Labor and Delivery Quiz 4

A woman who is in active labor is told by her obstetrician, "Your baby is in the flexed attitude." When she asks the nurse what that means, what should the nurse say? The baby's chin is resting on its chest The baby's presenting part is engaged The baby is in the horizontal lie The baby is in a breech position

The baby's chin is resting on its chest

Which of the following vaginal examination results demonstrate that the fetus is engaged? (Select all that apply) 4 cm 80% 0 9 cm 100% -2 6cm 90% +1 2cm 90% +1 8cm 90% -1

4 cm 80% 0 6cm 90% +1 2cm 90% +1

Upon examination, a nurse notes that a woman is 10 cm dilated, 100% effaced, and -3 station. Which of the following actions should the nurse perform first based on this assessment? Encourage the woman to push Assess bladder Move the client into a supine position with legs in stirrups Provide firm fundal pressure

Assess bladder

A client who is 7 cm dilated and 100% effaced is breathing at a rate of 50 breaths per minute during contractions. Immediately after a contraction, she complains of tingling in her fingers and some light-headedness. Which of the following actions should the nurse take at this time? Assess her blood pressure Turn the woman on her side Have the woman breathe into a bag Check the fetal heart rate

Have the woman breathe into a bag

Immediately following administration of an epidural anesthesia, the nurse must monitor the mother for which of the following? Severe headache Hypotension Increase in bladder retention Fetal heart accelerations

Hypotension

A patient that had a cesarean section two days ago has been diagnosed with a post-dural puncture headache. The nurse understands that the following interventions should be implemented (Select all that apply). Decrease fluid intake Increase caffeine intake Place patient in a semi-fowlers position Encourage bedrest in a quiet and dimly lit room Administer oral analgesics for the pain

Increase caffeine intake Encourage bedrest in a quiet and dimly lit room Administer oral analgesics for the pain

When performing Leopold's maneuvers, the nurse notes that the fetus is in the left occiput anterior position (LOA). Which is the best position for the nurse to place the fetal heart rate monitor? LUQ RLQ RUQ LLQ

LLQ

While performing Leopold's maneuvers on a woman in labor, the nurse palpates a hard round mass in the fundus, a long flat object on the mother's left side, small irregular objects on the mother's right side, and a soft round mass above the symphysis. Which of the following positions is consistent with these findings? ROA LSA LSP ROP

LSA

During a vaginal examination, the nurse palpates fetal buttocks that are facing the left posterior and are 1 cm above the ischial spines. Which of the following is consistent with this assessment? LSP and -1 station LOP and -1 station LMP and +1 station LSP and +1 station

LSP and -1 station

A patient who just entered the recovery room after a cesarean section is requesting pain medication. The nurse understands that nalbuphine (Nubain) is contraindicated for this patient after noting the following: The patient has a history of malignant hyperthermia in her family history. The patient is opiate dependent. The patient has already received morphine in her spinal anesthesia. The patient has a history of vomiting with this medication.

The patient is opiate dependent.

A woman had a baby by normal spontaneous vaginal delivery a few minutes ago. The nurse notes that a gush of blood was just expelled from the vagina, the umbilical cord lengthened, and the fundus has risen in the abdomen. What should the nurse conclude? The woman has an internal laceration The woman is about to deliver the placenta The woman has uterine atony The woman is about to deliver a second baby

The woman is about to deliver the placenta

A woman who states that she "thinks" she is in labor enters the labor suite. Which of the following assessments will provide the nurse with the most valuable information regarding the client's labor status? Leopold's maneuvers Fundal contractility Vaginal examination Fetal heart assessment

Vaginal examination

Through vaginal examination, the nurse determines that a woman is 6cm dilated and 100% effaced with the fetus at a 0 station. The nurse reports this as: First stage, latent phase First stage, transition phase First stage, active phase Second stage, latent phase

First stage, active phase

During a vaginal examination, the nurse determines that the patient is in a LOP position. The best non-pharmacological intervention that can be done with this patient to relieve her pain is: Have her perform effleurage during contractions Allow her to labor in a tub of warm water Use aromatherapy in the room and play soothing music Have her labor in the hands/knee position

Have her labor in the hands/knee position

The nurse is assessing a client who states "I think I am in labor." Which of the following findings would positively confirm the client's belief? She is contracting every 2 minutes Her membranes have ruptured The fetal head is engaged Her cervix has dilated from 2 to 4 cm

Her cervix has dilated from 2 to 4 cm