NSG 3500 TEST QUESTIONSAND ANSWERS A+
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What is the longest stage of labor?
1st
A woman must be how effaced and dilated to begin pushing?
Fully effaced and 10cm dilated
Sick role behavior includes either:
Being stoic or showing pain
Collaboration with the healthcare team is important. Who is especially important?
Anesthesiologist for epidural
Location of the point of auscultation of the FHR is:
depends on position but usually on fetal back
Vaginal exams during labor should be limited due to introduction of:
bacteria
Continuous electronic fetal monitoring (EFM) is indicated for which patients?
*can be internal or external (like a toco)
-hx of stillbirth
-preeclampsia-eclampsia
-placenta previa/abruptio
-multiple gestation
-prolonged or PROM
-induction of labor with oxytocin
Internal EFM is only reserved for high-risk pregnancies. It requires:
membranes to be ruptured and full dilation
Intermittent auscultation of the FHR is used in what type of births?
Low-risk and no risk factors
*requires 1:1 care and HCP must be able to recognize normal and abnormal signs
How often do you perform intermittent checks of FHR in latent phase?
Every 60 min
How often do you perform intermittent checks of FHR in active phase?
Every 15 min
How often do you perform intermittent checks of FHR in second stage of labor?
Every 5 min
Continuous FHR evaluation recommendations for latent, active, and pushing:
Latent: every 30 min
Active: every 15 min
Pushing: every 5 min
Atropine, scopolamine [parasympathetic drugs] and tocolytic drugs used to halt
contractions [beta-sympathetic drugs] can have a ______________________
effect on baby resulting in ____________________ FHR.
stimulant, increased
Propanolol [Inderal] can causes baby to have:
bradycardia
, Baseline FHR range is 110-160. How long is FHR monitored to decide what is
baseline?
10 min
Accelerations are OK. We need to be concerned about:
late decelerations
Variability may be described as absent, minimal, moderate, and marked. What are
they?
Absent: undetectable. Warrants immediate eval
Minimal: >2-<5bpm. Maybe be r/t meds, supine hypotension, cord compression, uterine
tachysystole, prematurity, or fetal sleep.
Moderate: 6-25bpm. Indicative of fetal wellbeing.
Marked: >25bpm. Less common response to fetal hypoxia.
Accelerations are often noted as a response to contractions. They are defined as:
an increase in the FHR of 15bpm above baseline that lasts for at least 15 seconds to
less than 2 min
Recurrent decelerations occur with:
at least 50% of UCs over a 20 min period
Intermittent decelerations occur with:
fewer than 50% of UCs over a 20 min period
Cord clamping for full term infants should be delayed for 120 seconds. T/F?
False. Cord clamping should be delayed for at least 60 seconds
Cord clamping for pre-term infants, esp ones who don't require resuscitation in
the first minute, should delay for:
60-120 seconds
During the 3rd stage of labor, the delivery of the placenta occurs. T/F?
True. Birth to delivery of placenta is the 3rd stage.
1st stage of labor includes:
-begins with regular contractions and ends with complete cervical dilation
1. latent phase
2. active phase
3. transition
2nd stage of labor includes:
-begins with full dilation and ends with expulsion of the fetus
-urge to push/bearing down
-duration variable
-pain/burning can occur with baby's head crowning
-mom gains a "second wind"
The birth stage includes what movements?
-fetal cardinal movements (descent, flexion, internal rotation, extension, restitution,
external rotation, expulsion)
The 3rd stage includes:
-begins with birth and ends with delivery of placenta
-decrease in uterine size
-placenta separates from uterus
The 4th stage includes:
-begins AFTER the delivery of placenta through 1-2 hrs (4hrs?) post birth
GRADED.Buy Quality Materials!
What is the longest stage of labor?
1st
A woman must be how effaced and dilated to begin pushing?
Fully effaced and 10cm dilated
Sick role behavior includes either:
Being stoic or showing pain
Collaboration with the healthcare team is important. Who is especially important?
Anesthesiologist for epidural
Location of the point of auscultation of the FHR is:
depends on position but usually on fetal back
Vaginal exams during labor should be limited due to introduction of:
bacteria
Continuous electronic fetal monitoring (EFM) is indicated for which patients?
*can be internal or external (like a toco)
-hx of stillbirth
-preeclampsia-eclampsia
-placenta previa/abruptio
-multiple gestation
-prolonged or PROM
-induction of labor with oxytocin
Internal EFM is only reserved for high-risk pregnancies. It requires:
membranes to be ruptured and full dilation
Intermittent auscultation of the FHR is used in what type of births?
Low-risk and no risk factors
*requires 1:1 care and HCP must be able to recognize normal and abnormal signs
How often do you perform intermittent checks of FHR in latent phase?
Every 60 min
How often do you perform intermittent checks of FHR in active phase?
Every 15 min
How often do you perform intermittent checks of FHR in second stage of labor?
Every 5 min
Continuous FHR evaluation recommendations for latent, active, and pushing:
Latent: every 30 min
Active: every 15 min
Pushing: every 5 min
Atropine, scopolamine [parasympathetic drugs] and tocolytic drugs used to halt
contractions [beta-sympathetic drugs] can have a ______________________
effect on baby resulting in ____________________ FHR.
stimulant, increased
Propanolol [Inderal] can causes baby to have:
bradycardia
, Baseline FHR range is 110-160. How long is FHR monitored to decide what is
baseline?
10 min
Accelerations are OK. We need to be concerned about:
late decelerations
Variability may be described as absent, minimal, moderate, and marked. What are
they?
Absent: undetectable. Warrants immediate eval
Minimal: >2-<5bpm. Maybe be r/t meds, supine hypotension, cord compression, uterine
tachysystole, prematurity, or fetal sleep.
Moderate: 6-25bpm. Indicative of fetal wellbeing.
Marked: >25bpm. Less common response to fetal hypoxia.
Accelerations are often noted as a response to contractions. They are defined as:
an increase in the FHR of 15bpm above baseline that lasts for at least 15 seconds to
less than 2 min
Recurrent decelerations occur with:
at least 50% of UCs over a 20 min period
Intermittent decelerations occur with:
fewer than 50% of UCs over a 20 min period
Cord clamping for full term infants should be delayed for 120 seconds. T/F?
False. Cord clamping should be delayed for at least 60 seconds
Cord clamping for pre-term infants, esp ones who don't require resuscitation in
the first minute, should delay for:
60-120 seconds
During the 3rd stage of labor, the delivery of the placenta occurs. T/F?
True. Birth to delivery of placenta is the 3rd stage.
1st stage of labor includes:
-begins with regular contractions and ends with complete cervical dilation
1. latent phase
2. active phase
3. transition
2nd stage of labor includes:
-begins with full dilation and ends with expulsion of the fetus
-urge to push/bearing down
-duration variable
-pain/burning can occur with baby's head crowning
-mom gains a "second wind"
The birth stage includes what movements?
-fetal cardinal movements (descent, flexion, internal rotation, extension, restitution,
external rotation, expulsion)
The 3rd stage includes:
-begins with birth and ends with delivery of placenta
-decrease in uterine size
-placenta separates from uterus
The 4th stage includes:
-begins AFTER the delivery of placenta through 1-2 hrs (4hrs?) post birth
