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NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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11/6/24, 5:06 PM NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED A…




NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+


Terms in this set (97)


rupture of membranes before 37 weeks associated
with 10% of all preterm births in America. most likely
develops from pathologic weakening of the amniotic
membranes caused by inflammation, stress from
Preterm PROM
uterine contractions, or other factors that cause
increased intrauterine pressure. infection of the
urogenital tract is a major risk leading to preterm
PROM can be either a gush of liquid or a small leak

Counter pressure
Effleurage (light massage)
Therapeutic touch and massage
Walking
Non Pharmacological pain Rocking
relief Cutaneous Changing positions
Stimulation strategies Application of heat or cold
Transcutaneous electrical nerve stimulation (TENS)
Accupressure
Water therapy i.e. baths, showers, whirlpools
Intradermal water block




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,11/6/24, 5:06 PM NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED A…

Aromatherapy
Non Pharmacological pain
Breathing techniques
relief
Music
Sensory Stimulation
Imagery
strategies
Use of focal points

Non Pharmacological pain Childbirth education
relief Hypnosis
Cognitive strategies Biofeedback

Engagement and descent
Flexion
Internal rotation to occipitoanterior
cardinal movements of the position
mechanism of labor Extension
External rotation beginning (restitution)
External rotation
expulsion

when the fetus moves their head past the pelvic inlet,
Engagement the head is said to be engaged. occurs before active
labor, while abdominal muscles are more relaxed.

Oblique presentation of the fetal head at the superior
Asynclitism strait of the pelvis; the pelvic planes and those of the
fetal head are not parallel

refers to the progress of the presenting part through
the pelvis. depends on 4 forces. 1. pressure exerted
by the amniotic fluid. 2. direct pressure exerted by the
Descent contracting fundus on the fetus. 3. Force of the
contraction of the maternal diaphragm and the
abdominal muscles in the second stage of labor. 4.
extension and straightening of the fetal body



Stations of descent




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, 11/6/24, 5:06 PM NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED A…

as soon as the head reaches resistance from the
Flexion cervix, pelvic wall or pelvic floor. it normally flexes so
the chin makes contact with the fetal chest

The maternal pelvic inlet is widest in the transverse
diameter, therefore the fetal head passes the inlet into
the true pelvis in the occipitotransverse position. for
the fetus to exit the head must rotate. internal rotation
begins at the level of the ischial spines but is not
Internal Rotation
complete until the presenting part reaches the lower
pelvis. as the occiput rotates anteriorly the face
rotates posteriorly. with each contraction the pelvic
bones and muscles guide the fetal head. almost
always rotated by the time it reaches pelvic floor

when the fetal head reaches the perineum for birth it
is deflected anteriorly by the perineum. the occiput
Extension passes under the lower border of the symphysis of
pubis first and the head emerges by extension. first
the occiput then the face and finally the chin

After head is born it rotates briefly to the position it
occupied when it was engaged in the inlet. this
movement is referred to as restitution. The 45-degree
turn realigns the infants head with his or her back and
shoulders. the head can then be seen to rotate
restitution and external
further. this external rotation occurs as the shoulders
rotation
engage and descend in maneuvers similar to those of
the head. anterior shoulder descends first when it
reaches the outlet, it rotates to the midline and is
delivered from under the pubic arch. the posterior
shoulder is guided over the perineum until it is free.

After birth of the shoulders, the head and shoulders
are lifted up toward the mothers pubic bone, and the
trunk of the the baby is born by flexing it laterally in
Expulsion
the direction of the symphysis pubis. when the baby
has emerged completely birth is complete and the
second stage of labor ends.

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