NUR 235 Exam 2 - Questions With Stepwise Solutions
(Rated A+)
What are the 5 Ps affecting labor and birth Right Ans - passenger,
presentation, position, passageway and powers
What is passenger when talking about labor/birth Right Ans - fetus - size of
fetal head and molding. fetal head has fontanels and can mold to fit through
birth canal
Describe fetal presentation Right Ans - the part of the fetus leading the way
through the birth canal
What is the most common presentation Right Ans - cephalic - most are
occiput anterior (head down towards chest)
What is fetal position Right Ans - relation of the presenting part of fetus to
the 4 quadrants of moms pelvis
Example: ROA (right, occiput anterior) where would the fetal monitor be put
Right Ans - RLQ
What is Leapold's Right Ans - feeling the fetus through abdomen
What is station in terms of labor Right Ans - measures degree of descent of
presenting part of the fetus through the birth canal (-3 - +5)
what is engagement when talking about stations Right Ans - indicated
when the largest transverse diameter of the presenting part has passed in to
pelvis at the level of the ischial spines - no longer ballotable (baby drops)
Describe the passageway Right Ans - this is the birth canal - cervix, pelvic
floor, vagina
what is the difference between primary powers and secondary powers
Right Ans - primary = contractions
secondary = pushing
, *primary powers is signals that labor is beginning- responsible for effacement
and dilation of the cervix* Right Ans -
*secondary powers involve pushing 0 want mom to push WITH contractions*
Right Ans -
describe duration of contractions Right Ans - how long contractions last
(length)
describe frequency of contractions Right Ans - beginning of one
contraction to the beginning of the next - how far apart contractions are
describe intensity of contractions Right Ans - strength of the contractions
what is the ferguson reflex Right Ans - maternal urge to bear down - dont
want epidural to be too strong, we want them to feel pressure and be able to
bear down
what position can be helpful for a mom with strong back labor or back pain
Right Ans - hands and knees or knees to chest
what are some preliminary signs of labor Right Ans - braxton hicks, urinary
frequency, back pain around back and umbilicus, bloody show, ROM,
lightening, increased vaginal secretions, weight loss
what are the signs of true labor Right Ans - discomfort in back sweeping
around to front, very consistent contractions increasing w/activity, and
cervical changes
compared to true labor what are the signs of false labor Right Ans -
discomfort in back and umbilicus, inconsistent contractions that may decrease
w/activity, cervix does not change
what are some physical adaptations in labor the mom experiences Right
Ans - fatigue, fear, increased cardiac output and RR, more concentrated urine,
GI system is inactive during labor, pain, increased WBC up to 15,000
what is the normal fetal response to labor Right Ans - FHR 110-160
(Rated A+)
What are the 5 Ps affecting labor and birth Right Ans - passenger,
presentation, position, passageway and powers
What is passenger when talking about labor/birth Right Ans - fetus - size of
fetal head and molding. fetal head has fontanels and can mold to fit through
birth canal
Describe fetal presentation Right Ans - the part of the fetus leading the way
through the birth canal
What is the most common presentation Right Ans - cephalic - most are
occiput anterior (head down towards chest)
What is fetal position Right Ans - relation of the presenting part of fetus to
the 4 quadrants of moms pelvis
Example: ROA (right, occiput anterior) where would the fetal monitor be put
Right Ans - RLQ
What is Leapold's Right Ans - feeling the fetus through abdomen
What is station in terms of labor Right Ans - measures degree of descent of
presenting part of the fetus through the birth canal (-3 - +5)
what is engagement when talking about stations Right Ans - indicated
when the largest transverse diameter of the presenting part has passed in to
pelvis at the level of the ischial spines - no longer ballotable (baby drops)
Describe the passageway Right Ans - this is the birth canal - cervix, pelvic
floor, vagina
what is the difference between primary powers and secondary powers
Right Ans - primary = contractions
secondary = pushing
, *primary powers is signals that labor is beginning- responsible for effacement
and dilation of the cervix* Right Ans -
*secondary powers involve pushing 0 want mom to push WITH contractions*
Right Ans -
describe duration of contractions Right Ans - how long contractions last
(length)
describe frequency of contractions Right Ans - beginning of one
contraction to the beginning of the next - how far apart contractions are
describe intensity of contractions Right Ans - strength of the contractions
what is the ferguson reflex Right Ans - maternal urge to bear down - dont
want epidural to be too strong, we want them to feel pressure and be able to
bear down
what position can be helpful for a mom with strong back labor or back pain
Right Ans - hands and knees or knees to chest
what are some preliminary signs of labor Right Ans - braxton hicks, urinary
frequency, back pain around back and umbilicus, bloody show, ROM,
lightening, increased vaginal secretions, weight loss
what are the signs of true labor Right Ans - discomfort in back sweeping
around to front, very consistent contractions increasing w/activity, and
cervical changes
compared to true labor what are the signs of false labor Right Ans -
discomfort in back and umbilicus, inconsistent contractions that may decrease
w/activity, cervix does not change
what are some physical adaptations in labor the mom experiences Right
Ans - fatigue, fear, increased cardiac output and RR, more concentrated urine,
GI system is inactive during labor, pain, increased WBC up to 15,000
what is the normal fetal response to labor Right Ans - FHR 110-160
