maternal-newborn nursing 2

Question 1

is complex and has both physiological and psychological components

Answer 1

intrapartum pain

Question 2

cause visceral hypoxic pain

Answer 2

uterine contractions

Question 3

this anesthetic agent is usually administered when the client is in active labor

Answer 3

epidural regional anesthesia

Question 4

what is the baseline FHR

Answer 4

110 to 160bpm over 10 minutes

Question 5

is a greater than 160bpm over a 10 minute period

Answer 5

fetal tachycardia

Question 6

is an FHR of less than 110bpm for 10 minutes

Answer 6

fetal bradycardia

Question 7

the term used to describe the normal small fluctuations in heartbeat rate observed over 1 min

Answer 7

FHR variability

Question 8

is from the onset of regular uterine contractions to the full effacement and dilation of the cervix.

Answer 8

first stage of labor

Question 9

what are the two phases of the first stage of labor

Answer 9

latent and active

Question 10

up to 3cm dilation, extend from the onset of labor, with regular, painful contractions, that causes effacement cervical change and little increase in descent

Answer 10

latent phase

Question 11

4 to 10cm dilation, there is more rapid dilation of the cervix and increased rate of descent of the presenting part

Answer 11

active phase

Question 12

from 10 cm dilation and effacement to the birth of the infant, up to two hours for a primipara, often much less time for multipara

Answer 12

second stage of labor

Question 13

from the birth of the infant to the expulsion of the placenta, lasting up to 60 minutes

Answer 13

third stage of labor

Question 14

is the immediate recovery and stabilization time, from the delivery of the placenta to atleast 2 to 4 hours after the birth

Answer 14

fourth stage of labor

Question 15

these are the various positions the fetus assumes in a cephalic presentation and it moves through the confines of the pelvis and birth canal

Answer 15

cardinal movements

Question 16

the fetus moves downward into the pelvic passageway

Answer 16

engagement and descent

Question 17

the head flexes downward, chin to chest

Answer 17

flexion

Question 18

the head rotates 45 degrees

Answer 18

internal rotation

Question 19

the head passes under the symphysis pubis and reaches the perineum

Answer 19

extension

Question 20

the head rotates back to its origional position, followed by shoulder rotation

Answer 20

external rotation

Question 21

the shoulders pass under the pubic arch and perineum, the body is delivered

Answer 21

expulsion

Question 22

prolonged abnormal labor related to maternal factors or fetal factors

Answer 22

dystocia

Question 23

is a surgical incision made into the perineum to enlarge the vaginal outlet

Answer 23

episiotomy

Question 24

are a tear of the tissues that results in a jagged wound

Answer 24

vaginal lacerations

Question 25

involves the superficial vaginal mucosa or perineal skin

Answer 25

first degree

Question 26

involves the vaginal mucosa, perineal skin and deeper tissues of the perineum

Answer 26

second degree

Question 27

involves the vaginal mucosa, perineal skin, deeper tissues or the perineum and the anal sphincter

Answer 27

third degree

Question 28

extends through the anal sphincter into the rectal mucosa

Answer 28

fourth degree

Question 29

usually stimulates contractions within 12 hrs. amnotic fluid slowly released. the fetal head should be engaged to prevent cord prolapse.

Answer 29

AROM

Question 30

what are cervical ripening methods>

Answer 30

foley catheter insertion into the cervix, cervical prostaglandin gel and augmentation 24hrs later with oxytocin infusion