NUR242 CH14 - NURSING MANAGEMENT DURING LABOR AND BIRTH QUESTIONS WITH CORRECT ANSWERS 2025

NUR242 CH14 - NURSING MANAGEMENT DURING
LABOR AND BIRTH QUESTIONS WITH CORRECT
ANSWERS 2025
LaborZandZtheZbirthZprocess:Z

whatZfactorsZaffectZtheZbirthZprocess?Z

5ZP'sZ-ZCORRECTZANSWERZ-passenger,Zpassageway,Zpowers,ZpositionZofZmother,ZphysiologicZresponse



1stZpZ-ZpassagewayZ-ZCORRECTZANSWERZ-
involvesZtheZrouteZthroughZwhichZtheZfetusZmustZtravelZinZorderZtoZbeZbornZvaginallyZ



pelvisZandZsoftZtissues



passagewayZpelvisZshapesZ

-gynecoidZ-ZCORRECTZANSWERZ--trueZfemaleZpelvisZ

-mostZfavorableZbecauseZinletZisZroundZandZoutletZisZroomyZ

-allowsZforZearlyZandZcompleteZfetalZinternalZrotationZduringZlabor



passagewayZpelvisZshapesZ

-anthropoidZ-ZCORRECTZANSWERZ--mostZcommonZinZmenZandZnon-
whiteZwomen;ZmoreZfavorableZthanZandroidZorZpaltypelloidZ(flat)



passagewayZpelvisZshapesZ

-androidZ-ZCORRECTZANSWERZ--maleZshapedZpelvis

-poorZprognosisZ(c-sectionZlikelyZwithZthisZshape)



passagewayZpelvisZshapesZ

-platypelloidZ(flat)Z-ZCORRECTZANSWERZ--LEASTZcommonZtype

-c-sectionZusuallyZreqired

, 2ndZpZ-ZpassengerZ-ZCORRECTZANSWERZ--involves:Z

fetalZhead,ZfetalZattitude,ZfetalZlie,ZfetalZpresentation,ZfetalZposition,ZfetalZstation,ZandZfetalZengagement



passenger:Z

fetalZheadZ-ZCORRECTZANSWERZ--largestZfetalZstructure

-
suturesZinZtheZheadZareZimportantZbecauseZtheyZallowZtheZcranialZbonesZtoZoverlapZinZorderZforZheadZshap
eZtoZadjustZwhenZpressureZisZexertedZonZitZ

-moldingZ-ZelongatedZshapeZ

-caputZsuccedaneumZ-ZedemaZofZtheZheadZ

-anteriorZfontanelZ=Zlargest,ZatZtheZfrontZ

-posteriorZfontanelZ=Zsmaller,ZatZtheZback



passenger:Z

fetalZattitudeZ-ZCORRECTZANSWERZ--
posturingZ(flexionZorZextension)ZofZtheZjointsZinZrelationZofZfetalZpartsZtoZoneZanotherZ

-MOSTZcommon=ZallZjointsZflexed,ZfetalZbackZrounded,ZchinZtoZchest,ZthighsZareZflexedZtoZabdomen

**ZnormalZfetalZpositionZisZfullZflexedZmostZfavorableZforZbirthZ(babyZisZallZscrunchedZup)



passenger:Z

fetalZlieZ-ZCORRECTZANSWERZ--
relationshipZofZtheZlongZaxisZ(spine)ZofZtheZfetusZtoZtheZlongZaxisZ(spine)ZofZtheZmotherZ

-LONGITUDINALZ(mostZcommon)Z=ZparallelZtoZtheZmother'sZspineZ

-transverse,ZobliqueZ(CANNOTZbeZdeliveredZvaginally)



passenger:Z

fetalZpresentationZ-ZCORRECTZANSWERZ--
refersZtoZtheZbodyZpartZofZtheZfetusZthatZentersZtheZpelvicZinletZfirstZ(theZpresentingZpart):ZwhatZisZinZtheZpel
vis?Z

-cephalic,Zbreech,ZandZshoulder