E2 247 Chpt 13 Study Guide Q's
A nurse is assigned the task of educating a pregnant client about childbirth. Which of the following nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive childbirth experience?
- Provide the client clear information on procedures involved - Encourage the client to have a sense of mastery and self-control - Encourage the client to have a positive reaction to pregancy
A nurse is caring for a pregnant client during labor. Which of the following methods should the nurse use to provide comfort to the pregnant client? Select all
- hand holding - massaging - acupuncture
____ ____ allows the shoulders to rotate internally to fit the maternal pelvis
External rotation
What are the phases of labor (in proper order)
Latent Phase Active Phase Transition Phase Pelvic Phase Perineal Phase Placental Separation Placental Expulsion
A client in her third trimester of pregnancy arrives at a health care facility complaining 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 RN indicates that the client has what?
Lightening
A pregnant client is admitted to a maternity clinic for childbirth. Which assessment finding indicates that the client's fetus is in the transverse lie position?
Long axis of fetus is perpendicular to that of client
A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. the nurse understands that which of the following is causing extreme pain the client? Select all
Lower uterine segment distention Stretching and tearing of structures Dilation of cervix
A pregnant client is admitted to a maternity clinic after experiencing contractions. The nurse knows that which of the following marks the importance of the pauses between contractions during labor?
Restoration of blood flow to uterus and placenta
A pregnant client wants to know why the labor of a first-time-pregnant woman usually lasts longer than that of a woman who has already delivered once and is pregnant a second time. What explanation should the nurse offer the client?
The cervix takes around 12-16 hours to dilate during first pregnancy
An increase in prostiglandins leads to myometrial ______ and to a reduction in cervical resistance
contractions
Oxytocin aids in stimulating prostiglandin synthesis through receptors in the _____
decidua
A nurse is caring for a client in labor who is delivering. Which of the following fetal responses should the nurse monitor for in the client's baby
decrease in circulation and perfusion to the fetus
____ is downward movement of the fetal head until it is within the pelvic inlet
descent
a nurse is caring for a pregnant client in labor in the health care facility. The nurse knows that which of the following marks the termination of the first stage of labor in the client
dilation of the cervix to 10cm
The thinning out process of the cervix during labor is termed what?
effacement
____occurs when the greatest transverse diameter of the head in vertex passes through the pelvic inlet
engagement
The head emerges through extension under the symphasis pubis, along with the shoulders
extension
_____ occurs as the vertex meets resistance from the cervix, walls of the pelvis, or pelvic floor
flexion
Vaginal birth is most favorable with ______ type of pelvis because the inlet is round and the outlet is roomy
gynecoid
_____ occurs when the fetal presenting part begins to descend into the maternal pelvis
lightening
The elongated shape of the fetal skull at birth as a result of overlapping of the cranial bones is known as ______
molding
A sudden increase in energy on the part of the expectant women 24-48 hours before the onset of labor is sometimes referred to as
nesting
The birth _____ is the route through which the fetus must travel to be birthed vaginally
passageway
Breech positions are associated with what factors?
prematurity, placenta previa, multiparity, abnormalities (fibroids), congenital anomalies such as hydrocephaly
A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hick contractions. The nurse hast to educate the client on the usefulness of Braxton Hicks contractions. Which of the following is the role of Braxton Hicks contractions in aiding labor?
these contractions help in softening and ripening the cervix
A client in the 3rd stage of labor has experienced placental separation and 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
____ station is designated when the presenting part is at the level of the maternal ischial spines
zero
A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. The nurse should assess for which of the following conditions associated with shoulder presentation during a vaginal birth?
Fetal anomalies
A nurse is caring for a pregnant client who is in labor. Which of the following maternal physiologic responses should the nurse monitor for in the client as the client progresses through childbirth? Select All
Increase in HR Increase in BP Increase RR
A pregnant client is admitted to a maternity clinic for childbirth. The client wishes to adopt the kneeling position during labor. The nurse knows that which of the following is the advantage of adopting a kneeling position during labor?
It helps to rotate the fetus in a posterior position
The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has increased prostiglandin levels. Which of the following factors should the nurse assess for in the client? Select all that apply
a. reduction in cervical resistance b. Myometrial contraction d. Softening and thinning of the cervix
The ____ suture is located between the parietal bones and divides the skull into right and left halves
Sagittal