
-Amniotic fluid should be watery, clear, or slight yellow-tinged with no
foul odor
-after 24 hours infection risk increases
13. premature (PROM): rupture before 37W
14. spontaneous (SROM): ruptures on its own
15. artificial (AROM): ruptured by provider
16. physiologic changes preceding labor: -backache
-lightening
-contractions
-increased vaginal discharge
, -energy burst
-GI changes
-cervical ripening
17. True vs False Labor: True:
-contractions are regular, become stronger, last longer
-cervical
dilation/effacement -
fetal engagement +
descending False:
-contractions irregular w/o progression
no dilation, effacement, descent
-activity such as walking often relieves false labor
18. Stages + phases of labor and birth: -STAGE 1: dilation of
the cervix from 0 to 10 cm (only stage to include 3 phases)
Phase 1: latent
Phase 2: Active
Phase 3: Transition
NUR 208
NUR 208/ NUR208 Exam 2| Questions &
Answers| Grade A| 100% Correct (Verified
Solutions) (2025/ 2026 Update)
1. What are the most favorable positions inutero for delivery?:
LOA & ROA Right and left occiput anterior
2. what is the most favorable pelvic shape?: Gyncoid
3. Passageway: Pelvis, cervix, vagina: -birthing parent pelvis must
be the correct shape and size with a wide enough anterior-
posterior diameter
-cervix must efface (thin) & dilate (open) in response to contractions
and pressure of presenting part
4. engagement: 0 station (@ level of ischial spines) each centimeter
above the ischial spines is a negative # (-1, -2, etc) and each cm
below the ischial spines is a positive # (+1, +2)
5. descent: a baby must descend from 0 through +4 stations
NUR 208
,6. vaginal exam: find ischial spines and then assess if occiput is
above or below the bone
7. Powers: Uterine contractions: -involuntarily, rhythmic
contractions of uterine muscle which lead to effacement and
dilation of the cervix
-Frequency; time from beginning of one contraction to the beginning of
the next
-Duration; how many secs does contraction last
-Intensity; strength of a contraction at its peak measured by palpation,
external, or internal monitor in mm. of mercury: > 30-40 needed for
adequate power
8. 3 phases of a uterine contraction: 1. increment; beginning and
increasing intensity
2. Acme; peak, highest intensity
3. Decrement; relaxation, decreasing intensity
9. duration of contraction: from beginning of the contraction to the
end of the same contraction
, 10. frequency of contraction: from the beginning of one
contraction to the beginning of another contraction
11. interval of contraction: resting time between contractions
allows for placental perfusion
12. rupture of membranes (ROM): -can initiate labor or occur
any time during labor
-immediately following ROM, nurse must assess FHR
-Amniotic fluid should be watery, clear, or slight yellow-tinged with no
foul odor
-after 24 hours infection risk increases
13. premature (PROM): rupture before 37W
14. spontaneous (SROM): ruptures on its own
15. artificial (AROM): ruptured by provider
16. physiologic changes preceding labor: -backache
-lightening
-contractions
-increased vaginal discharge
, -energy burst
-GI changes
-cervical ripening
17. True vs False Labor: True:
-contractions are regular, become stronger, last longer
-cervical
dilation/effacement -
fetal engagement +
descending False:
-contractions irregular w/o progression
no dilation, effacement, descent
-activity such as walking often relieves false labor
18. Stages + phases of labor and birth: -STAGE 1: dilation of
the cervix from 0 to 10 cm (only stage to include 3 phases)
Phase 1: latent
Phase 2: Active
Phase 3: Transition
