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*NURSING > A-Level Question Paper > NURS 340 EXAM 2 (All)

NURS 340 EXAM 2

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1. What are goals and education for childbirth? o Stages of labor, helping pt prepare (prenatal care, birth classes) o Point of classesisto inform and help make decisions, natural childbirth, c-section, relaxation o Childbirth education goal: to reduce anxiety while providing physiologic- and psychosocial-based education along with labor-coping techniques, including relaxation tools, such as muscle relaxation and breathing exercises. o Types of classes: programsfor preparation, body-conditioning exercises, relaxation exercises, breathing techniques 2. Why is it important to teach relaxation techniques, what isthe purpose of relaxation techniques? o Important for pain management, the body doesn’t oxygenate itself when pt holdstheir breath (increases pain) o Keep pt well oxygenated, itll keep labor progressing o Relaxation during labor allows women to conserve energy and the uterine muscles to work more efficiently 3. Identify the 4 types of pelvis: know the 2 favorable for vaginal delivery and 2 not favorable o Doctors usually feel and ultrasound o For vaginal delivery, pp. 322 and 323 o Pelvis should be round shape for baby’s head o Favorable= gynecoid and anthropoid o Not favorable= android and platypelloid 4. What are the critical factors for labor? o 5 P’s, birth passage, passenger (fetus), passageway relationship between pelvis and baby, psychological factors “how often is she contracting?”, psychosocial factor “how is she coping?” ”what are her values and beliefs” o Passenger (fetus and placenta) o Passageway (birth canal) o Powers(contractions) o Position (of the woman) o Psychological response 5. Identify the cephalic fetal presentations, what isthe most common? Is this normal? o P. 324, head first always, cephalic, suture lines ***KNOWDECELSANDINTERVENTIONS,IWOULDREADFORTHATSE o However there’s 4 different ways a newborn can be delivered, brow and face presentation are hard to deliver o Sometimesforceps are needed, be careful with face presentation o Do not know engagement station, you don’t need to determine the position the client is in ROA, LOA o Vertex presentation *most common*, sinciput (median vertex) presentation/military, brow presentation, and face presentation

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