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Maternity Chapter 15 Exam Questions with Answers
Typology: Exams
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Meconium-stained amniotic fluid
information would guide the nurse's planning of nursing care?: A woman may spend time thinking about what is happening to her
and birth unit. The nurse is discussing ways to promote a positive birth outcome for the woman in labor. The nurse determines that additional teaching is necessary when the group identifies which measure?: Allowing the woman time to be alone
expulsion of the placenta has not occurred within 5 minutes after birth of the infant. What should the nurse do?: Nothing. Normal time for stage three is 5 to 30 minutes
explains that softening, thinning, and shortening of the cervical canal occur during the first stage of labor. Which term is the nurse referring to in the explanation?: effacement
the nurse prepare to do to assist the patient at this time?: Administer oxytocin (pitocin) as prescribed
a shoulder presentation. For which condition associated with shoulder presentation during a vaginal birth should the nurse assess?: Fetal anomalies
she went to bed last night the fetus was high in the abdomen, but this morning the fetus feels like it has dropped down. After asking several questions, the nurse explains this is probably due to:: Lightening
pregnant client. The nurse concludes that the obstetric conjugate will be how long if the distance between the symphysis pubis and sacral promontary is 13 cm?: 11 cm
What do women in the transition phase of labor need the most?: Pos- itive reinforcement
fetal skull that is smallest should align with the anteroposterior diameter of the mother's pelvis, which is the narrowest diameter at the pelvic inlet?: - transverse (biparietal)
contractions is every 5 minutes
concerned with the edema and ecchymosis on the baby's scalp. How should the nurse explain this to the parents after noting the baby was ROA in labor?: Ecchymosis with edema on the scalp is where the infant was pushed out of the canal.
birth canal? Select all that apply.: Vaginal rugae stretch and smooth out, cervix dilates to 10cm and cervix softens
presentation. The nurse determines that which part is presenting?: occiput
assessing her notes that the fetus is in a cephalic presentation. Which description should the nurse identify by the term presentation?: part of the fetal body entering the maternal pelvis first
Which action should the nurse do first after this occurs?: Assess fetal heart rate for fetal safety
beginning of the one contraction to the beginning of the next contraction. The nurse documents this finding as:: frequency
is in labor. The nurse instructs the woman to go to the health care facility based on the client's report of contractions that are:: occurring about every 5 minutes
presenting part. The nurse interprets this finding as indicating which fetal presentation?: Shoulder
scheduled prenatal visit. The nurse predicts the woman is close to labor based on which assessment finding?: Nesting
about being in labor. Which response should the nurse prioritize?- : Ask the woman to describe why she believes that she is in labor
gynecoid pelvis. Upon the client entering the labor and delivery department, which nursing action is best?: Take no extra measures; prepare for a standard labor
of a primigravid mother?: Significant head molding
between contractions during labor?: restoration of blood flow to uterus and placenta
labor contractions. The nurse determines the session is successful when the class correctly chooses which factor as an indication of true labor contraction?: increase even if relaxing and taking a shower
When illustrating the birth process, the nurse should point out zero station refers to which sign?: "The presenting part is at the true pelvis and is engaged."
during the passage through the vaginal canal at birth. The instructor determines the session is successful when the students correctly identify the ROA position, indicating which presentation by the fetus?: Facing the right anterior pelvic quadrant
is lower and it is more difficult to walk." Which response should the nurse prioritize?: "The baby has dropped into the pelvis; your body and baby are getting ready for labor in the next few weeks."
the fetal skull, the nurse describes the anterior fontanelle. Which description would the nurse include?: Approximately 2-3cm in size
would the nurse consider normal?: Increase WBC
following findings to the primary care provider: fetal heart rate is 152 bpm, cervix is 100% effaced and 5 cm dilated, membranes are intact, and presenting part is well applied to the cervix and at -1 station. The nurse recognizes that the client is in which stage of labor?: First, Active
and distressed with the intensity of her frequent contractions. The nurse observes moderate bloody show and performs a vaginal examination to assess the progress of labor. The cervix is 9 cm dilated. The nurse knows that the client is in which phase of labor?: transition phase
tracing should the nurse assess on the monitor to confirm this find- ing?: Fetal heart rate declining late with contractions and remaining depressed
maneuver does not need to be done. What information caused the nurse to make this decision?: The fetus is not in a cephalic presentation
position should the nurse assist to help the patient at this time?: - Semi-Fowler's position with legs bent against the abdomen
-Hicks contractions. Which of the following would the nurse explain as the cause of these contractions?: Uterine distention
include the fact that there are several theories that have been proposed to explain why labor begins, although none have been proven scientifically. Which idea is one of those theories?: change in estrogen-to-progesterone ratio
date. During the visit the nurse would emphasize that the client get evaluated quickly should her membranes rupture spontaneously based on the understanding of which possibility?: increased risk of infection
in preparation for labor. Which hormone would the nurse include in the explanation as being responsible for causing the pelvic connective tissue to become more relaxed and elastic?: Relaxin
labor. The nurse assesses the fetal scalp pH and determines it is 7.26. How should the nurse explain this result to the client when asked what it means?: Reassuring; it is associated with normal acid-base balance
finding should the nurse attribute to the role of prostaglandins?: The cervix is softening
a group of nursing students. The instructor determines the class is successful when the students correctly choose which factor is specific for an anthropoid pelvis?: Is narrow transversely
skull during the birth process. What would the nurse include as the usual cause of molding?: poorly ossified bones of the cranial vault
options must be used.: Latent, active, transition phases; Second phase; Third phase
contractions she is having are true contractions or Braxton Hicks contrac- tions. Which description should the nurse mention as characteristic of true contractions?: increase in duration, frequency, and intensity; felt first in lower back and sweep around to the
client has moved into the active phase based on which assessment findings? Select all that apply.: Contractions lasting up to 60s; cervical dilation 6cm
the nurse describes one type as being flat, having a wider transverse diameter than anterior-posterior diameter, with ischial spines that are wide apart, and a short sacrum. The students are correct when they identify this description with which type?: Platypelloid
Which outcome would be the most appropriate for the patient at this time?: Patient will adjust body to attain the most comfortable position
report of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical examination conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. What should the nurse do next?: Continue to monitor the client
expulsion. Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?: to constrict the uterine blood vessels
nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive birth experience? Select all that apply.: Encourage the client to have a sense of mastery and self-control; Encourage the client to have a positive reaction to pregnancy; Provide the client clear information on procedures involved
determines the fetus is at -1 station. The nurse interprets this as indicating that the fetus is:: 1 cm above the ischial spines
The nurse prepares for the possibility of a cesarean delivery after noting the client has which type of pelvis documented?: Andriod