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NU404 Unit 4 Exam Latest Update
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NU404 Unit 4 Exam Latest Updatewhat are the factors influencing the onset of labor? - Answer uterine stretch
progesterone withdrawal
increased oxytocin sensitivity
increased release of prostaglandins
what are the premonitory signs of labor? - Answer - Cervical changes (cervical
softening, possible cervical dilation)
- * Lightening (head descends) *
- Increased energy level (nesting)
- * bloody show/vaginal discharge *
- Braxton Hicks contractions
- * Rupture of membranes: time, amount, color, odor
how far does a woman dilate to? - Answer 10 cm
what is nesting? - Answer super surge of energy
what is bloody show? - Answer mucus plug is exposed
no barrier anymore
what are Braxton hicks contractions? - Answer not true contractions
what are characteristics of true labor contractions? - Answer 4-6 minutes apart
lasts 30-60 seconds
back pain
continue no matter what
what does passenger include? - Answer fetus and placenta
what are the important parts of passenger? - Answer * molding *
* anterior fontanelle *
* posterior fontanelle *
what are the characteristics of the anterior fontanelle? - Answer * "soft spot" *
* diamond-shape *
, * remains open for 12 to 18 months after birth to allow for growth of the brain *
what are the characteristics of the posterior fontanelle? - Answer * located at the back
of the fetal head *
* triangular *
* closes within 8 to 12 weeks after birth *
what does attitude mean in passenger? - Answer degree of body flexion
what does lie mean in passenger? - Answer relationship of body parts
what does presentation mean in passenger? - Answer first body part
what does cephalic mean? - Answer head first
what does frank mean? - Answer legs up
what does position mean in passenger? - Answer relationship to maternal pelvis
what does station mean in passenger? - Answer Measurement of fetal descent in
centimeters with station 0 being at the level of an imaginary line at the level of the ischial
spines, minus stations superior to the ischial spines, and plus stations inferior to the
ischial spines
what does presenting (engagement) mean in passenger? - Answer presenting part
reaching 0 station
what does floating (engagement) mean in passenger? - Answer no engagement;
presenting part freely movable about pelvic inlet
what pelvic shape do you want for a good passageway? - Answer gynecoid or
anthropoid
what does the cervix do during passageway? - Answer thins through effacement to
allow presenting part to descend into vagina
what is the criteria for a birth? - Answer 10 cm dilated and 100% effaced
what do you have to use to check how much a woman is dilated? - Answer sterile glove
and lube
what are the 3 parameters of power? - Answer * Frequency-beginning of one
contraction to the beginning of the next *
* Duration-between the beginning of a contraction to the end of that same contraction *
* Intensity-strength of the contraction at its peak *
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