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Care Of Childbearing Family-Nace|
Comprehensive Q&A For Certification
Success
Bleeding Disorders-correct-answer-Placenta previa- Occurs when the placenta
abnormally implants near or over the cervical os instead of in the fundus of the
uterus. May cause hemorrhage or premature birth.
Abruptio placenta- Premature separation of placenta. Causes bleeding and often
pain.
DIC- Disseminated intravascular coagulation is a condition in which a coagulation
defect prevents blood from clotting.
Rh Problems-correct-answer-Rh negative mother and Rh positive baby causes an
incompatibility. Antibodies may work to destroy the fetus. First Rh baby is rarely
affected seriously. RhoGAM at 28 weeks and 72 hours after birth. Coombs test.
TORCH-correct-answer-Toxoplasmosis, other, rubella, cytomegalovirus,
herpesviruses.
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Stages of Labor-correct-answer-Four total stages. First stage includes the latent,
active, and transition phase.
First stage- Begins with the onset of regular contractions and is complete when
the cervix is fully dilated and effaced.
Latent- Early, slow part of labor. Lasts until dilated to 4cm. Contractions every 10-
15 minutes and last 15-20 seconds. Mother talkative and smiling.
Active- Dilation goes from 4 to 7cm. Contractions 5 minutes apart. Increased
discomfort. Needs breathing techniques.
Transition- Cervix dilates to 8-10cm. Woman becomes restless, irritable, and fears
losing control.
Second stage- Cervix is fully dilated at 10cm. Ends with birth of baby. Urge to bear
down. Check umbilical cord.
Third stage- Expulsion of placenta. Oxytocin may be given to lessen blood loss
after.
Fourth stage- Recovery period. Lasts 1-4 hours until mothers vital signs are stable.
Blood loss of 250-500 ml. Increase in Heart rate, decrease BP.
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Assessing Progress of Labor-correct-answer-
Monitoring Vital Signs-correct-answer-Every hour in latent phase, every 30
minutes in active phase.
Relaxation Techniques-correct-answer-Deep breathing, guided imagery.
Analgesia/Anesthesia-correct-answer-Epidural can be given in the first and second
stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and
part of perineum.
Contraindications: Hypovolemia, those on blood thinners, clotting disorders,
infection at injection site.
Fetal Monitoring-correct-answer-110-160 beats per minute.
Premature Labor-correct-answer-Onset of labor between 20 and 37 weeks
gestation.
Care Of Childbearing Family-Nace|
Comprehensive Q&A For Certification
Success
Bleeding Disorders-correct-answer-Placenta previa- Occurs when the placenta
abnormally implants near or over the cervical os instead of in the fundus of the
uterus. May cause hemorrhage or premature birth.
Abruptio placenta- Premature separation of placenta. Causes bleeding and often
pain.
DIC- Disseminated intravascular coagulation is a condition in which a coagulation
defect prevents blood from clotting.
Rh Problems-correct-answer-Rh negative mother and Rh positive baby causes an
incompatibility. Antibodies may work to destroy the fetus. First Rh baby is rarely
affected seriously. RhoGAM at 28 weeks and 72 hours after birth. Coombs test.
TORCH-correct-answer-Toxoplasmosis, other, rubella, cytomegalovirus,
herpesviruses.
,2|Page
Stages of Labor-correct-answer-Four total stages. First stage includes the latent,
active, and transition phase.
First stage- Begins with the onset of regular contractions and is complete when
the cervix is fully dilated and effaced.
Latent- Early, slow part of labor. Lasts until dilated to 4cm. Contractions every 10-
15 minutes and last 15-20 seconds. Mother talkative and smiling.
Active- Dilation goes from 4 to 7cm. Contractions 5 minutes apart. Increased
discomfort. Needs breathing techniques.
Transition- Cervix dilates to 8-10cm. Woman becomes restless, irritable, and fears
losing control.
Second stage- Cervix is fully dilated at 10cm. Ends with birth of baby. Urge to bear
down. Check umbilical cord.
Third stage- Expulsion of placenta. Oxytocin may be given to lessen blood loss
after.
Fourth stage- Recovery period. Lasts 1-4 hours until mothers vital signs are stable.
Blood loss of 250-500 ml. Increase in Heart rate, decrease BP.
, 3|Page
Assessing Progress of Labor-correct-answer-
Monitoring Vital Signs-correct-answer-Every hour in latent phase, every 30
minutes in active phase.
Relaxation Techniques-correct-answer-Deep breathing, guided imagery.
Analgesia/Anesthesia-correct-answer-Epidural can be given in the first and second
stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and
part of perineum.
Contraindications: Hypovolemia, those on blood thinners, clotting disorders,
infection at injection site.
Fetal Monitoring-correct-answer-110-160 beats per minute.
Premature Labor-correct-answer-Onset of labor between 20 and 37 weeks
gestation.
