Nur 158 exam 3 || 100% Errorless Answers.
What assessment findings would indicate true labor? correct answers regular contractions and
cervical changes
What are the five P's of labor? correct answers Passageway, passenger, powers, position and
psychological
Understand factors affecting labor process correct answers fetal presentation, cephalic, occipital,
chin/mentum, buttocks, scapula
identify the types of breech presentation correct answers Frank- 50-70% butt presents first, both
legs extend up
Full or complete 5-10% sits cross-legged on cervix
Footling or incomplete- 10-30% one or both legs are presenting
when performing a focused assessment for a client that has spontaneous ROM, what would be
the next priority? correct answers assess fetal heart rate and check amniotic fluid for color, odor,
and amount
what criteria would have to be met to be able to perform continuous internal fetal monitoring?
correct answers ruptured membranes, cervical dilation of at least 2 cm, presenting fetal part low
enough to allow placement on scalp, skilled practitioner available to insert.
what benefits are achieved by using patterned breathing techniques in labor? correct answers
enhance relaxation and reduce the woman's perception of pain, maintain adequate oxygenation of
the fetus
when reviewing the FHM, late decelerations are noted. what is the most likely cause? correct
answers indicates uteroplacental insufficiency
, what should the nurse expect to palpate the fundus in the first 12 hours after birth correct
answers midline at the umbilicus
how would the nurse know the patient might be experiencing uterine atony? correct answers
boggy fundus with red blood flowing
what medication would the nurse expect to be ordered for uterine atony, if uterine atony what
assessment should be completed next correct answers oxytocin, assess for hemorrhage
what are indications that a postpartum client is experiencing urinary retention? correct answers
unable to pass urine by 4 hours, have no sensation or pass a small amount, unable to pass with
normal sensation after 6 hrs.
understand patient teaching for a client experiencing breast engorgement correct answers warm-
hot shower, express milk manually, lie back, supportive bra 24 hrs a day, feed in different
positions, massage, increase # of feedings, warm compress, stay relaxed, breast pump
describe retrogressive changes in the postpartum period correct answers contraction of muscle
fibers to reduce what previously stretched, catabolism which shrinks enlarged myometrial cells,
regeneration of uterine epithelium, after increased layers have sloughed off and shed during
lochial.
identify behaviors that indicate bonding between infants and mother as well as indications the
mother in not bonding with her infant correct answers interacts with family, level of
independence, energy level, eye contact with infant, posture and comfort with the infant, sleep
and rest, alert to mood swings irritability and crying
negative- expresses disappointment/displeasure, no exploring infant visual/physically, excuses
not to hold, appears uninterested, uses negative names
What assessment findings would indicate true labor? correct answers regular contractions and
cervical changes
What are the five P's of labor? correct answers Passageway, passenger, powers, position and
psychological
Understand factors affecting labor process correct answers fetal presentation, cephalic, occipital,
chin/mentum, buttocks, scapula
identify the types of breech presentation correct answers Frank- 50-70% butt presents first, both
legs extend up
Full or complete 5-10% sits cross-legged on cervix
Footling or incomplete- 10-30% one or both legs are presenting
when performing a focused assessment for a client that has spontaneous ROM, what would be
the next priority? correct answers assess fetal heart rate and check amniotic fluid for color, odor,
and amount
what criteria would have to be met to be able to perform continuous internal fetal monitoring?
correct answers ruptured membranes, cervical dilation of at least 2 cm, presenting fetal part low
enough to allow placement on scalp, skilled practitioner available to insert.
what benefits are achieved by using patterned breathing techniques in labor? correct answers
enhance relaxation and reduce the woman's perception of pain, maintain adequate oxygenation of
the fetus
when reviewing the FHM, late decelerations are noted. what is the most likely cause? correct
answers indicates uteroplacental insufficiency
, what should the nurse expect to palpate the fundus in the first 12 hours after birth correct
answers midline at the umbilicus
how would the nurse know the patient might be experiencing uterine atony? correct answers
boggy fundus with red blood flowing
what medication would the nurse expect to be ordered for uterine atony, if uterine atony what
assessment should be completed next correct answers oxytocin, assess for hemorrhage
what are indications that a postpartum client is experiencing urinary retention? correct answers
unable to pass urine by 4 hours, have no sensation or pass a small amount, unable to pass with
normal sensation after 6 hrs.
understand patient teaching for a client experiencing breast engorgement correct answers warm-
hot shower, express milk manually, lie back, supportive bra 24 hrs a day, feed in different
positions, massage, increase # of feedings, warm compress, stay relaxed, breast pump
describe retrogressive changes in the postpartum period correct answers contraction of muscle
fibers to reduce what previously stretched, catabolism which shrinks enlarged myometrial cells,
regeneration of uterine epithelium, after increased layers have sloughed off and shed during
lochial.
identify behaviors that indicate bonding between infants and mother as well as indications the
mother in not bonding with her infant correct answers interacts with family, level of
independence, energy level, eye contact with infant, posture and comfort with the infant, sleep
and rest, alert to mood swings irritability and crying
negative- expresses disappointment/displeasure, no exploring infant visual/physically, excuses
not to hold, appears uninterested, uses negative names
