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PN131 Exam 2 Questions and Answers 2024/2025 $13.49   Add to cart

Exam (elaborations)

PN131 Exam 2 Questions and Answers 2024/2025

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  • PN 140
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  • PN 140

fetal head during labor  composed of several bones separated by strong connective tissue called sutures suture lines, fontanelles, molding how do you determine how the fetus is laying during labor  orientation of fetus to the moms spine can be longitudinal (preferred), transverse, or obl...

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  • October 11, 2024
  • 51
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PN 140
  • PN 140
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2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!


PN131 Exam 2 Questions and Answers
2024/2025
fetal head during labor

 composed of several bones separated by strong connective tissue called sutures


suture lines, fontanelles, molding




how do you determine how the fetus is laying during labor

 orientation of fetus to the moms spine


can be longitudinal (preferred), transverse, or oblique




how do you determine the fetal attitude during labor

 relationship of fetal parts to one another


flexion (preferred)- the chin is tucked




extension- head is tilted back




how do you determine the fetal presentation during labor

 part of the fetus that enters the pelvis first


cephalic (preferred)- vertex, military, brow, face


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breech- complete/full, frank, footing




shoulder




how do you determine the fetal position during labor

 relationship of fetal part to 4 quadrants of maternal pelvis


what are the factors influencing labor during the passage stage

 passage includes mothers bony pelvis and soft tissues (cervix, muscles, ligaments and
fascia)


pelvis

- shape: gynecoid pelvis (most favorable)




soft tissues: (primipara vs. multipara)

- cervix

- dilation- how open ("closed" or 0-10 cm)

- effacement- how thin ("thick" or 0-100%)

- station- how low (zero station= fetal head at level of ischial spine)- negative numbers (still

further up in the pelvis), positive numbers (starting to come out of pelvis)

- documentation example- 4/80/0 (4 cm dilated, 80% effaced, 0 station)

- muscles, ligaments, and fascia

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what are the factors influencing labor during the primary powers (uterine contractions) stage


 involuntary


wavelike pattern




phases of contraction (increment, peak, decrement)




frequency




duration




relaxation- the baby getting oxygen back to itself




intensity

- measured by palpation, external monitor (measures when contraction are happening, and

internal monitor (measures how strong the contractions are




cause cervical change




what are the factors influencing labor during the secondary powers (maternal pushing efforts)

stage

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 added once the cervix is fully dilated


should NOT push prior to full dilation




helps to propel the fetus through the pelvis




can be impacted by exhaustion and an epidural




if a pregnant women is having contractions, when do you report them to the RN

 any contractions that occur MORE FREQUENTLY than every 2 minutes, LAST LONGER
than 90 seconds, or have INTERVALS SHORTER than 60 seconds


what are the factors influencing labor during the maternal position stage

 examples of favorable labor positions:
- upright- improved descent, improved blood flow

- squat- opens up pelvis

- hands and knees- great for OP baby and opens pelvis

- side lying- improved blood flow, allows for rest




*key point- encourage frequent position changes while laboring




what are the factors influencing labor during psyche stage




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