NUR 158, ch 14, Nursing Mgmt during labor and birth || 100%
Correct Solutions.
neuraxial analgesia/anesthesia correct answers 1. admin of analgesic (opiods)
2. anesthetic (capable of producing loss of sensation
Only w/ hold during the active stage of labor
systemic analgesia correct answers 1. oral
2. IM
3. IV
4. distributes thru body
periodic baseline changes correct answers
Maternal assessment during L/D: correct answers why: her response and progress
What: v/s, ID risk factors, and Pain
How: Effacement:
0% is 2 cm long,
50% is 1 cm
100% obliterated
Dilation: 0cm os closed
5 halfway, 10 fully
Why do we ID risk factors correct answers may contribute to decrease in uteroplacental
circulation during labor, no blood (vag exam), to eval cervix dialation, pain mgmt,
, Fetal descent & presenting part during the maternal assessment: vag exam correct answers 1.
fetal descent is the station
2. & presenting part
3. fetal skull=vertex presentation
Rupture of Membrane during the vag exam: correct answers 1. when this happens, do the FHR,
to ID decel, could be compression of cord secondary to prolapse
Signs of intrauterine infection: correct answers 1. fever
2. baby/mom tachycardia
3. foul odor
4. vag discharge
5. Increase in WBC
Nitrazine swab: should turn blue if it is amnio fluid correct answers 1. determine the fluid's pH
2. vag fluid is acidic
3. amnio is alkaline
4. blue green to deep blue 6.5 to 7.5 in amnio
Fern test correct answers after the Nitrazine swab, microscope
aphyixa correct answers results in interference w/ placental circulation or from premature
seperation of the placenta (as in placenta praevia)
hypoxia correct answers reduced amount of o2 like in high altitude
lipophilic correct answers in drugs, slows down the release
Correct Solutions.
neuraxial analgesia/anesthesia correct answers 1. admin of analgesic (opiods)
2. anesthetic (capable of producing loss of sensation
Only w/ hold during the active stage of labor
systemic analgesia correct answers 1. oral
2. IM
3. IV
4. distributes thru body
periodic baseline changes correct answers
Maternal assessment during L/D: correct answers why: her response and progress
What: v/s, ID risk factors, and Pain
How: Effacement:
0% is 2 cm long,
50% is 1 cm
100% obliterated
Dilation: 0cm os closed
5 halfway, 10 fully
Why do we ID risk factors correct answers may contribute to decrease in uteroplacental
circulation during labor, no blood (vag exam), to eval cervix dialation, pain mgmt,
, Fetal descent & presenting part during the maternal assessment: vag exam correct answers 1.
fetal descent is the station
2. & presenting part
3. fetal skull=vertex presentation
Rupture of Membrane during the vag exam: correct answers 1. when this happens, do the FHR,
to ID decel, could be compression of cord secondary to prolapse
Signs of intrauterine infection: correct answers 1. fever
2. baby/mom tachycardia
3. foul odor
4. vag discharge
5. Increase in WBC
Nitrazine swab: should turn blue if it is amnio fluid correct answers 1. determine the fluid's pH
2. vag fluid is acidic
3. amnio is alkaline
4. blue green to deep blue 6.5 to 7.5 in amnio
Fern test correct answers after the Nitrazine swab, microscope
aphyixa correct answers results in interference w/ placental circulation or from premature
seperation of the placenta (as in placenta praevia)
hypoxia correct answers reduced amount of o2 like in high altitude
lipophilic correct answers in drugs, slows down the release
