FIRST PUBLISH OCTOBER 2024
(FINAL) NURS 3082 Normal Labor and
Birth Part I Questions and Answers
false labor involves - Ans:✔✔-no cervical change with contractions:
- walking/position changes have no effect or they stop contractions
- rest and warm bath lessen contractions
- pain in lower abdomen instead of lower back
- hydration may decrease contractions
- irregular contractions
nurse response to false labor - Ans:✔✔-- listen, acknowledge, reassure
- encourage calling about questions/concerns
- suggest interventions
true labor involves - Ans:✔✔-cervical dilation and effacement are progressive
- regular contractions, increasing in strength, duration, and frequency
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FIRST PUBLISH OCTOBER 2024
- intensity increases with ambulation
how to know if labor has started - Ans:✔✔-- contractions become more frequent, painful, and usually
more regular
- pain begins in lower back and spreads to the abdomen
- difficult to walk or talk through contractions
- bloody show with contractions
maternal physiological response of the birth process - Ans:✔✔-- labor contractions last 40-70 seconds w/
~1 min between
- intermittent contractions allow placental blood flow and exchange of oxygen, nutrients, and waste
products between maternal and fetal circulation during the interval
- upper uterus (fundus) contracts actively as it pushes the fetus down
- above actions bring about cervical effacement and dilation
cervical effacement is - Ans:✔✔-shortening/thinning of cervix
cervix opens from - Ans:✔✔-back to front (feel pain in lower back before abdomen)
first birth cervix characteristics - Ans:✔✔-cervix effaces completely before dilating
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