HESI Maternity Set #4: Intrapartum | Questions and Answers
The first stage of labor starts when ______ and ends when ______. ** Answ**
Starts: Beginning of regular contractions OR rupture of membrane
Ends: 100% effacement and 10 cm of dilatation
The second stage of labor ends with _______ ** Answ** delivery of the fetus
The third stage of labor ends with ________ ** Answ** delivery of the placenta
The 4th stage of labor ends ________ ** Answ** approximately 2 hours after the
delivery of the placenta
True or false labor?
Pain in the lower back that radiates to abdomen ** Answ** True
True or false labor?
Discomfort in the abdomen; no back pain ** Answ** False
True or false labor?
Contractions that intensify with ambulation ** Answ** True
True or false labor?
Contractions that decrease with ambulation ** Answ** False
FHR is best heard over the fetus' _______ ** Answ** back
The fetal station is _______ ** Answ** the relationship of the fetus head to the
mother's pelvis
A negative station is _______(above/below) the mother's ischial spine ** Answ**
above
A positive station is _______(above/below) the mother's ischial spine ** Answ**
below
Engagement means _____ ** Answ** the baby is at 0 station
, ___________ is the part of the fetus that presents to the inlet ** Answ** Fetal
presentation
Which fetal presentation is the best? ** Answ** vertex presentation
__________ is the relationship of the baby's presenting part to the maternal pelvis **
Answ** Fetal position
Which are the 2 best fetal positions? ** Answ** ROA and LOA
Which is the best fetal lie? ** Answ** longitudinal
What is the best fetal attitude? ** Answ** flexion
Gripping the pubis symphysis is _______ Leopold maneuver ** Answ** 3rd
Placing hands over the funds is the ______ of the Leopold maneuvers ** Answ** 1st
Placing both hands on either side of the abdomen is the ______ of the Leopold
maneuvers ** Answ** 2nd
Holding the pelvis to determine the fetal attitude and the degree of descent is the
_______ of the Leopold maneuvers ** Answ** 4th
During labor:
1. Normal FHR =
2. Normal maternal BP =
3. Normal maternal HR =
4. Normal maternal temp = ** Answ** 1. 110-160 bpm
2. <140/90
3. <100
4. <38 degrees C
T/F: A slight rise in temperature of mom during labor is normal due to dehydration and
work of labor ** Answ** True
_______ phase of the 1st stage of labor is when the cervix dilates from 3-4 cm **
Answ** Latent
_______ phase of the 1st stage of labor is when the cervix dilates from 4-7 cm **
Answ** Active
The first stage of labor starts when ______ and ends when ______. ** Answ**
Starts: Beginning of regular contractions OR rupture of membrane
Ends: 100% effacement and 10 cm of dilatation
The second stage of labor ends with _______ ** Answ** delivery of the fetus
The third stage of labor ends with ________ ** Answ** delivery of the placenta
The 4th stage of labor ends ________ ** Answ** approximately 2 hours after the
delivery of the placenta
True or false labor?
Pain in the lower back that radiates to abdomen ** Answ** True
True or false labor?
Discomfort in the abdomen; no back pain ** Answ** False
True or false labor?
Contractions that intensify with ambulation ** Answ** True
True or false labor?
Contractions that decrease with ambulation ** Answ** False
FHR is best heard over the fetus' _______ ** Answ** back
The fetal station is _______ ** Answ** the relationship of the fetus head to the
mother's pelvis
A negative station is _______(above/below) the mother's ischial spine ** Answ**
above
A positive station is _______(above/below) the mother's ischial spine ** Answ**
below
Engagement means _____ ** Answ** the baby is at 0 station
, ___________ is the part of the fetus that presents to the inlet ** Answ** Fetal
presentation
Which fetal presentation is the best? ** Answ** vertex presentation
__________ is the relationship of the baby's presenting part to the maternal pelvis **
Answ** Fetal position
Which are the 2 best fetal positions? ** Answ** ROA and LOA
Which is the best fetal lie? ** Answ** longitudinal
What is the best fetal attitude? ** Answ** flexion
Gripping the pubis symphysis is _______ Leopold maneuver ** Answ** 3rd
Placing hands over the funds is the ______ of the Leopold maneuvers ** Answ** 1st
Placing both hands on either side of the abdomen is the ______ of the Leopold
maneuvers ** Answ** 2nd
Holding the pelvis to determine the fetal attitude and the degree of descent is the
_______ of the Leopold maneuvers ** Answ** 4th
During labor:
1. Normal FHR =
2. Normal maternal BP =
3. Normal maternal HR =
4. Normal maternal temp = ** Answ** 1. 110-160 bpm
2. <140/90
3. <100
4. <38 degrees C
T/F: A slight rise in temperature of mom during labor is normal due to dehydration and
work of labor ** Answ** True
_______ phase of the 1st stage of labor is when the cervix dilates from 3-4 cm **
Answ** Latent
_______ phase of the 1st stage of labor is when the cervix dilates from 4-7 cm **
Answ** Active
