Maternity Chapter 14

tocotransducer

THe _________________________ is placed over the uterine fundus in the area of greatest contractility to electronically monitor uterine contractions

Non-pharmacologic

______________ comfort measures are usually simple, safe, effective, and inexpensive to use

artifact

____________________ describes the irregular variations or absence of fetal heart rate (FHR) due to erroneous causes on the fetal monitor record.

uterine

The primary power of labor is/are ____________ contractions, which are involuntary.

C

A 29-week-gestation client is admitted with moderate vaginal discharge. The nurse performs a nitrazine test to determine if the membranes have ruptured. The nitrazine tape remains yellow to olive green, with pH between 5 and 6. What should the nurse do NEXT? A. Prepare the client for birth B. Assess the client's cervical status C. notify the health care provider D. perform leopold's maneuver

A

A pregnant client has opted for hydrotherapy for pain management during labor. Which should the nurse consider when assisting the client during the birthing process? A. initiate the technique only when the client is in active labor B. Do not allow the client to stay in the bath for long C. Ensure that the water temperature exceeds body temperature D. Allow the client into the water only if her membranes have ruptured

A

A pregnant client requires administration of an epidural block for management of pain during labor. For which conditions should the nurse check the client before administering? Select all that apply 1. Spinal abnormality 2. hypovolema 3. varicose veins 4. coagulation defects 5. skin rashes or bruises A. 1, 2, 4 B. 1, 3, 4 C. 2, 3, 5

D

A pregnant client with a history of spinal injury is being prepared for a cesarean birth. Which method of anesthesia is to be administered to the client? A. Local infiltration B. Epidural block C. Regional anesthesia D. General anesthesia

parasympathetic

Baseline variability represents the interplay between the ____________________ and sympathetic nervous systems.

B

During an admission assessment of a client in labor, the nurse observes that there is no vaginal bleeding yet. What nursing intervention is appropriate in the absence of vaginal bleeding? A. Monitor vital signs B. Assess amount of cervical dilation C. Obtain urine speicmen for urinalysis D. Monitor hydration status

accerlations

Fetal _______________ are transitory increases in the FHR above the baseline that are associated with sympathetic nervous stimulation.

fern

If the nitrazine test is inconclusive, an additional test, called the ________________ test, can be used to confirm rupture of membranes

hypoglycemia

If the woman is diabetic, it is critical to alert the newborn nursery of potential ______________ in the newborn.

C

The nurse caring for a client in preterm labor observes abnormal fetal heart rate patterns. Which nursing intervention should the nurse perform next? A. Application of vibroacoustic simulation B. Tactile stimulation C. Administration of O2 by mask D. Fetal scalp stimulation

C

A 39-week-gestation client presents to the labor and birth unit reporting abdominal pain. What should the nurse do first? A. Ask if this is the client's first pregnancy B. Notify health care provider C. Determine if the client is in true or false labor D. assess to see if the client has any drug allergies

ischial

The ______________spines serve as landmarks for estimating the descent of the fetal presenting part and have been designated as zero station.

B

A nurse is teaching a couple about patterned breathing during their birth education. Which technique should the nurse suggest for slow-paced breathing? A. Inhale and exhale through the mouth at rate of 4 breaths every second B. Inhale slowly through nose and exhale through pursed lips C. Puntuated breathing by a forceful exhalation through pursed lips every few breaths D. Hold breath for 5 seconds after every 3 breaths

B

A client administered combined spinal epidural analgesia is showing signs of hypotension and associated fetal heart rate changes. What intervention should the nurse perform to manage the changes? A. Assist client to supine position B. Provide supplemental O2 C. Discontinue IV fluids D. Turn client on her right side.

A

A client in labor is administered lorazepam to help her relax enough so that she can participate effectively during her labor process rather than fighting against it. For which adverse effect of the drug should the nurse monitor? A. Increased sedation B. Newborn respiratory depression C. Nervous system depression D. Decreased alertness

B

A nurse caring for a pregnant client in labor observes that the fetal heart rate is below 110 per minute. Which interventions should the nurse perform? Select all that apply. 1. turn the client on her left side 2. reduce IV fluid rate 3. Administer O2 by mask 4. Assess client for underlying causes 5. Ignore questions from the client A. 1, 3, 5 B, 1, 3, 4 C. 1, 2, 4

3

A nurse is assigned to conduct an admission assessment on the phone for a pregnant client. Which information should the nurse obtain from the client? Select all that apply. A. Estimated due date B. Characteristics of contractions C. History of drug abuse D. appearance of vaginal blood 1. A, B, C 2. B, C, D 3. A, B, D

B

A nurse is caring for a client administered general anesthesia for an emergency cesarean birth. The nurse notes the client's uterus is relaxed upon massage. What would the nurse do next? A. Continue to monitor the client B. Continue to massage the client's fundus C. Administer O2 to the client D. Assess the client's vaginal bleeding.

A

A nurse is caring for a client who has been administered an epidural block. Which should the nurse assess next? A. Respiratory rate B. temperature C. pulse D. uterine contractions

C

A nurse is caring for a pregnant client who is in the active phase of labor. At what interval should the nurse monitor the client's vital signs? A. every 15 minutes B. every 20 minutes C. every 30 minutes D. every 45 minutes

A

A nurse is required to obtain the fetal heart rate (FHR) for a pregnant client. If the presentation is cephalic, which maternal site should the nurse monitor to hear the FHR clearly? A. Lower quadrant of the maternal abdomen B. At the level of the maternal umbilicus C. Above the level of the maternal umbilicus D. Just below the maternal umbilicus.

A

The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers performed? Select all that apply. 1. Determining the presentation of the fetus 2. Determining the position of the fetus 3. Determining the lie of the fetus 4. Determining the weight of the fetus 5. Determining the size of the fetus A. 1, 2, 3 B. 2, 4, 5 C. 2, 3, 5

A

The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect assessment method will the nurse likely use? A. External electronic fetal monitoring B. Fetal blood pH C. Fetal oxygen saturation D. Fetal position

B

The nurse is monitoring a client's uterine contractions. Which factors should the nurse assess to monitor uterine contraction? Select all that apply. 1. Uterine resting tone 2. frequency of contractions 3. change in temperature 4. change in blood pressure 5. intensity of contractions A. 1, 3, 4 B. 1, 2, 5 C. 2, 4, 5

C

The nurse is monitoring a pregnant client admitted to a health care center who is in the latent phase of labor. The nurse demonstrates appropriate nursing care by monitoring the fetal heart rate with the Dopplar at least how often? A. Every 15 to 30 minutes B. Every 30 minutes C. every hour D. continuously.

uteroplacental

The nurse reviews the prenatal record to identify risk factors that may contribute to a decrease in _____________________ circulation during pregnancy and/or labor.