NURS617 MIDTERM ACTUAL EXAM ACTUAL COMPLETE
250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
It is generally accepted that ___contractions within ___minutes is the
minimum frequency necessary to achieve progressive cervical change in
active labor. ✔✔ANSWER✔✔3, 10
calculate mvus by subtracting amplitude of each cxn in a __ min
window from the baseline than adding the calculated rise; ___-___
MVUs is adequate ✔✔ANSWER✔✔10, 200, 250
things that disrupt normal labor include ___, environment, ___
constraints, ___ meds, lack of ___ ✔✔ANSWER✔✔induction, time,
pain, nutrition
interventions that disrupt normal childbirth include ___, vacuum,
immediate cord clamping, separation mother and baby
✔✔ANSWER✔✔episiotomy
women admitted to labor at less than ___ cm are twice as likley to have
labor augmented with pitocin ✔✔ANSWER✔✔4
,benefits of continuous labor support include ___ labors, increased
liklihood of ___ birth, less pain meds, increased number women with
satisfying births ✔✔ANSWER✔✔shorter, vaginal
women assuming ___ positions have shorter labors
✔✔ANSWER✔✔upright
cervical assessment should occur: baseline, well timed __ exam, discuss
pain management, verify ___ ___, check for prolapsed cord
✔✔ANSWER✔✔2nd, full dilation
advantages of nitrous oxide include rapid onset, low cost, can be given
at any point, ___ ___, does not slow labor, no known effects on ___
✔✔ANSWER✔✔self administered, apgars
contraindications to nitrous oxide: vitamin ___ deficiency, narcotics in
last __ hrs, drug use or intoxication, respiratory compromise, pt can't
hold own mask ✔✔ANSWER✔✔b12, 2
half life of nitrous oxide ✔✔ANSWER✔✔5 min
s/s of nitrous include ____, vomiting, ___, drowsy
✔✔ANSWER✔✔nausea, lightheadedness
,no nonpharm options are as effective as an ___
✔✔ANSWER✔✔epidural
general principles when supporting and comforting in labor include
ensuring ___ and preventing ___, using calm, quiet, and purposeful
communication ✔✔ANSWER✔✔privacy, exposure
physical care activities to support labor include promoting ___ to
prevent fatigue, helping women ___ ___, keep perineum clean and dry,
offer ___ care, and change positions and support extremities
✔✔ANSWER✔✔rest, empty bladder, perineum
sterile water injections work by the way of ✔✔ANSWER✔✔gate control
theory
dx of rom is made with____, ___, amnisure, or visualization of fluid out
of cervical os ✔✔ANSWER✔✔nitrazine, ferning
most common s/s of second stage is ✔✔ANSWER✔✔urge to push
during the second stage, the fetus descends and internal rotation takes
place late first stage or second stage; the birth of the head occurs with
___ followed by ___ ___ ✔✔ANSWER✔✔flexion, external rotation
, the three factors that have the biggest effect on the duration of the
second stage are ___, fetal ___, and presence or absence of regional
analgesia ✔✔ANSWER✔✔parity, position
definition of prolonged labor is more than __ hour for nullip w/
epidural, 3 hour for nullip w/o epidural, ___ hour for multip w/ epidural
and __ hour for mulitp w/o epidural ✔✔ANSWER✔✔4, 4, 2
actively pushing for more than 2-3 hours has been show to increase risk
for ___, ____, operative birth, and 3/4 degree lacs
✔✔ANSWER✔✔infection, hemorrhage
failure of descent is when the presenting part makes no descent in
_____-___ hours w/ adequate contractions and maternal pushing
efforts ✔✔ANSWER✔✔1, 2
maternal BP is expected to be ___ mmHg higher in second stage
✔✔ANSWER✔✔10
supine and lithotomy position during second stage is associated with
uterine pressure on the vena cava, maternal ___, decreased uterine
perfusion, and variant ___ ___ ✔✔ANSWER✔✔hypotension, fhr
patterns
