NU 404: Exam 5 (Unit 4) Practice Questions and Answers

NU 404: Exam 5 (Unit 4) Practice Questions and Answers protect the life of the mother and newborn, support the normal labor and detect and treat complications in a timely fashion, support and respond to the needs of the woman/her partner/family during labor and birth - Ans:-what are the objective of care during labor and birth? passenger passageway powers position of mom psychological response - Ans:-what are the five factors affecting labor? (the 5 Ps) size of the fetal head, fetal lie, fetal attitude, position - Ans:-what are the most important aspects of passenger? fetal presentation - Ans:-part of the fetus that enters the pelvis first fetal attitude - Ans:-relationship of the long axis of the mother to the long axis of the fetus ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/11 position - Ans:-relationship of fetal parts to the 4 quadrants of the mother's pelvis CPD (cephalopelvic disproportion) - Ans:-what is the most common cause for c-sections? spine - Ans:-what is the long axis of a baby? anterior fontanel - Ans:-aka the bregma; closes between 12-18 months; if it is closed at birth; this may indicate Zika virus or drug use posterior fontanel - Ans:-closes between 2-3 months (12-18 weeks) occiput - Ans:-the point at the back of the head, behind the anterior fontanel; this is the part that should come out first during birth to make way for the rest of the head biparital - Ans:-measure of one side of the head to the other; very accurate for measuring gestation suboccipitobregmatic - Ans:-the measurement from the bregma to the diameter of the skull; this is the part of the head that should go through the birth canal first--makes labor shorter, as the small part of the head makes way for the larger part of the head fetal engagement - Ans:-signifies the entrance of the largest diameter of the fetal presenting part into the smallest diameter of the maternal pelvis fetal station - Ans:-a measure of the degree of descent (degree of engagement) of the presenting part of the fetus through the birth canal ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/11 cephalic presentation - Ans:-birth position in which any part of the head emerges first frank breech presentation - Ans:-buttocks present, fetal hips are flexed and knees are extended footling breech presentation - Ans:-single or double, extension at thighs and knees, foot or feet present shoulder presentation - Ans:-baby is in transverse position at delivery, must be turned or delivered by c-section frank breech presentation - Ans:-which is preferred- frank or footling breech? fetal position - Ans:-R or L O, M, S, or Sc A, P, or T most common is LOA zero station - Ans:-presenting part is at the level of the maternal ischial spines (smallest transverse diameter of the pelvis) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/11 Leopold's Maneuver - Ans:-a method of abdominal palpation used to determine fetal position or placement within the uterus anthropoid pelvis - Ans:-inlet is almost oval from front to back; when head enters pelvis, it must rotate to fit; almost always have to have a c-section gynecoid pelvis - Ans:-classic female pelvis, with rounded inlet and non-priminent ischial spines; this type is most favorable for vaginal birth platypelloid pelvis - Ans:-pubic bone is flat; sacral curve comes up clos