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NURS 304 Exam 2: Labor And Delivery – Questions With Step By Step Solutions

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NURS 304 Exam 2: Labor And Delivery – Questions With Step By Step Solutions

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NURS 304
Course
NURS 304

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NURS 304 Exam 2: Labor And Delivery – Questions
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Terms in this set (288)



Electronic fetal monitoring Technique to assess fetal heart rate patterns.


External monitoring Ultrasound transducer on abdomen for FHR.


Internal monitoring Invasive method to measure fetal heart rate.


FHR pattern Fetal heart rate changes during labor.


Indications for external monitoring Used in multiple gestations, labor induction,
complications.


Early decelerations Uniform shape, occurs with head compression.


Variable decelerations Irregular shape, associated with cord compression.


Late decelerations Gradual decrease after contractions, linked to
placental insufficiency.


Fetal heart rate (FHR) Number of heartbeats per minute in fetus.


Uterine contractions Muscle contractions during labor affecting fetal well-
being.


Complications for monitoring Includes hypertension, diabetes, kidney disease,
abruptio placentae.


First Stage Onset of contractions to full cervical dilation.

,Second Stage Full dilation to birth of fetus.


Third Stage Birth of fetus to delivery of placenta.


Fourth Stage Postpartum period after placenta delivery.


Latent Phase Up to 3 cm dilation, lasts 6-8 hours.


Active Phase 4-7 cm dilation, lasts 3-6 hours.


Transition Phase 8-10 cm dilation, lasts 20-40 minutes.


Uterine Contractions (UCs) Regular tightening of uterus during labor.


Ferguson Reflex Urge to push due to uterine contractions.


Nulliparous A woman who has never given birth.


Multiparous A woman who has given birth multiple times.


Placental Separation Signs Globular uterus, gush of dark blood.


Schultz Mechanism Center separation of placenta descends first.


Duncan Mechanism Edge separation of placenta slips down sideways.


Oxytocin Hormone used to control bleeding post-delivery.


Amniotomy Artificial rupture of membranes to induce labor.


Amnioinfusion Instillation of fluid to reduce cord compression.


Cardinal Movements of Labor Mechanics of fetal movement during birth.


Engagement Fetal part enters the pelvic inlet.

, Descent Fetal head moves down through pelvis.


Flexion Fetal chin tucks to chest during descent.


Internal Rotation Fetal head rotates to fit through pelvis.


Postpartum Assessment Monitoring vital signs and uterine status.


Multiple gestations Pregnancy with more than one fetus.


Oxytocin Hormone used to induce or augment labor.


Early decelerations Fetal heart rate drops with contraction peak.


Variable decelerations Fetal heart rate changes due to cord compression.


Late decelerations Fetal heart rate drops after contraction peak.


First stage of labor Onset of contractions to full cervical dilation.


Second stage of labor Full dilation to birth of the fetus.


Third stage of labor Birth of fetus to delivery of placenta.


Fourth stage of labor Postpartum recovery phase after placenta delivery.


Latent phase First stage phase up to 3 cm dilation.


Active phase First stage phase from 4 to 7 cm dilation.


Transition phase First stage phase from 8 to 10 cm dilation.


Ferguson reflex Urge to push triggered by fetal descent.


Placental separation signs Indicators of placenta detaching from uterus.

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