NUR 337 MIDTERM EXAM, EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
First stage latent - CORRECT-ANSWERSThrough 3 cm
6-8 hours
Mild to moderate, irregular contractions
5-30 minutes apart, 30-45 seconds
Nulliparous 0, multiparous -2 to 0
Small amount of brownish or pink mucu
First Stage: Active - CORRECT-ANSWERS4 to 7 cm
3-6 hours
Moderate to strong, more regular contractions
3-5 minutes apart, 40-70 seconds
Nulliparous +1 to +2, Multiparous +1 to +2
Small to moderate amount of pink to bloody mucus
First Stage: Transition - CORRECT-ANSWERS8 to 10 cm
20-40 minutes
Strong to very strong, regular contractions
2-3 minutes apart, 45-90 seconds
Nulliparous +2 to +3, multiparous +2 to +3
Bloody mucus
Second Stage - CORRECT-ANSWERS10 cm to Birth
Third Stage - CORRECT-ANSWERSDelivery of the placenta
Normal FHR - CORRECT-ANSWERS110-160
Variable deceleration - CORRECT-ANSWERScord compression
Early deceleration - CORRECT-ANSWERShead compression
Accelerations - CORRECT-ANSWERSOkay
late deceleration - CORRECT-ANSWERSPlacental Insufficiency
, Interventions for fetal tachycardia >160 - CORRECT-ANSWERSDependent on cause
reduce maternal fever with antipyretics due to infection
infection of the fetus or amniotic fluid, must be treated
cooling measures
oxygen at 10 L/min by nonrebreather face mask may be of some value
carry out health care provider's orders based on alleviating cause
Interventions for fetal bradycardia - CORRECT-ANSWERSDependent on cause. If heart
rate slows down after administration of epidural place mom on her left side (also may
need to administer IV)
Interventions for Late Decelerations - CORRECT-ANSWERS1.Change maternal
position (lateral).
2.Correct maternal hypotension by elevating legs.
3.Increase rate of maintenance intravenous solution.
4.Palpate uterus to assess for tachysystole.
5.Discontinue oxytocin if infusing.
6.Administer oxygen at 8 to 10 L/min by nonrebreather face mask.
7.Notify physician or nurse-midwife.
8.Consider internal monitoring for more accurate fetal and uterine assessment.
9.Assist with birth (cesarean or vaginal assisted) if pattern cannot be corrected.
Interventions for Variable Decelerations - CORRECT-ANSWERS1.Change maternal
position (side to side, knee chest).
2.Discontinue oxytocin if infusing.
3.Administer oxygen at 8 to 10 L/min by nonrebreather face mask.
4.Notify physician or nurse-midwife.
5.Assist with vaginal or speculum examination to assess for cord prolapse.
6.Assist with amnioinfusion if ordered.
7.Assist with birth (vaginal assisted or cesarean) if pattern cannot be corrected.
Interventions for accelerations - CORRECT-ANSWERSNo interventions, good sign
Interventions for early decelerations - CORRECT-ANSWERSNo interventions
Non-pharmacological pain reduction interventions - CORRECT-ANSWERS* Breathing
exercises
CORRECT QUESTIONS AND ANSWERS
2025
First stage latent - CORRECT-ANSWERSThrough 3 cm
6-8 hours
Mild to moderate, irregular contractions
5-30 minutes apart, 30-45 seconds
Nulliparous 0, multiparous -2 to 0
Small amount of brownish or pink mucu
First Stage: Active - CORRECT-ANSWERS4 to 7 cm
3-6 hours
Moderate to strong, more regular contractions
3-5 minutes apart, 40-70 seconds
Nulliparous +1 to +2, Multiparous +1 to +2
Small to moderate amount of pink to bloody mucus
First Stage: Transition - CORRECT-ANSWERS8 to 10 cm
20-40 minutes
Strong to very strong, regular contractions
2-3 minutes apart, 45-90 seconds
Nulliparous +2 to +3, multiparous +2 to +3
Bloody mucus
Second Stage - CORRECT-ANSWERS10 cm to Birth
Third Stage - CORRECT-ANSWERSDelivery of the placenta
Normal FHR - CORRECT-ANSWERS110-160
Variable deceleration - CORRECT-ANSWERScord compression
Early deceleration - CORRECT-ANSWERShead compression
Accelerations - CORRECT-ANSWERSOkay
late deceleration - CORRECT-ANSWERSPlacental Insufficiency
, Interventions for fetal tachycardia >160 - CORRECT-ANSWERSDependent on cause
reduce maternal fever with antipyretics due to infection
infection of the fetus or amniotic fluid, must be treated
cooling measures
oxygen at 10 L/min by nonrebreather face mask may be of some value
carry out health care provider's orders based on alleviating cause
Interventions for fetal bradycardia - CORRECT-ANSWERSDependent on cause. If heart
rate slows down after administration of epidural place mom on her left side (also may
need to administer IV)
Interventions for Late Decelerations - CORRECT-ANSWERS1.Change maternal
position (lateral).
2.Correct maternal hypotension by elevating legs.
3.Increase rate of maintenance intravenous solution.
4.Palpate uterus to assess for tachysystole.
5.Discontinue oxytocin if infusing.
6.Administer oxygen at 8 to 10 L/min by nonrebreather face mask.
7.Notify physician or nurse-midwife.
8.Consider internal monitoring for more accurate fetal and uterine assessment.
9.Assist with birth (cesarean or vaginal assisted) if pattern cannot be corrected.
Interventions for Variable Decelerations - CORRECT-ANSWERS1.Change maternal
position (side to side, knee chest).
2.Discontinue oxytocin if infusing.
3.Administer oxygen at 8 to 10 L/min by nonrebreather face mask.
4.Notify physician or nurse-midwife.
5.Assist with vaginal or speculum examination to assess for cord prolapse.
6.Assist with amnioinfusion if ordered.
7.Assist with birth (vaginal assisted or cesarean) if pattern cannot be corrected.
Interventions for accelerations - CORRECT-ANSWERSNo interventions, good sign
Interventions for early decelerations - CORRECT-ANSWERSNo interventions
Non-pharmacological pain reduction interventions - CORRECT-ANSWERS* Breathing
exercises
