4/4/25, 6:07 NR327 Exam 2 (Maternal Health/OB) |
PM
NR327 EXAM 2 (MATERNAL HEALTH/OB) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A++
Terms in this set (205)
cervix is dilated and regular contractions How does a nurse know if a woman is in labor?
are present
thinning of the cervix What is effacement?
4 stages How many stages of labor are there?
the cervix to dilate What are contractions necessary for?
- 0-10cm
- main job = effacement and dilation of cervix
- 12.5+ hours
Phase 1 = latent/early
- 4-6+ hours
- 0-3cm dilation
- mild/moderate irregular contractions (5-30 minutes apart) that last 30-45
seconds
- mom is home, talking, happy
- good time for teaching
1st stage of labor Phase 2 = active
- 2-3+ hours
- 4-7cm dilation
- more regular contractions every 3-5 minutes with moderate to strong
intensity lasting 40-70 seconds
- mom starts to feel agitated
- best time for medication
Phase 3 = transition
- 20-40+ minutes
- 8-10cm dilation
- strong contractions every 2-3 minutes lasting 45-90 seconds long
- mom is combative and restless; urge to poop, increased bloody show
1/13
, 4/4/25, 6:07 NR327 Exam 2 (Maternal Health/OB) |
PM
- complete dilation of the cervix to newborn delivery
- 5 minutes - 2+ hours
2nd stage - strong contractions every 1-2 minutes
- mom is pushing during this time period
- pudendal block
- birth of baby to delivery of placenta
3rd stage
- 5-30 minutes
What is coming soon if a nurse notes lengthening of the umbilical cord with a
delivery of the placenta (3rd stage)
sudden gush of blood from the vagina?
- delivery of placenta to maternal stabilization of vital signs
- 1-2 hours
- fundal checks Q15 minutes X4, Q30 minutes X2, then PRN
4th stage
- VS checks
- breastfeeding/bonding
- ambulation/void
first four hours after delivery How long is the postpartum recovery period?
** this is a critical period and patient
NEEDS to be stable before transferring to
mother baby
empty the bladder What is important that the postpartum woman should do before a fundal check?
Firm. If it does not feel firm, then massage How should a fundus feel?
it until it does.
** if it is not firm, this could increase the
chance of postpartum hemorrhage
- continue pitocin while giving a How to keep a postpartum mother safe in the recovery period?
fundal massage because it causes
contractions (therefor decreasing risk of
hemorrhage)
- find out if mom has a hx of
postpartum hemorrhage
- hemorrhage medication
- check for s/s of hypovolemia
(tachycardia, tachypnea, hypotension)
- assist patient to the bathroom
- breastfeed and skin to skin right away
to normalizes baby and mom's VS and
blood sugar
because breastfeeding causes uterine How does breastfeeding help prevent the risk of postpartum hemorrhage?
contractions
more at risk because uterine muscles are Is a multigravida patient more or less at risk for postpartum hemorrhage than a
more stretched so it loses its contractility woman who had her first child?
IV fluids How does a nurse prevent hypovolemia in a postpartum mother?
vaginal = 500ml What is the normal milliliters of blood loss in a vaginal birth vs a c section?
c section = 1000ml
What are preludes to labor?
- fetal lightening
signs that the patient is going into labor - nesting (tell mom to conserve energy)
very soon - loss of a pound or two
- braxton hicks (irregular contractions that does not lead to cervical change)
- loss of mucous plug (indicates softer and ripening of cervix)
- diarrhea (hydrate)
2/13
PM
NR327 EXAM 2 (MATERNAL HEALTH/OB) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A++
Terms in this set (205)
cervix is dilated and regular contractions How does a nurse know if a woman is in labor?
are present
thinning of the cervix What is effacement?
4 stages How many stages of labor are there?
the cervix to dilate What are contractions necessary for?
- 0-10cm
- main job = effacement and dilation of cervix
- 12.5+ hours
Phase 1 = latent/early
- 4-6+ hours
- 0-3cm dilation
- mild/moderate irregular contractions (5-30 minutes apart) that last 30-45
seconds
- mom is home, talking, happy
- good time for teaching
1st stage of labor Phase 2 = active
- 2-3+ hours
- 4-7cm dilation
- more regular contractions every 3-5 minutes with moderate to strong
intensity lasting 40-70 seconds
- mom starts to feel agitated
- best time for medication
Phase 3 = transition
- 20-40+ minutes
- 8-10cm dilation
- strong contractions every 2-3 minutes lasting 45-90 seconds long
- mom is combative and restless; urge to poop, increased bloody show
1/13
, 4/4/25, 6:07 NR327 Exam 2 (Maternal Health/OB) |
PM
- complete dilation of the cervix to newborn delivery
- 5 minutes - 2+ hours
2nd stage - strong contractions every 1-2 minutes
- mom is pushing during this time period
- pudendal block
- birth of baby to delivery of placenta
3rd stage
- 5-30 minutes
What is coming soon if a nurse notes lengthening of the umbilical cord with a
delivery of the placenta (3rd stage)
sudden gush of blood from the vagina?
- delivery of placenta to maternal stabilization of vital signs
- 1-2 hours
- fundal checks Q15 minutes X4, Q30 minutes X2, then PRN
4th stage
- VS checks
- breastfeeding/bonding
- ambulation/void
first four hours after delivery How long is the postpartum recovery period?
** this is a critical period and patient
NEEDS to be stable before transferring to
mother baby
empty the bladder What is important that the postpartum woman should do before a fundal check?
Firm. If it does not feel firm, then massage How should a fundus feel?
it until it does.
** if it is not firm, this could increase the
chance of postpartum hemorrhage
- continue pitocin while giving a How to keep a postpartum mother safe in the recovery period?
fundal massage because it causes
contractions (therefor decreasing risk of
hemorrhage)
- find out if mom has a hx of
postpartum hemorrhage
- hemorrhage medication
- check for s/s of hypovolemia
(tachycardia, tachypnea, hypotension)
- assist patient to the bathroom
- breastfeed and skin to skin right away
to normalizes baby and mom's VS and
blood sugar
because breastfeeding causes uterine How does breastfeeding help prevent the risk of postpartum hemorrhage?
contractions
more at risk because uterine muscles are Is a multigravida patient more or less at risk for postpartum hemorrhage than a
more stretched so it loses its contractility woman who had her first child?
IV fluids How does a nurse prevent hypovolemia in a postpartum mother?
vaginal = 500ml What is the normal milliliters of blood loss in a vaginal birth vs a c section?
c section = 1000ml
What are preludes to labor?
- fetal lightening
signs that the patient is going into labor - nesting (tell mom to conserve energy)
very soon - loss of a pound or two
- braxton hicks (irregular contractions that does not lead to cervical change)
- loss of mucous plug (indicates softer and ripening of cervix)
- diarrhea (hydrate)
2/13
