BSHP VNSG 1413 Applied Nursing Skills Exam #2
Questions With Complete Solutions
Stages of Labor
1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm)
Transitional (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,
stabilization, bonding, uterus relaxes
First Stage: dilation
3 phases: Early latent phase
Mid/active phase
Transitional phase
Transitional phase
-Contractions strong & regular
-Cervix dilates, effaces, baby moves down birth canal
amniotic fluid ruptures(first priority is to assess babies heart
rate)
Second Stage
Begins cervix 10 ends with Delivery of baby
Third stage
,Delivery of Placenta
-Oxytocin/Pitocin(synthetic form) is administered to stimulate
uterine contractions and prevent hemorrhage
Fourth Stage
Stabilization, bonding, and uterus relaxes
APGAR
Appearance, Pulse, Grimace, Activity, and Respiration
done right after and 5 min after birth, is 0-2 scale for each, total
of 10
Labor and Delivery Nursing: assessment and intervention
Health perception and health management
Nutrional and metabolic pattern
Elimination
Activity and excercise
Vaginal examination
Psychosocial assessment
Vaginal examination while in Labor
PROLAPSED CORD
with protruding umbilical cord from the vagina
IMMEDIATELY place the mother in KNEE CHEST
POSITION. Keep compression off cord
L&D medical interventions
Induction of labor
forceps delivery
, vacuum extraction
cesarean delivery
effacement
Shortening and thinning of the cervix
Within 12 hours after delivery what rises to the umbilicas?
Fundus
The term for vaginal discharge after delivery
Lochia, made up of blood, tissue and mucus
hypoxia
insufficient availability of oxygen to meet metabolic needs
Fetal distress
indicated with non reassuring FHR patterns. Patterns include
progressive increase and decrease in the baseline. Variability,
tachycardia, and bradycardia, meconium.
meconium
first stool of the newborn. Can be present when patient is in
labor. Indicates fetal distress, hypoxia.
surfactant
chemical produced in the lungs to maintain the surface tension
of the alveoli and keep them from collapsing permits inflation in
infants
What will help with engorgement
Hot shower
Questions With Complete Solutions
Stages of Labor
1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm)
Transitional (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,
stabilization, bonding, uterus relaxes
First Stage: dilation
3 phases: Early latent phase
Mid/active phase
Transitional phase
Transitional phase
-Contractions strong & regular
-Cervix dilates, effaces, baby moves down birth canal
amniotic fluid ruptures(first priority is to assess babies heart
rate)
Second Stage
Begins cervix 10 ends with Delivery of baby
Third stage
,Delivery of Placenta
-Oxytocin/Pitocin(synthetic form) is administered to stimulate
uterine contractions and prevent hemorrhage
Fourth Stage
Stabilization, bonding, and uterus relaxes
APGAR
Appearance, Pulse, Grimace, Activity, and Respiration
done right after and 5 min after birth, is 0-2 scale for each, total
of 10
Labor and Delivery Nursing: assessment and intervention
Health perception and health management
Nutrional and metabolic pattern
Elimination
Activity and excercise
Vaginal examination
Psychosocial assessment
Vaginal examination while in Labor
PROLAPSED CORD
with protruding umbilical cord from the vagina
IMMEDIATELY place the mother in KNEE CHEST
POSITION. Keep compression off cord
L&D medical interventions
Induction of labor
forceps delivery
, vacuum extraction
cesarean delivery
effacement
Shortening and thinning of the cervix
Within 12 hours after delivery what rises to the umbilicas?
Fundus
The term for vaginal discharge after delivery
Lochia, made up of blood, tissue and mucus
hypoxia
insufficient availability of oxygen to meet metabolic needs
Fetal distress
indicated with non reassuring FHR patterns. Patterns include
progressive increase and decrease in the baseline. Variability,
tachycardia, and bradycardia, meconium.
meconium
first stool of the newborn. Can be present when patient is in
labor. Indicates fetal distress, hypoxia.
surfactant
chemical produced in the lungs to maintain the surface tension
of the alveoli and keep them from collapsing permits inflation in
infants
What will help with engorgement
Hot shower
