NURS 135 OB Final Exam ||Most Recent Exam 2026 | Actual
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Stages of labor
1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm) Traditional (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
1st stage of labor
"dilation"
Begins with the onset of contractions and ends when the cervix is fully
dilated (10 cm)
can last about 18+ hours
2nd stage of labor
complete cervix dilation to birth
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3rd stage of labor
Delivery of baby to delivery of placenta
4th stage of labor
Mother's recovery after birth of baby and placenta
what are you assessing the placenta for?
for missing pieces that may have been left inside.
normal placenta
VEAL CHOP
V- Variable C- Cord Compression
E- Early Decels H- Head
Compression A- Accelerations O
- OK
L-Late Decels P - Placenta
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Late decelerations
position patient of left side increases cardiac output and relieve
compression on the vena cava.- danger prolapsed cord- after rupture
of membranes fetal HR
drops by 80 beats the priority nursing action is to palpate for a prolapsed
cord.
what are late deceleration interventions?
1. reposition
2. TURN OF OXYTOCIN
3. oxygen 10 L/min (non-rebreather)
4. give fluid bolus
5. cervical exam
6. call the HCP
Variable decelerations
have mom move around to see if you can move baby off of the cord or
whatever is causing the cord compression- cord around the neck
cause still birth
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