Quiz #2 Objectives - Ricci
Week 3 content
1. Identify premonitory signs of labor.
2. Compare and contrast true versus false labor.
3. Categorize the critical factors affecting labor and birth.

Apply an understanding of the “5 P’s” to the effectiveness of the labor process

Explain how fetal position is described and the implication to care during labor

Describe characteristics of the passenger and passage.

Identify the types of presentations and explain potential problems of presentations other than
vertex.
4. Analyze the cardinal movements of labor.
5. Evaluate the maternal and fetal responses to labor and birth.
6. Examine the concept of pain as it relates to the woman in labor.
7. Classify the stages of labor and the critical events in each stage.
8. Characterize the normal physiologic/psychological changes occurring during all four stages of labor.
9.Examine the measures used to evaluate maternal status during labor and birth
10. Fetal Assessment
 Explain the physiologic mechanisms creating changes in FHR patterns
o Identify and name basic FHR patterns.
o Plan appropriate nursing interventions and evaluations based on assessment to maintain fetal
well-being.
o Define the following FHR monitoring terminology & be able to visually identify each:
o normal baseline
o early deceleration
o baseline tachycardia
o variable deceleration
o baseline bradycardia
o late deceleration
o variability
o prolonged deceleration


Discuss interventions to perform in response to fetal monitoring patterns
Discuss benefits and limitations of fetal monitoring methods – ultrasound, fetal spiral electrode,
tocodynamometer, intrauterine pressure catheter
 Discuss the advantages and disadvantages of external and internal fetal monitoring, including the
appropriate use of each
11. Outline the nurse’s role in fetal assessment
12. Pain management
 Discuss common analgesic agents and nursing considerations for each.
 Discuss three regional anesthetics that can be used for labor & birth.
 List nursing implications and teaching needs when an epidural is administered.
 Explain the major differences between a spinal and an epidural.
Quiz #2 Objectives - Ricci
13. Appraise the various comfort promotion and pain relief strategies used during labor and birth
14. Summarize the assessment data collected upon admission to the perinatal unit
15. Relate the ongoing assessments involved in each stage of labor and birth
16.Analyze the nurse’s role throughout the labor and birth process
Week 4 Content
1. Compare and contrast a normal pregnancy to a high-risk one. Determine the common factors that
might place a pregnancy at high risk
2. Develop plans of care for women experiencing pre-eclampsia, eclampsia, and HELLP syndrome
3. Describe Rh incompatibility and hemolytic disease of the newborn.
4. Evaluate factors in a woman’s prenatal history that place her at risk for pre-labor rupture of
membranes (PROM)
5. Formulate a teaching plan for maintaining the health of pregnant women experiencing a high-risk
pregnancy.
6.Evaluate the nursing assessment and management for a pregnant woman with diabetes from that of a
pregnant woman without diabetes.
7.Determine the impact of pregnancy on a woman over the age of 35
8.Analyze the effects of substance abuse during pregnancy














List medications used for labor induction/augmentation
Discuss delivery emergencies and appropriate nursing care.
State two interventions that may be implemented in a shoulder dystocia.
Identify physiological changes that are characteristic of preterm labor.
Describe principles of administration of medications prescribed for clients with preterm labor.
Describe risk factors associated with the development of premature and prolonged rupture of
membranes.
Identify nursing interventions for post date pregnancy
Describe the pathophysiology of hypertensive disorders of pregnancy.
Describe medications prescribed for clients with hypertension in pregnancy.
Describe the clinical implications of bleeding during pregnancy
Differentiate between the primary causes for vaginal bleeding during pregnancy based on the
presentation
List the risk factors for and types of ectopic pregnancy
Discuss molar pregnancy including presentation and follow-up care including monitoring with HCG
Discuss education related to contraception after ectopic, incompetent cervix and molar pregnancies