MODULE 14

5.The head nurse checks for labor contractions in the monitoring sheet of Mrs. Lyra, who is in the active phase of labor. Entered data include: "8 a.m.: contraction, moderate, lasts 45 sec.; 8:05 a.m. contraction, moderate, lasts 45 sec." based on these data, what is Mrs. Lyra's interval of contractions? A. 45 secs. B. every 5 minutes C. 4 minutes 5 seconds D. 30 seconds

B. every 5 minutes

A woman who is having contractions is concerned whether she is in labor or not. She states, "How will you know if I already am in labor? A. A bloody show is rare with false labor B. fetal movement is decreased in true labor C. The cervix dilates and effaces in true labor D. The membranes rupture when true labor begins

C. The cervix dilates and effaces in true labor

When assessing a laboring woman's uterine contractions, it is important for the nurse to: A. Ask the client when her contractions started and how long they are occurring B. Place the fingertips of one hand over the fundus pressing gently to measure uterine contractions C. Use an electronic monitor to measure uterine contractions D. Place client in dorsal recumbent position and perform Leopold's maneuver

C. Use an electronic monitor to measure uterine contractions

The decision is made to encourage a woman in early labor to ambulate around the unit fpr a while then to reassess her status. What assessment distinguishes between true and false labor? A. confirmation of spontaneous rupture of membranes B. signs and symptoms of increasing discomfort C. evidence of cervical dilatation D. presence of copious bloody vaginal discharge

C. evidence of cervical dilatation

Which of the following is not true regarding duration of uterine contractions? A. Duration of contractions is measured from the beginning of one contraction to the end of the same contraction B. Duration decreases as labor progresses C. Duration increases as labor progresses D. Duration should not exceed 70 seconds

B. Duration decreases as labor progresses

The position that the nurse teaches the client to avoid when experiencing back pain during labor would be the: A. Sitting position B. Supine position C. Right lateral position D. Left-side-lying position

B. Supine position

The partner of a woman in labor is having difficulty timing the frequency of contractions and asks the nurse to review the procedure. The nurse instructs the partner to note the time from the: A. End of one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. Beginning of one contraction to the end of the same contraction. D. Beginning of one contraction to the beginning of the next.

D. Beginning of one contraction to the beginning of the next

Which of the characteristics of contractions would the nurse expect to find in a client experiencing true labor? A. Occurring at regular intervals B. Starting mainly in the abdomen C. Gradually increasing intervals D. Increasing intensity with walking

D. Increasing intensity with walking

What is the best position to assume by a low-risk parturient who is in early labor? A. Supine B. Lithotomy C. Left lateral recumbent D. Squatting

D. Squatting

When assessing frequency of contractions, the nurse should assess intervals of which of the following: A. acme on one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. end of one contraction to the end of the next D. beginning of one contraction to the beginning of the next

D. beginning of one contraction to the beginning of the next