NSG 210 Reproduction and Clotting exam with complete solution.
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Course
NSG 210
Institution
NSG 210
Presumptive signs of pregnancy
Signs that Mom perceives
Least reliable indicator because can be caused by other conditions
Absence of menstruation (4 weeks)
Nausea and Vomiting (4-14 weeks)
Fatigue (12 weeks)
Breast tenderness (3-4 weeks)
Urinary frequency (6-12 weeks)
Hyperpigmentation of ...
NSG 210 Reproduction and Clotting
exam with complete solution
Presumptive signs of pregnancy - ANSWER- Signs that Mom perceives
Least reliable indicator because can be caused by other conditions
Absence of menstruation (4 weeks)
Nausea and Vomiting (4-14 weeks)
Fatigue (12 weeks)
Breast tenderness (3-4 weeks)
Urinary frequency (6-12 weeks)
Hyperpigmentation of the skin (16 weeks)
Fetal movements or quickening (16-20 weeks)
Uterine Enlargement (7-12 weeks)
Breast enlargement (6 weeks)
Positive signs of pregnancy - ANSWER- Ultrasound verification of embryo or
fetus (4-6 weeks)
Fetal movement felt by experienced clinician (20 weeks)
Auscultation of fetal heart tones via Doppler (10-12 weeks)
First stage of labor - ANSWER- Latent Phase ( 0 to 3cm)
Active Phase ( 4 to 7cm effacing, cervix thinning out, may be nauseated)
Transition Phase ( 8 to 10cm
, Shortest but most intense phase of labor - ANSWER- Transition
Second stage of labor - ANSWER- Completely dilated until birth
Pelvic phase-baby descends into pelvis
Perineal phase-active pushing
Forceps, vaccum, push on belly, massage perineum to allow opening for head to
come through
Third stage of labor - ANSWER- Placenta separation and expulsion
Shiny shultz - ANSWER- fetal side of placenta
Want to come out this way
Dirty Duncan - ANSWER- maternal side of placenta
Fourth stage - ANSWER- 1-4 hours after placenta expelled
Adjustment/stabilization of mom
Cons of using mechanical devices during delivery - ANSWER- Injuring mom and
baby
For active pushing to be effective - ANSWER- want to coincide with with
contraction
Assess placenta for - ANSWER- all vessels intact
May have to manually detach
Any left could cause hemorrhage and infection
5 P's affecting labor process - ANSWER- Passageway
Passenger
Power
Position
Psychological response
Passageway - ANSWER- Going into canal and pelvis
Fetus head size
Are fontanels going to bend and mold
Passenger - ANSWER- Baby
How positioned in pelvis
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