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1230 OB Test 3 Blueprint

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Question
Answer
show Passageway, Passenger, Powers, psyche  
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show negatively  
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Passageway consists of   show
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show gynecoid  
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Birth Canal is the   show
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Effacement occurs first   show
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show Fetal skull and the fetal accomodation to the passageway.  
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The fetal accomodation to the passageway is how their spine is in conjunction with   show
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Longitudinal Lie   show
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show In between longitudinal and traverse lie  
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show the Long axis of the fetus is perpindicular to the long axis of the woman  
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Presentation   show
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show head  
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show feet or buttocks  
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shoulder presentation   show
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Attitude   show
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show the relationship of the reference point on the presenting part to the quadrants of the maternal pelvis  
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show Presenting part is at the level of iscial spines (at the door)  
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show Presenting part is above the ischial spines (up in the body)  
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show presenting part is below the iscial spines (coming out)  
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show Phases of involuntary uterine contraction  
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show building up of the contraction - longest phase  
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show Peak  
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Parts of the contraction: Decrement   show
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Parts of the contraction: Relaxation   show
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Psyche   show
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Cardinal Movements of Labor   show
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show When the mother not only FEELS the baby coming but MENTALLY knows the baby is coming and even contraction  
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show Excited and Talkative  
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During active labor activity   show
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Spiral electrode is attached to   show
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Baseline Fetal Heart Rate   show
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show 110 bpm and 160 bpm  
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show greater than 6bpm amnd less than 25bpm  
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Periodic changes are variations in the FHR pattern that   show
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Episodic changes are variations in the FHR pattern   show
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show increase in braxton hicks contractions without cervical changes - can be uncomfotable  
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True Labor   show
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Early decelerations are   show
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show uteroplacental insufficiency  
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variable decelerations indicate some type of   show
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show below the baseline  
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The nurses role to help with decelerations   show
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Stages of Labor:   show
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show Sense that the baby has "dropped"  
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show FHR and contractions at least once every hour, maternal status, status of fetal membranes, the womans psychosocial state.  
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Ineffective breathing pattern: hyperventilation   show
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show Blast phase/trasition of labor - too late!  
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Bishop Scale   show
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Cesarean Section   show
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show Previous classic Csection uterine scar, placenta previa, history of previous uterine rupture, lack of facitilites or equipment to perform immediate Csection  
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show History of previous cesarean, labor dystocia, non-reassuring fetal status, fetal malpresentation  
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show Helped with a trained nurse or doula (trained layperson who coaches) increases the coping ability of the laboring woman. Fewer requests for pain meds. lower rate of Csections.  
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Nonpharmacologic Intervention for pain relief: Comfort Measures   show
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Nonpharmacologic Intervention for pain relief: Relaxation Techniques   show
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Pharmacologic Interventions for pain relief: Analgesia and sedation   show
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show antidote for opidoids  
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show Local, Regional, and general. Local numbs perineum just before birth. Regional pain relief during labor and birth (preferred for nonemergent cesarean), General for emergencies  
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show Stops premature labor  
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Meconium aspiration is   show
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show protraction: abnormally slow progression of labor; arrest: total lack of progress  
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Diagnosis of labor dystocia is made after two hours of   show
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Nursing care for Hypotonic uterin dysfonction   show
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Nitrazine Paper   show
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show the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy. It can occur just before labor or in early labor as the cevix changes shape. Freeing mucus and blood that occupied the cervix.  
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Rupture of Membranes (ROM)   show
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Umbilical Cord Prolapse   show
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show Mcroberts maneuver (tried first) two nurses holding the leg up. Suprapubic manuever - Mcroberts plus applying pressure.  
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