Maternity/Infant Health (Exam Three)

Question 1

List the five P’s of the birth and labor process.

Answer 1

• Passenger
• Passageway
• Powers
• Position of mother
• Psychological response

Question 2

What is molding?

Answer 2

Shaping of the fetal head during labor

Question 3

Describe fetal attitude.

Answer 3

Relation of the fetal body parts to one another

Question 4

Which fetal attitude is considered normal?

Answer 4

General flexion

Question 5

Which type of fetal lie is preferred during a vaginal birth?

Answer 5

Longitudinal lie

Question 6

When does the anterior fontanel close?

Answer 6

18 months

Question 7

When does the posterior fontanel close?

Answer 7

6 to 8 weeks

Question 8

What landmark is used to assess fetal station?

Answer 8

Ischial spine

Question 9

The nurse knows a documentation of -3 station indicates what for the laboring mother?

Answer 9

Presenting part is 3 cm above the ischial spine

Question 10

The nurse knows a documentation of +2 station indicates what for the laboring mother?

Answer 10

Presenting part is 2 cm below the ischial spine

Question 11

Crowning or imminent birth is indicated when the presenting part is at what station?

Answer 11

+4 or +5 station

Question 12

List the four pelvic types.

Answer 12

• Gynecoid
• Android
• Anthropoid
• Platypelloid

Question 13

What pelvic type is the most common and most desirable?

Answer 13

Gynecoid

Question 14

Are contractions are considered a primary or secondary power?

Answer 14

Primary power

Question 15

Are bearing-down efforts are considered a primary or secondary power?

Answer 15

Secondary power

Question 16

Primary powers are responsible for what?

Answer 16

• Effacement
• Dilation
• Ferguson reflex

Question 17

List the signs of preceding labor.

Answer 17

• Lightening

- Bloody show

Question 18

Which stage of labor varies the most in length?

Answer 18

First

Question 19

Describe lightening.

Answer 19

• Fetus descends into the pelvis

- Decrease in fundal height

Question 20

The maternal cardiac output will ________ during labor and delivery.

Answer 20

Increase

Question 21

Describe the first stage of labor.

Answer 21

-Onset of regular contractions to full dilation

Question 22

Describe the second stage of labor.

Answer 22

-Full dilation to birth

Question 23

Describe the third stage of labor and its duration.

Answer 23

• Birth until delivery of placenta

- 30 minutes

Question 24

Describe the fourth stage of labor and its duration.

Answer 24

• Delivery of placenta

- At least the first two hours following birth

Question 25

The turns and other adjustments necessary in the human birth process are referred to as what?

Answer 25

Mechanism of labor

Question 26

What factors affect the descent mechanism of labor?

Answer 26

• Shape of maternal pelvis

- Size of fetal head

Question 27

The nurse knows what in regard to the patients pain level?

Answer 27

Pain is always what the patient says it is