NSG333 Child-bearing Family Nursing Exam 2
Questions and Correct Answers. 184 Questions and
Correct Answers. With Complete Solution Updated
2024. Actual Exam Questions Included.
Define premonitory
before onset of labor
Signs of premonitory labor
-cervix must soften about 1 month before labor (~36 weeks to 1 hr before)
-lightening (baby moved down, pushing on bladder)
-less heartburn
-increased energy (nesting)
-lose mucus plug
-bloody show (bc of vascularity and dilation)
-Braxton hicks contractions get stronger and more frequent (eating/position change
helps)
-Spontaneous rupture of membranes
T/F patient feels contractions when they experience a premature rupture of their
membranes?
False.
PROM = water breaks, but no contractions.
T/F patient is at higher risk of infection when experiencing a premature rupture of
their membranes?
True.
PROM increases chance of infection, the patient will usually stay in hospital.
What is cord prolapse?
Cord presents before the head during labor (can cause sudden decelerations)
Compare and contrast true versus false labor:
Contraction timing
True Labor:
Regular, becoming closer together, usually lasting 4-6 mins apart, lasting 30-60 secs
False Labor:
Irregular, not occurring close together
Compare and contrast true versus false labor:
Contraction strength
True Labor:
become stronger with time, vaginal pressure is usually felt
False Labor:
frequently weak, not getting stronger with time or alternating (a strong one followed by
weaker ones)
,Compare and contrast true versus false labor:
Contraction discomfort
True Labor:
starts in the back and radiates around toward the front of the abdomen
False Labor:
usually felt in the front of the abdomen
Compare and contrast true versus false labor:
Change in position
True Labor:
contractions continue no matter what positional change is made
False Labor:
contractions may stop or slow down with walking or making positions change
Compare and contrast true versus false labor:
Stay or go to hospital?
True Labor:
stay home until contractions are 5 mins apart, last 45-60 secs, and are strong enough
so that a conversation during one is not possible - then go to the hospital or birthing
center.
False Labor:
drink fluids and walk around to see if there is any change in the intensity of the
contractions; if the contractions diminish in intensity after either or both, stay home
Define Passageway
birth canal: pelvis and soft tissues
Who are the Passengers?
fetus and placenta
linea terminalis vs true pelvis vs false pelvis
-linea terminalis= division of false and true pelvis
-true pelvis= below linea terminalis (inlet, mid-pelvis, outlet)
-false pelvis= above linea terminalis (upper flared parts of two iliac bones and
concavities, wings of base of sacrum)
Pelvis shapes! Name them, are they good/bad, describe them!
-Gynecoid: Best prognosis for vaginal delivery
Round, cylindric, wide pubic arch. Wide diameters and gentle curves.
-Android: Poor prognosis. Heart or triangular shaped, Narrow diameter and pubic arch.
Male shaped
-Anthropoid: Long, narrow oval. A/P diameter is longer than wide. Usually adequate
-Platypelloid: Flattened, wide, soft, oval, transverse diameter wide, posterior diameter
short, wide pubic arch. Poor prognosis
What are the soft tissues of the passageway?
, Cervix: thins through effacement to allow presenting part to descend into the vagina
Pelvic floor muscles and vagina
Fetal skull: sutures
Cranial sutures are fibrous bands of tissue that connect the bones of the skull. The
sutures or anatomical lines where the bony plates of the skull join together can be easily
felt in the newborn infant.
allows for overlapping and molding during birth, help identify the position of the head
Fetal skull: fontanelles
The spaces between the bones that remain open in babies and young children
intersections of sutures, help in identifying the position of the fetal head and in molding
The 3 types of fetal lie
-longitudinal (best)
-transverse (left to right)
-oblique (more diagonal)
The 4 types of cephalic presentations
-vertex
-military (straight head)
-brow (head is extended back)
-face
The 4 types of breech presentations
-frank (butt first)
-complete
-single footling
-double footling
How to name the Position of the fetus
-1st letter: location of presenting part in the pelvis (R right or L left)
-2nd letter: presenting part (O occipital/head, S buttock/sacrum, M chin, A shoulder)
-3rd letter: location of presenting part in relation to anterior, posterior, transverse: A, P,
T
Examples
RAP: right shoulder posterior
LMT: left chin transverse
RSA: right buttock anterior
Define station in regards to fetal descent
relationship of the presenting part of the fetus to an imaginary line drawn between the
ischial spines of the pelvis is called "station"
-4 to 0 to +4 in cm
What are the three parameters of contractions?
frequency (min), duration (sec), intensity (how soft/hard)
T/F the mother is in control of their contractions?
False.
Contractions are involuntary
Questions and Correct Answers. 184 Questions and
Correct Answers. With Complete Solution Updated
2024. Actual Exam Questions Included.
Define premonitory
before onset of labor
Signs of premonitory labor
-cervix must soften about 1 month before labor (~36 weeks to 1 hr before)
-lightening (baby moved down, pushing on bladder)
-less heartburn
-increased energy (nesting)
-lose mucus plug
-bloody show (bc of vascularity and dilation)
-Braxton hicks contractions get stronger and more frequent (eating/position change
helps)
-Spontaneous rupture of membranes
T/F patient feels contractions when they experience a premature rupture of their
membranes?
False.
PROM = water breaks, but no contractions.
T/F patient is at higher risk of infection when experiencing a premature rupture of
their membranes?
True.
PROM increases chance of infection, the patient will usually stay in hospital.
What is cord prolapse?
Cord presents before the head during labor (can cause sudden decelerations)
Compare and contrast true versus false labor:
Contraction timing
True Labor:
Regular, becoming closer together, usually lasting 4-6 mins apart, lasting 30-60 secs
False Labor:
Irregular, not occurring close together
Compare and contrast true versus false labor:
Contraction strength
True Labor:
become stronger with time, vaginal pressure is usually felt
False Labor:
frequently weak, not getting stronger with time or alternating (a strong one followed by
weaker ones)
,Compare and contrast true versus false labor:
Contraction discomfort
True Labor:
starts in the back and radiates around toward the front of the abdomen
False Labor:
usually felt in the front of the abdomen
Compare and contrast true versus false labor:
Change in position
True Labor:
contractions continue no matter what positional change is made
False Labor:
contractions may stop or slow down with walking or making positions change
Compare and contrast true versus false labor:
Stay or go to hospital?
True Labor:
stay home until contractions are 5 mins apart, last 45-60 secs, and are strong enough
so that a conversation during one is not possible - then go to the hospital or birthing
center.
False Labor:
drink fluids and walk around to see if there is any change in the intensity of the
contractions; if the contractions diminish in intensity after either or both, stay home
Define Passageway
birth canal: pelvis and soft tissues
Who are the Passengers?
fetus and placenta
linea terminalis vs true pelvis vs false pelvis
-linea terminalis= division of false and true pelvis
-true pelvis= below linea terminalis (inlet, mid-pelvis, outlet)
-false pelvis= above linea terminalis (upper flared parts of two iliac bones and
concavities, wings of base of sacrum)
Pelvis shapes! Name them, are they good/bad, describe them!
-Gynecoid: Best prognosis for vaginal delivery
Round, cylindric, wide pubic arch. Wide diameters and gentle curves.
-Android: Poor prognosis. Heart or triangular shaped, Narrow diameter and pubic arch.
Male shaped
-Anthropoid: Long, narrow oval. A/P diameter is longer than wide. Usually adequate
-Platypelloid: Flattened, wide, soft, oval, transverse diameter wide, posterior diameter
short, wide pubic arch. Poor prognosis
What are the soft tissues of the passageway?
, Cervix: thins through effacement to allow presenting part to descend into the vagina
Pelvic floor muscles and vagina
Fetal skull: sutures
Cranial sutures are fibrous bands of tissue that connect the bones of the skull. The
sutures or anatomical lines where the bony plates of the skull join together can be easily
felt in the newborn infant.
allows for overlapping and molding during birth, help identify the position of the head
Fetal skull: fontanelles
The spaces between the bones that remain open in babies and young children
intersections of sutures, help in identifying the position of the fetal head and in molding
The 3 types of fetal lie
-longitudinal (best)
-transverse (left to right)
-oblique (more diagonal)
The 4 types of cephalic presentations
-vertex
-military (straight head)
-brow (head is extended back)
-face
The 4 types of breech presentations
-frank (butt first)
-complete
-single footling
-double footling
How to name the Position of the fetus
-1st letter: location of presenting part in the pelvis (R right or L left)
-2nd letter: presenting part (O occipital/head, S buttock/sacrum, M chin, A shoulder)
-3rd letter: location of presenting part in relation to anterior, posterior, transverse: A, P,
T
Examples
RAP: right shoulder posterior
LMT: left chin transverse
RSA: right buttock anterior
Define station in regards to fetal descent
relationship of the presenting part of the fetus to an imaginary line drawn between the
ischial spines of the pelvis is called "station"
-4 to 0 to +4 in cm
What are the three parameters of contractions?
frequency (min), duration (sec), intensity (how soft/hard)
T/F the mother is in control of their contractions?
False.
Contractions are involuntary
