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Though there are 5 P's of labor, which ones are we focusing more on? Select all that
apply.
a. Psychology
b. powers
c. position
d. passageway
e. passenger - Answer- B, D, E
What is considered to be the passenger in labor? - Answer- fetus
a fetus' head has sutures that are not fused at the time of birth. This is because the
head is ________ in order to fit through the _______. - Answer- moldable; passageway
Parietal diameter - Answer- largest transverse diameter of the fetal head; measured
between the parietal bones
Which of the following hormones decreases just before labor?
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen - Answer- C
Which of the following hormones increases before labor? Select all that apply.
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen - Answer- A, B
5 P's of Labor - Answer- Powers, passenger, passageway, psychology, position
A pregnant woman describes to her nurse that she has suddenly felt a "drop" and is
now experiencing back discomfort and pressure within her pelvis. What is most likely
happening?
a. the woman experienced a contraction
b. the fetus was simply "kicking"
c. the woman is undergoing active labor
,d. the fetus has engaged - Answer- D
The RN knows that "lightening" occurs when:
a. the mom starts to "push"
b. the fetus has engaged
c. the mom is having contractions
d. the mom is experiencing a miscarriage - Answer- B
All of the following are feto-pelvic relationships except:
a. comfort level
b. lie
c. attitude
d. position
e. presentation - Answer- A
What is the largest part of the fetal head - Answer- biparietal
What is the average biparietal measurement at term? - Answer- 9.5 cm
The RN knows that fetal lie can be determined via:
a. intra-vaginal ultrasound
b. palpation
c. auscultation & percussion
d. vaginal examination - Answer- B
If the fetus was determined to be breech, which fetal lie is it in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided - Answer- A
If the fetus was determined to be vertex, which fetal lie is it in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided - Answer- A
If the fetus was determined to have shoulder presentation, which fetal lie are they in?
a. longitudinal
b. transverse
, c. oblique
d. cannot tell from data provided - Answer- B
Which fetal lie is considered to be unstable?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided - Answer- C
Fetal attitude - Answer- relationship of fetal head to the rest of its body
Which of the following is the most ideal fetal attitude?
a. Flexion
b. Military
c. Partial Extension
d. Complete Extension - Answer- A
flexion fetal attitude - Answer-
Military fetal attitude - Answer-
Partial extension fetal attitude - Answer-
Complete extension fetal attitude - Answer-
Which part of the passenger is showing in the passageway refers to:
a. lie
b. attitude
c. presentation
d. position - Answer- C
Which presenting part would we ideally want?
a. foot
b. butt
c. shoulder
d. head - Answer- D
complete breech - Answer- Fetus is sitting with legs crossed in pelvis.
frank breech - Answer- The fetal legs are flexed at the hips and extend toward the
shoulders; this is the most common type of breech presentation. The buttocks present
at the cervix