Exam (elaborations)
NURS 3082 Normal Labor and Birth Part I Final Exam With Solution
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NURS 3082 Normal Labor and Birth Part I Final Exam With Solution...
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NURS 3082 Normal Labor and Birth Part IFinal Exam With Solution
False labor involves - ANSWER no cervical change with contractions:
- walking/position changes have no effect or they stop contractions
- rest and warm bath lessen contractions
- pain in lower abdomen instead of lower back
- hydration may decrease contractions
- irregular contractions
nurse response to false labor - ANSWER - listen, acknowledge, reassure
- encourage calling about questions/concerns
- suggest interventions
true labor involves - ANSWER cervical dilation and effacement are
progressive
- regular contractions, increasing in strength, duration, and frequency
- intensity increases with ambulation
how to know if labor has started - ANSWER - contractions become more
, frequent, painful, and usually more regular
- pain begins in lower back and spreads to the abdomen
- difficult to walk or talk through contractions
- bloody show with contractions
maternal physiological response of the birth process - ANSWER - labor
contractions last 40-70 seconds w/ ~1 min between
- intermittent contractions allow placental blood flow and exchange of
oxygen, nutrients, and waste products between maternal and fetal circulation
during the interval
- upper uterus (fundus) contracts actively as it pushes the fetus down
- above actions bring about cervical effacement and dilation
cervical effacement is - ANSWER shortening/thinning of cervix
cervix opens from - ANSWER back to front (feel pain in lower back before
abdomen)
first birth cervix characteristics - ANSWER cervix effaces completely before
dilating
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