NR 327 STUDY GUIDE 2026 QUESTIONS
AND ANSWERS GRADED A+
◉Face. Answer: Poor flexion, complete extension
◉Passenger. Answer: Fetal lie: Longitudinal vs transverse
Fetal presentation: vertex vs breech
Fetal attitude: flexion vs extension of head
Fetal position
-1st letter: which side of pelvis presenting part is touching
-2nd letter: presenting part
-3rd letter: which quadrant of pelvis (ant vs post)
◉Posterior lie. Answer: Touching maternal spine
-Painful labor
◉Occiput posterior. Answer: Persistent pain
Relieve pressure with position changes
,◉ROP. Answer: Right occiput posterior
Fetal occipital bone is posterior and on the right side of the mother
◉LOP. Answer: Left occiput posterior
Fetal occipital bone is posterior and on the left side of the mother
◉ROA. Answer: Right occiput anterior
Fetal occipital bone is anterior and on the right side of the mother
◉LOA. Answer: Left occiput anterior
Fetal occipital bone is anterior and on the left side of the mother
◉Uterine contractions: duration. Answer: Determine from beginning
to end of each contraction
Use a range and assess in seconds
-Length on contraction
◉Uterine contractions: Intensity. Answer: External monitor: Assess
by palpation
Internal monitor: Peak - baseline = intensity (mmHg)
,◉Uterine contractions: Frequency. Answer: Determine from
beginning to beginning of each contraction
Use a range and assessed in minutes
-Includes contraction and period of relaxation
◉Contraction phases. Answer: Contraction
-Beginning, acme, end
-Increment/decrement
Period of relaxation
◉The uterine muscle. Answer: Upper two thirds: Contracts actively,
becomes thicker during labor
Lower third/cervix: Passive, become thinner and are pulled upward
during labor
◉Physiologic retraction ring. Answer: Division between the upper
and lower segments
◉Psyche. Answer: Preparation
Anxiety
Energy
Support system
Culture
, Beliefs
◉Vaginal exam. Answer: Dilation: measured in centimeters
Effacement: Measured in percent
Fetal station: Measured in +/- numbers
◉Fetal station. Answer: Relationship of fetal head to the mother's
pelvis
0=at ischial spine
+4 = baby is crowning, head is seen
◉Effacement. Answer: Thinning of cervix
◉Preludes to labor. Answer: Occurs in the last couple weeks prior to
delivery
-Fetal lightening
-Braxton hicks/false labor contractions
-Loss of mucus plug
-Loss of a pound or two
-Nesting: urge to clean/prepare for the baby
AND ANSWERS GRADED A+
◉Face. Answer: Poor flexion, complete extension
◉Passenger. Answer: Fetal lie: Longitudinal vs transverse
Fetal presentation: vertex vs breech
Fetal attitude: flexion vs extension of head
Fetal position
-1st letter: which side of pelvis presenting part is touching
-2nd letter: presenting part
-3rd letter: which quadrant of pelvis (ant vs post)
◉Posterior lie. Answer: Touching maternal spine
-Painful labor
◉Occiput posterior. Answer: Persistent pain
Relieve pressure with position changes
,◉ROP. Answer: Right occiput posterior
Fetal occipital bone is posterior and on the right side of the mother
◉LOP. Answer: Left occiput posterior
Fetal occipital bone is posterior and on the left side of the mother
◉ROA. Answer: Right occiput anterior
Fetal occipital bone is anterior and on the right side of the mother
◉LOA. Answer: Left occiput anterior
Fetal occipital bone is anterior and on the left side of the mother
◉Uterine contractions: duration. Answer: Determine from beginning
to end of each contraction
Use a range and assess in seconds
-Length on contraction
◉Uterine contractions: Intensity. Answer: External monitor: Assess
by palpation
Internal monitor: Peak - baseline = intensity (mmHg)
,◉Uterine contractions: Frequency. Answer: Determine from
beginning to beginning of each contraction
Use a range and assessed in minutes
-Includes contraction and period of relaxation
◉Contraction phases. Answer: Contraction
-Beginning, acme, end
-Increment/decrement
Period of relaxation
◉The uterine muscle. Answer: Upper two thirds: Contracts actively,
becomes thicker during labor
Lower third/cervix: Passive, become thinner and are pulled upward
during labor
◉Physiologic retraction ring. Answer: Division between the upper
and lower segments
◉Psyche. Answer: Preparation
Anxiety
Energy
Support system
Culture
, Beliefs
◉Vaginal exam. Answer: Dilation: measured in centimeters
Effacement: Measured in percent
Fetal station: Measured in +/- numbers
◉Fetal station. Answer: Relationship of fetal head to the mother's
pelvis
0=at ischial spine
+4 = baby is crowning, head is seen
◉Effacement. Answer: Thinning of cervix
◉Preludes to labor. Answer: Occurs in the last couple weeks prior to
delivery
-Fetal lightening
-Braxton hicks/false labor contractions
-Loss of mucus plug
-Loss of a pound or two
-Nesting: urge to clean/prepare for the baby
