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NURS 6700 Exam 3 With Questions And Verified Answers
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NURS 6700 Exam 3 With Questions AndVerified Answers 2024-2025
What are the five Ps that affect the process of labor and birth? - Answer Passengers
(fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position of the mother
Psychologic response
pharmacologic pain management should be implemented before pain becomes? -
Answer so severe that catecholamines increase and labor is prolonged
nerve block analgesia and anesthesia - Answer local perineal infiltration anesthesia
pudendal nerve block
neuraxial anesthesia-spinal, epidural combined spinal and epidural
advantages- superior pain relief
disadvantages- maternal hypotension HA maternal hyperthermia
,A nurse is caring for a client who is at 40 weeks of gestation and having contractions
every 3 to 5 minutes and strengthening. A vaginal exam reveals that the client's cervix is
3/80%/-1. The client asks for pain medication. Which of the following interventions is
appropriate by the nurse? (Select all that apply).
A. Encourage the use of patterned breathing techniques.
B. Insert an indwelling urinary catheter.
C. Prepare to administer opioid analgesic medication.
D. Recommend cold application.
e. Offer ice chips. - Answer a, c, d
A nurse is providing care to a client who is in active labor. The client states, "My back
really hurts." The nurse believes this pain is due to a persistent occiput posterior fetal
position. Which of the following nonpharmacological nursing interventions should the
nurse suggest to the client?
A. Abdominal effleurage
B. Sacral counterpressure
C. Showering if not contraindicated
D. Back rub and massage - Answer b
The nurse is caring for a client in the second stage of labor. The client's labor has been
progressing, and she is expected to deliver vaginally in 20 minutes. The provider is
,preparing to administer lidocaine for pain relief and perform an episiotomy. The nurse
should know that which of the following types of regional anesthetic block is to be
administered?
A.Pudendal
B.Epidural
C.Spinal
D.Paracervical - Answer a
A nurse is providing care for a client who has just received an epidural block and is
planning to administer an IV fluid bolus. The client's partner asks the nurse why the
client needs the IV fluids. Which of the following would be an appropriate response by
the nurse?
A."This is necessary because this will help to increase urine output."
B."This is necessary because this will help to diminish respiratory depression."
C."This is necessary because this will help to diminish hypotension."
D."It is needed to prevent oligohydramnios." - Answer c
parenteral opioids - Answer opioid agonist analgesics-meperidine, fentanyl and
remifentanil
opioid agonist-antagonist analgescis-nalbuphine
, Leopold's Maneuvers - Answer A series of four maneuvers designed to provide a
systematic approach whereby the examiner may determine fetal presentation and
position.
answers 3 questions
1. which fetal part is in the uterine fundus
2. where is the fetal back located
3. what is the presenting fetal part
can also be used to estimate fetal size
If the cephalic prominence is found on the same side as the small parts, this means that -
Answer that the head must be flexed and the vertex is presenting
Process of Leopold Maneuvers - Answer ask the woman to empty her bladder
position the woman in supine
1. Identify what fetal part is in the fundus. The head is rounded, hard, and freely
movable; the breech is less regular and softer. This manoeuvre outlines fetal
lie-longitudinal or transverse-and presentation-cephalic or breech
2. With the palmar surface of one hand, locate and palpate the smooth convex contour
of the fetal back and the irregular that identify the small parts feet, hands knees, elbow.
This maneuver helps to identify fetal presentation.
3. determine the presenting fetal part over the inlet to the true pelvis To do this lightly
grasp the lower pole of the uterus between your thumb and fingers and press inwards
lightly. If the head is presenting and not engaged, ascertain the attitude of the head is
flexed or extended
4. Turning to face the feet of the woman Using both hands, outline the fetal head with the
palmar surface of your fingers tips. If the presenting part has descended deeply, it may
be possible only to outline a small portion of it. Palpation of cephalic prominence helps
to identify attitude of the head.
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