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CCTC NUR 220 UNIT 2 AND 3 (TEST 2) actual Exam questions and answers 2025 latest update.
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CCTC NUR 220 UNIT 2 AND 3 (TEST 2) actual Exam questions and answers 2025 latest update.
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CCTC NUR 220 UNIT 2 AND 3(TEST 2) actual Exam questions
and answers 2025 latest
update.
Cervical Dilatation- - answer widening of the cervical os and canal
from less than 1 cm to 10 cm allowing birth of baby
Cervical Effacement- - answer the taking up of the internal os and
the cervical canal into the uterine side walls - 0% - 100%
Contractions- - answer rhythmic tightening and shortening of the
uterine muscles
Duration- - answer -length of time from the beginning of one
contraction to the completion of the same contraction
-how long that one contraction lasts
Frequency- - answer time between the beginning of one
contraction to the beginning of the next
Intensity- - answer strength of the uterine contraction during acme
(peak)
Accelerations- - answer periodic increases in the baseline FHR (15
beats lasting for 15 secs)
Deceleration- - answer decreases in FHR below the baseline
,presenting part- - answer portion of the fetus felt through the
cervix on exam
Station- - answer relationship of the presenting part to an
imaginary line drawn between the ischial spines of the maternal
pelvis (narrowest point is 0)
Engagement- - answer occurs when the largest diameter of the
presenting part reaches or passes through the pelvic inlet.
Engagement confirms the adequacy of the pelvic inlet. It does not
indicate whether the midpelvis and outlet are adequate
Fetal lie- - answer relationship of the long (spinal column) axis of
the fetus to the long axis of the mother
Critical Factors that Influence Labor: - answer 1. Passageway
(mom's vagina, pelvis)
2. Passenger (Fetus)
3. Presentation (Relationship between passage and fetus)
4. Powers of labor - physiologic forces
5. Psychosocial considerations (what mom and fetus is going
through)
Factors in labor: Components to look at with the birth passage: -
answer -Size of maternal pelvis
-Type of maternal pelvis
-Ability of the cervix to dilate and efface
Gynecoid pelvis: - answer inlet rounded with all inlet diameters
adequate, favorable for vaginal delivery. Most common, 50%. (best
one)
,Platypelliod Pelvis: - answer inlet oval in shape with long
transverse diameters, not favorable for birth. Head engages in
transverse position. Delay of progress at outlet of pelvis. 5%
Android Pelvis: - answer heart-shaped inlet with short posterior
sagital diameter, not favorable for delivery. Head enters pelvis in
transverse or posterior position and stops. Same as in males. 20%.
Forceps are usually required with extensive perineal lacerations.
Anthropoid Pelvis: - answer inlet oval in shape with long
anteroposterior diameter, favorable for birth. 25%
Factors in labor: Components to look at with the Passenger: -
answer -Fetal Head (size and presence of molding)
-Fetal Attitude (flexion or extension of the fetal body and
extremities)
-Fetal Lie
-Fetal Presentation (part of the fetal body entering the pelvis first in
a single- or multiple- gestation pregnancy)
Three parts of the fetal head: - answer 1. base of the skull, fixed
2. roof- vault of the cranium, overlap under pressure (molding) to
allow for birth
3. face- fixed
Sutures of the fetal skull: - answer membranous spaces between
the cranial bones
-Frontal (miotic): becomes the anterior continuation of the sagittal
suture
-Sagittal Suture: located b/t the parietal bones; divides the skull
into left and right; runs anteroposteriorly, connecting the two
fontanells
, -Coronal Sutures: located b/t the frontal and parietal bones; extend
transversely left and right from the anterior fontanelle
-Lambdoidal suture: located b/t the two parietal bones and the
occipital bone; extends transversely left and right from the
posterior fontanelle.
fontanelles - answer intersections of the cranial sutures
Mentum- - answer fetal chin
Sinciput- - answer anterior area known as the brow (forehead)
Vertex- - answer area b/t the anterior and posterior fontanells (top
of head)
Occiput- - answer area of the fetal skull occupied by the occipital
bone, beneath the posterior fontanelle (back of the head)
Bregma - answer The large diamond shaped anterior fontanelle.
posterior fontanelle- - answer intersection b/t posterior cranial
sutures
fetal attitude - answer refers to the relationship of the fetal parts
to one another
Normal fetal attitude- - answer moderate flexion of the head so
that chin is on the chest, flexion of the arm onto the chest, and
flexion of the legs at the knee onto the abdomen.
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