Adaptive Quizzing OB

What cervical dilation indicates the first stage of labor?

0-10 cm

Which phrase would a nurse use to document a FHR increase of 15 bpm over baseline of 135 bpm for 15 seconds? A. An acceleration B. An early increase C. A sonographic motion D. Tachycardia

A. An acceleration is an abrupt increase in FHR above the baseline of 15 bpm for 15 or more seconds. If it lasts for more than 10 minutes, it is considered a baseline change.

Which cervical changes are observed during pregnancy? A. Cervical tip becomes soft B. Fragility of cervical tissues decreases C. Volume of cervical muscle increases D. External cervical os appears as a jagged slit E. The elasticity of collagen-rich connective tissue increases

A. Cervical tip becomes soft C. Volume of cervical muscle increases E. The elasticity of collagen-rich connective tissue increases

When does the second stage of labor end?

At the time of birth

Which would a nurse recommend to a client who is formula-feeding and experiencing discomfort and engorged breasts? A. Use warm moist towels as a compress B. Express milk manually C. Apply cold packs and a snug fitting bra D. Restrict fluid intake

C. Apply cold packs and a snug fitting bra Cold relieves discomfort, snug bras promote pressure atrophy of acini cells so that milk production is suppressed.

What is the immediate nursing action when a client's membranes rupture spontaneously, releasing clear, odorless fluid? A. Change the bedding B. Notify the practitioner C. Assess the fetal heart rate D. Obtain the client's blood pressure

C. Assess the fetal heart rate The FHR will reflect how the fetus tolerated the rupture of the membranes

WHich type of lochia would the visiting nurse expect to observe on a client's pad on the third day after a vaginal delivery? A. Scant alba B. Scant rubra C. Moderate rubra D. Moderate serosa

C. Moderate rubra

Which Lethicin/Sphingomyelin (L/S) ratio of amniotic fluid shows fetal lung maturity? A. 1:1 B. 1.4:1 C. 1.8:1 D. 2:1

D. 2:1

Which client statement about a NST indicates successful teaching? A. An IV will need to be placed for the medication before the test B. My baby may get very restless after the test C. I hope this test doesn't cause early labor D. If the heart reacts well, my baby should be able to tolerate labor

D. If the heart reacts well, my baby should be able to tolerate labor

Which physiological changes would the nurse anticipate after an amniotomy is performed? A. Diminished body show B. Increased and more viable fetal heart rate C. Less discomfort with contractions D. Progressive dilation and effacement

D. Progressive dilation and effacement Artificial rupture of the membranes allow for more effective exertion of force against the cervix

Sequence the seven cardinal movements of the mechanism of labor in the order they occur in a vertex presentation A. Flexion B. Engagement C. Expulsion D. Extension E. External rotation F. Descent G. Internal rotation

F. Descent B. Engagement A. Flexion G. Internal rotation D. Extension E. External rotation C. Expulsion

What are classic signs of preeclampsia?

Facial swelling, blurred vision, and epigastric discomfort

Which condition is detected with an alpha-fetoprotein test?

Neural tube defects

Which potential complication is associated with ketonuria associated with calorie restriction?

Preterm labor

Which fetal heart tracing during labor can most likely result in fetal hypoxia and metabolic acidosis?

Recurrent late decelerations

Which instruction does the nurse give to a client who arrives at the birthing room with the fetal head crowning?

Slow the process with the pant-breathing pattern so the nurse can have time to adequately support the baby

A client receiving pitosin (oxytocin) is having contractions 2 minutes apart, lasting for 95 seconds. What is the appropriate nursing action?

Stop the infusion

A fetal monitor detects late decelerations, what intervention should the nurse implement?

Turn her on her side: this relieves pressure on the vena cava and improves placental perfusion

Which nutritional deficiency in pregnant women places the fetus at risk of malformations of the CNS?

Zinc