EXAM 2

Question 1

When the fetus descends, dilates the vagina, & puts pressure on the pelvic floor there is a strong urge to push. This is known as?

Answer 1

Ferguson reflex

Question 2

Shortening and thinning of the cervix during the 1st stage of labor?

Answer 2

Effacement

Question 3

May exhibit reactions to pain, and consider accepting something when it’s first offered impolite… Therefore, pain interventions must be offered more than once?

Answer 3

Chinese

Question 4

Vocal in response to labor pain and prefer pain meds?

Answer 4

Arab or middle Eastern women

Question 5

May be stoic in response to labor pain but may request pain meds when it becomes severe?

Answer 5

Japanese women

Question 6

May endure severe pain before requesting relief?

Answer 6

Southeast Asian women

Question 7

May be stoic until late in labor, when they may become vocal and request pain relief?

Answer 7

Hispanic women

Question 8

May use meds or remedies made from indigenous plants and are often stoic in response to labor pain?

Answer 8

Native American women

Question 9

May express pain openly.. Use of pain meds varies?

Answer 9

African americans

Question 10

Effleurage and counter pressure bring relief to pregnant women at what point in pregnancy?

Answer 10

First stage labor

Question 11

Hydrotherapy is usually initiated during which point of labor?

Answer 11

Active labor @ 5 cm

Question 12

When can acupuncture/pressure be initiated to relieve pregnancy pain?

Answer 12

Pregnancy
Labor
PP

Question 13

Mild contractions every 5-10 min, lasting 30-45 sec and a dilation of 0-3 cm are characteristics of?

Answer 13

LATENT phase

Question 14

Effective for relieving severe, persistent, or recurrent pain?

Answer 14

Opioid Agonist Analgesics

Question 15

Provide adequate analgesia without causing significant respiratory depression in the mother or neonate?

Answer 15

Opioid agonist-antagonist analgesics

Question 16

Intrapartum begins with?

Answer 16

True labor

Question 17

When does the first stage of labor:
A.) Start?
B.) End?

Answer 17

A) Beginning of regular contractions or ROM

B) 10 cm dilation and 100% effacement

Question 18

When does the second stage of labor:
A.) Start?
B.) End?

Answer 18

A) 10 cm dilation

B) Delivery of fetus

Question 19

When does the third stage of labor:
A.) Start?
B.) End?

Answer 19

A) Delivery of fetus

B) Delivery of placenta

Question 20

When does the fourth stage of labor:
A.) Start?
B.) End?

Answer 20

A) After placenta has been delivered

B) About 2 hrs after delivery of placenta

Question 21

TRUE LABOR characteristics?

Answer 21

Pain in lower back that radiates to abdomen
Pain accompanied by regular rhythmic contractions
Contractions that intensify with ambulation
Progressive cervical dilation and effacement

Question 22

FALSE LABOR Characteristics?

Answer 22

Discomfort localized in abdomen
No lower back pain
Contractions decrease in intensity/freq with walking

Question 23

The latent phase lasts from?

Answer 23

Beginning of true labor until 3-4 cm dilation?

Question 24

The Active phase lasts from?

Answer 24

4-7 cm dilation

Question 25

The transition phase lasts from?

Answer 25

8-10 cm dilation

Question 26

Which phase does the woman appear mildly anxious, conversant, and able to continue normal activities?

Answer 26

LATENT

Question 27

What are the contractions like in the latent phase:
A) Initially?
B) Later?

Answer 27

A) MILD, 10-20 min apart, 15-200 sec duration

B) 5-7 min apart, 30-40 sec duration