Deck 17: Processes and Stages of Labor and Birth

Question 1

A client is admitted to the labor and delivery unit with contractions that are 2 minutes apart,lasting 60 seconds.She reports that she had bloody show earlier that morning.A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated.The nurse knows that the client is in which phase of labor?

A)Active
B)Latent
C)Transition
D)Fourth

Answer 1

Transition

Question 2

A laboring client is beginning to hyperventilate.The nurse recognizes this could result in:

A)Respiratory alkalosis.
B)Metabolic alkalosis.
C)Respiratory acidosis.
D)Metabolic acidosis.

Answer 2

Respiratory alkalosis.

Question 3

While caring for a labor client,you notice during a vaginal exam that the baby's head has rotated internally.What would you expect the next set of cardinal movements for a baby in a vertex presentation to be?

A)Flexion,extension,restitution,external rotation,expulsion
B)Expulsion,external rotation,restitution
C)Restitution,flexion,external rotation,expulsion
D)Extension,restitution,external rotation,expulsion

Answer 3

Extension,restitution,external rotation,expulsion

Question 4

The midwife performs a vaginal exam and determines that the fetal head is at a −2 station.As the nurse,you know that birth:

A)Is imminent.
B)Is likely to occur in 1-2 hours.
C)Will occur later in the shift.
D)Is difficult to predict.

Question 5

A nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

A)Occiput posterior.
B)Mentum anterior.
C)Occiput anterior.
D)Mentum posterior.

Question 6

How would the nurse best analyze the results from a client's sonogram that show the fetal shoulder as the presenting part?

A)Breech,transverse
B)Breech,longitudinal
C)Military,longitudinal
D)Vertex,transverse

Question 7

To identify the duration of a contraction,the nurse would:

A)Start timing from the beginning of one contraction to the completion of the same contraction.
B)Time between the beginning of one contraction and the beginning of the next contraction.
C)Palpate for the strength of the contraction at its peak.
D)Time from the beginning of the contraction to the peak of the same contraction.

Question 8

The labor nurse would not encourage a mother to bear down until the cervix is completely dilated to prevent: (Select all that apply. )

A)Maternal exhaustion.
B)Cervical edema.
C)Tearing and bruising of the cervix.
D)Enhanced perineal thinning.

Question 9

A clinic nurse is preparing diagrams of pelvic shapes.Which pelvic shapes are considered least adequate for childbirth? Select all that apply.

A)Android
B)Anthropoid
C)Gynecoid
D)Platypelloid

Question 10

A primigravida calls Labor and Delivery and tells the nurse that she is 39 weeks pregnant and that over the last 4 or 5 days,she has noticed that although her breathing has become easier,she is having leg cramps,a slight amount of edema in her lower legs,and an increased amount of vaginal secretions.The nurse tells the client that she has experienced what is commonly called:

A)Quickening.
B)Lightening.
C)Dilation.
D)Braxton Hicks contractions.

Question 11

During the fourth stage of labor,your client's assessment includes a BP of 110/60,pulse 90,and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus.You would:

A)Turn her onto her left side.
B)Place the bed in Trendelenburg position.
C)Massage the fundus.
D)Continue to monitor.

Question 12

When comparing the anterior and posterior fontanelles of a newborn,it can be said that both:

A)Are approximately the same size.
B)Close within 12 months of birth.
C)Are used in labor to identify station.
D)Allow for molding of the head.

Question 13

A primigravida client arrives in the labor and delivery unit and describes her contractions as occurring every 10-12 minutes,lasting 30 seconds.She is smiling and very excited about the possibility of being in labor.On exam,her cervix is dilated 2 cm,100% effaced,and is a −2 station.What best describes this labor?

A)Second phase
B)Latent phase
C)Active phase
D)Transition phase

Question 14

A client is admitted to the labor unit with contractions 1.5-2 minutes apart lasting 60-90 seconds.The client is apprehensive and irritable.This client is most likely in what phase of labor?

A)Active
B)Transition
C)Latent
D)Second

Question 15

A client who is having false labor most likely would have: (Select all that apply. )

A)Contractions that do not intensify while walking.
B)An increase in the intensity and frequency of contractions.
C)Progressive cervical effacement and dilatation.
D)Pain in the abdomen that does not radiate.