LND and PP practice questions
A client in active labor is 100% effaced, dilated 3 cm, and at +1 station. Which stage of labor has this client reached? a. first b. latent c. second d. transitional
first stage
While caring for a client during labor, which would the nurse remember about the second stage of labor? a. it ends at the time of birth b. it ends as the placenta is expelled c. it begins with the transition phase of labor d. it begins with the onset of strong contractions
it ends at time of birth
the nurse admits a client to the birthing unit at 40 weeks gestation and determines that her contractions are 10 minutes apart and her cervix is dilation 2 cm. Which stage of labor is the client in? a. second stage b. latent first stage c. active first stage d. transition stage
latent first stage
for which reason would the nurse encourage a client to void during the first stage of labor? a. a full bladder is often injured during labor b. a full bladder may inhibit the progress of labor c. a full bladder jeopardizes the status of the fetus d. a full bladder predisposes the client to urinary infection
a full bladder may inhibit the progress of labor
Which assessments and interventions are needed once an epidural catheter has been inserted? SATA a. maintain IV fluid administration b. have oxygen available in case of hypotension c. check the bladder for distention every 2 hours d. position the client supine for ease of monitoring e. monitor FHR and labor progress per hospital protocol f. administer an oxytocin infusion to maintain the labor pattern
a, b, c, e
A client's cervix is dilated 3 cm and 50% effaced. Her membranes have rupture; the amniotic fluid is clear, and the FHR is stable. Which outcome would the nurse anticipate? a. a prolonged second stage of labor b. a difficult birth resulting from delayed effacement c. birth of the fetus within a day d. the stimulation of labor with an oxytocin infusion
birth of the fetus within a day
the nurse instructs a pregnant woman in labor that she must avoid lying on her back. What is the primary reason for this instruction? a. the supine position can prolong the course of labor b. decreased placental perfusion is seen in the supine position c. this position can lead to transient episodes of hypertension d. lying on the back interferes with free movement of the coccyx
decreased placental perfusion is seen in the supine position
A vaginal exam reveals that a client's cervix is 90% effaced and dilated to 6 cm. The fetus's head is at station 0, and the fetus is in a right occiput anterior position. The contractions are occurring every 3-4 minutes, are lasting 60 seconds, and are of moderate intensity. Which description is appropriate to use when reporting on the client's condition? a. early first stage of labor b. transition stage of labor c. beginning second stage of labor d. midway through first stage of labor
midway through first stage of labor
the nurse is teaching a childbirth preparation class regarding the discomforts of labor. which condition has the greatest influence on the perception of pain for a woman in labor? a. parity of the client b. duration of the labor c. tension of the client d. difficulty of the labor
tension of the client
Which information would tell the nurse if a woman at 40 weeks gestation having contractions is in true labor? a. the cervix dilates and becomes effaced in true labor b. bloody show is the first sign of true labor c. the membranes rupture at the beginning of true labor d. fetal movements lessen and become weaker in true labor
the cervix dilates and becomes effaced in true labor
