Question 1

The physician performs an amniotomy on a laboring woman.What will be the nurse's priority assessment immediately following this procedure?

Accepted Answer

The FHR should be assessed for at least 1 full minute after the membranes rupture and must be recorded and reported.Marked slowing of the rate or variable decelerations suggests that the fetal umbilical cord may have descended with the fluid gush and is being compressed.Fluid amount should be assessed and recorded but is not the top priority.Maternal blood pressure and deep tendon reflexes are not appropriate assessments following rupture of membranes.

Question 2

The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor.What is the most appropriate nursing diagnosis?

Accepted Answer

In the fourth stage of labor,a priority nursing action is identifying and preventing hemorrhage.

Question 3

Using a diagram,the nurse demonstrates the sequence of the mechanisms of labor.Place the seven mechanisms of labor in sequential order.Put a comma and space between each answer choice (a,b,c,d,etc.)

Accepted Answer

The process by which a normal vaginal delivery is accomplished requires the infant to make the descent into the birth canal,engage,flex and internally rotate,and extend and externally rotate to be expelled.

Question 4

The nurse may assist the health care provider in determining the fetal position and presentation by abdominal palpations called _____________________________ _____________________________.

Accepted Answer

The answer of The nurse may assist the health care...

Question 5

The nurse is caring for a patient who is not certain if she is in true labor.How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?

Accepted Answer

Ambulation will stimulate effacement and intensify contractions if the patient is in true labor.

Question 6

The nurse explains that the "four Ps" of the birth process are __________,__________,__________,and __________.

Accepted Answer

The answer of The nurse explains that the "four Ps"...

Question 7

What are the advantages of a freestanding birth center?

Accepted Answer

Advantages of a freestanding birth center include a homelike setting and lower costs because the center does not require expensive departments such as emergency or critical care. Freestanding birth centers are not designed for high-risk patients,are not attended by certified obstetricians,and do not have immediate emergency access.

Question 8

What is the best nursing action to implement when late decelerations occur?

Accepted Answer

The major objective of care for late decelerations is to increase maternal oxygen.IV fluids are increased to increase placental perfusion,oxytocin drips are stopped,and the patient is positioned to prevent supine hypotension.

Question 9

What do late decelerations indicate?

Accepted Answer

This nonreassuring pattern indicates uteroplacental insufficiency and fetal heart compression.Prolonged decelerations indicate cord compression and early decelerations indicate head compressions.

Question 10

The husband of a woman in labor asks,"What does it mean when the baby is at minus 1 station?" After giving an explanation,what statement by the husband indicates that teaching was effective?

Accepted Answer

Station describes the level of the presenting part in the pelvis.It is estimated in centimeters from the level of the ischial spines.Minus stations are above the ischial spines.

Question 11

A pregnant woman arrives at the emergency department (ED)and reports she is in labor.After a thorough examination and diagnostic testing,it is determined to be false (prodromal)labor.What signs and symptoms would lead the nurse to suspect false (prodromal)labor?

Accepted Answer

Painless tightening of abdominal muscles (Braxton-Hicks contractions)and cervix thick and not effaced lend to the determination of false (prodromal)labor.Leaking of vaginal fluid may indicate rupture of membranes and is a sign of true labor.Contractions that intensify with ambulation and pink spotting (bloody show)are signs of true labor.

Question 12

At 1 and 5 minutes of life,a newborn's Apgar score is 9.What does the nurse understand that a score of 9 indicates?

Accepted Answer

Apgar scoring is a system for evaluating the infant's need for resuscitation at birth.Five categories are evaluated on a scale from 0 to 2,with the highest score being 10.A score of 9 indicates that the newborn is stable.

Question 13

After the membranes have ruptured,the nurse should assess the fetal heart rate (FHR)for ________ minute(s).

Accepted Answer

The answer of After the membranes have ruptured,the nurse should...

Question 14

A nursing student is observing prenatal exams in the office setting.The health care provider informs the student that the fetal position is LSA.The student interprets this as a ____________________ presentation.

Accepted Answer

The answer of A nursing student is observing prenatal exams...

Question 15

After the pregnant woman is admitted to the labor suite,the nurse assesses the position of the infant as ROA; this means that the infant's head is _________ __________ _________.

Accepted Answer

The answer of After the pregnant woman is admitted to...

Question 16

What is the nurse primarily concerned about maintaining in the initial care of the newborn?

Accepted Answer

Thermoregulation is necessary to keep heat loss minimal and oxygen consumption low.Hypothermia can cause cold stress,which leads to hypoxia.

Question 17

A pregnant woman,gravida 2,para 1,tells the nurse she desires a VBAC (vaginal birth after cesarean section)with this pregnancy.What is the primary concern regarding complications for this patient during labor and birth?

Accepted Answer

Nursing care for women who plan to have a VBAC is similar to that for women who have had no cesarean births.The main concern is that the uterine scar will rupture,which can disrupt the placental blood flow and cause hemorrhage.Observation for signs of uterine rupture should be part of the nursing care for all laboring women,regardless of whether they have had a previous cesarean birth.

Question 18

While caring for an Arab woman in labor,the nurse should provide cultural sensitivity through which interventions?

Accepted Answer

Arab women are extremely modest,usually have a low pain tolerance,and wear various protective and religious amulets.The husband is in attendance but not as a participant.Arabs prefer female caregivers.If a male is in attendance,then the husband will remain in the room as long as the male is there.

Quiz 6: Nursing Care of Mother and Infant During Labor and Birth