NUR 354 Exam Questions and Answers
the relationship of the fetal body parts to one another; what is ideal? - Answer-attitude;
flexion in which the fetal back is rounded and the head is forward on the chest and the
arms and legs are folded in against the body
the relationship of the spine of the fetus to the spine of the mother; what is ideal? -
Answer-the lie; longitudinal or vertical is ideal; transverse or horizontal mean c-section
usually
What is the first thing you do before doing leopold's maneuvers on the mother? -
Answer-have her empty her bladder
Why are leopold's maneuvers used? - Answer-to place fetal monitors and determine
position, presentation and engagement of the fetus
Hematopoietic wise, how is the mothers blood physiologically different than a normal
females? - Answer--lower H and H due to increased volume/dilution of blood
-WBC >25,000
-extra clotting factors
-need CBC before and 6 hours after delivery
the forces acting to expel the fetus - Answer-the powers; pain gets in the way of these
powers being effective
What are the 5 P's? - Answer-passanger
passageway
powers
position
psychological (previous experiences, preparation, support)
For stations, what number means the baby is low and very engaged? - Answer-+2
When a baby is occipital posterior what is the best positions for mom? - Answer--side
lying (distress)
-all fours
-peanut ball
Mechanism of labor theory that the placenta is aged to a certain degree which causes a
drop in progesterone; this causes the body to go into labor - Answer-Progesterone
withdrawal hypothesis
Mechanism of labor theory that the body releases its own prostaglandins as it
approaches that time; stretching of the uterus to a certain point - Answer-Prostaglandin
hypothesis
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