Maternal nursing practice questions

Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?

A. 10 pounds per trimester B. 1 pound per week for 40 weeks C. ½ pound per week for 40 weeks D. A total gain of 25 to 30 pounds D

The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan?

A. Feeding the neonate a maximum of 5 minutes per side on the first day B. Wearing a supportive brassiere with nipple shields C. Breast-feeding the neonate at frequent intervals D. Decreasing fluid intake for the first 24 to 48 hours C

Which of the following is a positive sign of pregnancy?

A. Fetal movement felt by mother B. Enlargement of the uterus C. (+) pregnancy test D. (+) ultrasound D

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

A. Introversion, egocentrism, narcissism B. Awkwardness, clumsiness, and unattractiveness C. Anxiety, passivity, extroversion D. Ambivalence, fear, fantasies D

A client LMP began July 5. Her EDD should be which of the following?

A. January 2 B. March 28 C. April 12 D. October 12

Which of the following best describes preterm labor?

A. Labor that begins after 20 weeks gestation and before 37 weeks gestation B. Labor that begins after 15 weeks gestation and before 37 weeks gestation C. Labor that begins after 24 weeks gestation and before 28 weeks gestation D. Labor that begins after 28 weeks gestation and before 40 weeks gestation

Which change would the nurse identify as a progressive physiological change in postpartum period?

A. Lactation B. Lochia C. Uterine involution D. Diuresis A

Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?

A. More than 200 ml B. More than 300 ml C. More than 400 ml D. More than 500 mL D

A pregnant woman who is having labor pains is receiving an opioid analgesic. Which of the following medications should be ready in case a respiratory depression occurs?

A. Naloxone (Narcan). B. Oxycodone (Oxycontin). C. Meperidine hydrochloride (Demerol). D. Morphine sulfate. A

The post term neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following?

A. Respiratory problems B. Gastrointestinal problems C. Integumentary problems D. Elimination problems

The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Naegele's rule, the nurse determines her EDD to be which of the following?

A. September 27 B. October 21 C. November 7 D. December 27 B

The drug usually given parenterally to enhance uterine contraction is:

A. Terbutaline B. Pitocin C. Magnesium sulfate D. Lidocaine B

A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate?

A. The fetus should be delivered within 24 hours. B. The client should repeat the test in 24 hours. C. The fetus isn't in distress at this time. D. The client should repeat the test in 1 week C

According to McDonald's Rule, at 20 weeks of pregnancy, the distance from Jessica's symphysis pubis to the fundus of her uterus should be:

A. Under 16cm B. 20cm C. Over 25cm D. 16cm b

A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions?

A. Every 5 minutes B. Every 15 minutes C. Every 30 minutes D. Every 60 minutes b

Before birth, which of the following structures connects the right and left auricles of the heart?

A. Umbilical vein B. Foramen ovale C. Ductus arteriosus D. Ductus venosus

Which of the following fundal heights indicates less than 12 weeks' gestation when the date of the LMP is unknown?

A. Uterus in the pelvis B. Uterus at the xiphoid C. Uterus in the abdomen D. Uterus at the umbilicus A

From the 33rd week of gestation till full term, a healthy mother should have prenatal check up every:

A. week B. 2 weeks C. 3 weeks D. 4 weeks A

A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client's preparation for parenting, the nurse might ask which question?

A. "Are you planning to have epidural anesthesia? B. "Have you begun prenatal classes?" C. "What changes have you made at home to get ready for the baby? D. "Can you tell me about the meals you typically eat each day?" C

Which of the following represents the average amount of weight gained during pregnancy?

A. 12 to 22 lb B. 15 to 25 lb C. 24 to 30 lb D. 25 to 40 lb C

During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?

A. Braxton-Hicks sign B. Chadwick's sign C. Goodell's sign D. McDonald's sign C

A pregnant client states that she "waddles" when she walks. The nurse's explanation is based on which of the following as the cause?

A. The large size of the newborn B. Pressure on the pelvic muscles C. Relaxation of the pelvic joints D. Excessive weight gain

Accompanied by her husband, a patient seeks admission to the labor and delivery area. The client states that she is in labor and says she attended the hospital clinic for prenatal care. Which question should the nurse ask her first?

A. "Do you have any chronic illness?" B. "Do you have any allergies?" C."What is your expected due date?" D. "Who will be with you during labor c

The primary power involved in labor and delivery is

A. Bearing down ability of mother B. Cervical effacement and dilatation C. Uterine contraction D. Valsalva technique C

When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?

A. Dietary intake B. Medication C. Exercise D. Glucose monitoring A

A nurse is caring for a patient receiving oxytocin therapy suddenly is experiencing hypertonic contractions. Which of the following priority nursing actions should the nurse do? Select all that apply.

A. The nurse leaves the client to ask for help. B. Stop the oxytocin infusion. C. Increase the flow rate of the intravenous additive solution. D. Place the client in the supine position. E. Administer oxygen at 8 to 10 liters per minute B,C,E

The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?

A. Two weeks before menstruation B. Immediately after menstruation C. Immediately before menstruation D. Three weeks before menstruation A

When assessing the newborn's heart rate, which of the following ranges would be considered normal if the newborn were sleeping?

A. 80 beats per minute B. 100 beats per minute C. 120 beats per minute D. 140 beats per minute

Cervical softening and uterine souffle are classified as which of the following?

A. Diagnostic signs B. Presumptive signs C. Probable signs D. Positive sign C

During which of the following stages of labor would the nurse assess "crowning"?

A. First stage B. Second stage C. Third stage D. Fourth stage B

During the first 4 hours after a male circumcision, assessing for which of the following is the priority?

A. Infection B. Hemorrhage C. Discomfort D. Dehydration B

Which of the following best describes thrombophlebitis?

A. Inflammation and clot formation that result when blood components combine to form an aggregate body B. Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels C. Inflammation and blood clots that eventually become lodged within the femoral vein D. Inflammation of the vascular endothelium with clot formation on the vessel wall D

Jessica's last menstrual period was January 27th. Based on Naegele's rule, you would estimate her expected date of birth to be:

A. October 20 B. October 27 C. November 3 D. November 10 c

A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?

A. Quickening B. Ophthalmia neonatorum C. Pica D. Prolapsed umbilical cord D

The main reason for an expected increased need for iron in pregnancy is:

A. The mother may have physiologic anemia due to the increased need for red blood cell mass as well as the fetal requires about 350-400 mg of iron to grow B. The mother may suffer anemia because of poor appetite C. The fetus has an increased need for RBC which the mother must supply D. The mother may have a problem of digestion because of pica A

During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. Between 18 and 40 weeks gestation, which procedure is used to detect fetal anomalies?

A.Amniocentesis B. Chorionic villi sampling C. Fetoscopy D. Ultrasound D

Which of the following would the nurse identify as a presumptive sign of pregnancy?

A. Hegar sign B. Nausea and vomiting C. Skin pigmentation changes D. Positive serum pregnancy test B

A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:

A. "The vitamin K provides active immunity." B. "The vitamin K will prevent the occurrence of hyperbilirubinemia." C. "The vitamin K will protect the newborn from bleeding." D. "The vitamin K will serve as protection against jaundice and anemia." C

After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (-1) station. Based on these findings, the nurse-midwife knows that the fetal presenting part is:

A. 1 cm below the ischial spines. B. directly in line with the ischial spines. C. 1 cm above the ischial spines. D. in no relationship to the ischial spines

The normal umbilical cord is composed of:

A. 2 arteries and 1 vein B. 2 veins and 1 artery C. 2 arteries and 2 veins D. none of the above A

Jessica says she knows her baby's body parts are still forming. In fact, basic organogenesis is generally complete by what time during pregnancy?

A. 4 weeks B. 8 weeks C. 12 weeks D. 16 weeks b

The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?

A. A dark red discharge on a 2-day postpartum client B. A pink to brownish discharge on a client who is 5 days postpartum C. Almost colorless to creamy discharge on a client 2 weeks after delivery D. A bright red discharge 5 days after delivery D

Jessica doesn't take prenatal vitamins. Establishing QSEN guidelines to stress teamwork, you would want to teach your colleagues that the effect on the fetus of not receiving enough folic acid because of lack of prenatal vitamins can be:

A. A neural tube anomaly B. Congenital talipes disorders C. A blood disorder such as anemia D. Decreased blood clotting ability A

With a fetus in the left-anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?

A. Above the maternal umbilicus and to the right of midline B. In the lower-left maternal abdominal quadrant C. In the lower-right maternal abdominal quadrant D. Above the maternal umbilicus and to the left of midline D

The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?

A. Active phase B. Complete phase C. Latent phase D. Transitional phase D

A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in?

A. Active phase B. Latent phase C. Expulsive phase D. Transitional phase D

After 3 days of breast-feeding, a postpartal patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:

A. Apply warm compresses to her nipples just before feedings B. Lubricate her nipples with expressed milk before feeding C. Dry her nipples with a soft towel after feedings D. Apply soap directly to her nipples, and then rinse B

Before assessing the postpartum client's uterus for firmness and position in relation to the umbilicus and midline, which of the following should the nurse do first?

A. Assess the vital signs B. Administer analgesia C.Ambulate her in the hall D. Assist her to urinate D

When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?

A. At 16 weeks of gestation B. At 20 weeks of gestation C. At 24 weeks of gestation D. At 30 weeks of gestation

a primigravida patient in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?

A. Back B.Abdomen C. Fundus D. Perineum D

Which of the following is the nurse's initial action when umbilical cord prolapse occurs?

A. Begin monitoring maternal vital signs and FHR B. Place the client in a knee-chest position in bed C. Notify the physician and prepare the client for delivery D. Apply a sterile warm saline dressing to the exposed cord B

The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time?

A. Between 10 and 12 weeks' gestation B. Between 16 and 20 weeks' gestation C. Between 21 and 23 weeks' gestation D. Between 24 and 26 weeks' gestation B

On which of the following areas would the nurse expect to observe chloasma?

A. Breast, areola, and nipples B. Chest, neck, arms, and legs C. Abdomen, breast, and thighs D. Cheeks, forehead, and nose D

Normal lochial findings in the first 24 hours post-delivery include

A. Bright red blood B. Large clots or tissue fragments C. A foul odor D. The complete absence of lochia A

The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?

A. Change the client's position. B. Prepare for emergency cesarean section. C. Check for placenta previa. D. Administer oxygen A

The nurse understands that the fetal head is in which of the following positions with a face presentation?

A. Completely flexed B. Completely extended C. Partially extended D. Partially flexed B

Which of the following are the functions of amniotic fluid? Select all that apply.

A. Cushions the fetus from abdominal trauma B. Serves as the fluid for the fetus C. Maintains the internal temperature D. Facilitates fetal movement ALL

A client in her third trimester tells the nurse, "I'm constipated all the time!" Which of the following should the nurse recommend?

A. Daily enemas B. Laxatives C. Increased fiber intake D. Decreased fluid intake C

When preparing to administer the vitamin K injection to a neonate, the nurse would select which of the following sites as appropriate for the injection?

A. Deltoid muscle B. Anterior femoris muscle C. Vastus lateralis muscle D. Gluteus maximus muscle C

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

A. Dysuria B. Frequency C. Incontinence D. Burning B

A nurse is assigned to a patient who is receiving Oxytocin (Pitocin) to induce labor. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client?

A. Early decelerations of the fetal heart rate B. Backache. C. Fatigue. D. Uterine hyperstimulation D

Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.

A. Emergence of family unit B. Dependent behaviors C. Sexual intimacy relationship continuing D. Defining one's individual roles E. Being talkative and excited about becoming a mother A,C,D

While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

A. Express a strong need to review the events and her behavior during the process of labor and birth. B. Exhibit a reduced attention span, limiting readiness to learn. C. Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn. D. Have reestablished her role as a spouse or partner C

To monitor the frequency of the uterine contraction during labor, the right technique is to time the contraction

A. From the beginning of one contraction to the end of the same contraction B. From the beginning of one contraction to the beginning of the next contraction C. From the end of one contraction to the beginning of the next contraction D. From the deceleration of one contraction to the acme of the next contraction B

When measuring a client's fundal height, which of the following techniques denotes the correct method of measurement used by the nurse?

A. From the xiphoid process to the umbilicus B. From the symphysis pubis to the xiphoid process C. From the symphysis pubis to the fundus D. From the fundus to the umbilicus C

When taking an obstetrical history on a pregnant client who states, "I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,"the nurse should record her obstetrical history as which of the following?

A. G2 T2 P0 A0 L2 B. G3 T1 P1 A0 L2 C. G3 T2 P0 A0 L2 D. G4 T1 P1 A1 L2 D

A nurse is preparing Dinoprostone to a client to induce labor. Which of the following nursing intervention must be questioned?

A. Have the client hold void before administration. B.Place the client on a side lying position for 30 to 60 minutes after the administration. C. Monitor maternal vital signs. D. Have the client void before administration D

Which of the following prenatal laboratory test values would the nurse consider as significant?

A. Hematocrit 33.5% B. Rubella titer less than 1:8 C.White blood cells 8,000/mm3 D. One hour glucose challenge test 110 g/dL B

The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease causes infections in babies that can be prevented by using this ointment?" Which response by the nurse is accurate?

A. Herpes B. Trichomonas C. Gonorrhea D. Syphilis

When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?

A. Instruct the mother's support person to remain in the family lounge until after the delivery B. Arrange for a staff member of the anesthesia department to explain what to expect postoperatively C. Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth D. Explain the surgery, expected outcome, and kind of anesthetics C

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

A. Lanugo B. Hydramnio C. Meconium D. Vernix C

You performed the Leopold's maneuver and found the following: breech presentation, fetal back at the right side of the mother. Based on these findings, you can hear the fetal heart beat (PMI) BEST in which location?

A. Left lower quadrant B. Right lower quadrant C. Left upper quadrant D. Right upper quadrant B

A postpartum client has a temperature of 101.4ºF, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following should the nurse assess next?

A. Lochia B. Breasts C. Incision D. Urine A

Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss?

A. Low room humidity B. Cold weight scale C. Cools incubator walls D. Cool room temperature C

Which of the following assessment findings would the nurse expect if the client develops DVT?

A. Midcalf pain, tenderness and redness along the vein B. Chills, fever, malaise, occurring 2 weeks after delivery C. Muscle pain the presence of Homans sign, and swelling in the affected limb D. Chills, fever, stiffness, and pain occurring 10 to 14 days after delivery C

Jessica reports she smokes two packs of cigarettes per day. What is the most common effect of smoking cigarettes on fetal development?

A. Nicotine causes low bone density B. Smoking results in decreased fetal growth C. Cigarettes cause abdominal bloating and increased amniotic fluid viscosity D. Cigarette smoke causes fetal hyperglycemia b

When preparing the mother who is on her 4th month of pregnancy for abdominal ultrasound, the nurse should instruct her to:

A. Observe NPO from midnight to avoid vomiting B. Do perineal flushing properly before the procedure C. Drink at least 2 liters of fluid 2 hours before the procedure and not void until the procedure is done D. Void immediately before the procedure for better visualization C

After 4 hours of active labor, the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?

A. Obtaining an order to begin IV oxytocin infusion B. Administering a light sedative to allow the patient to rest for several hour C. Preparing for a cesarean section for failure to progress D. Increasing the encouragement to the patient when pushing begins A

Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

A. Occurring at irregular intervals B. Starting mainly in the abdomen C. Gradually increasing intervals D. Increasing intensity with walking D

Which of the following actions demonstrates the nurse's understanding about the newborn's thermoregulatory ability?

A. Placing the newborn under a radiant warmer. B.Suctioning with a bulb syringe C. Obtaining an Apgar score D. Inspecting the newborn's umbilical cord

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

A. Prepregnant period B. First trimester C. Second trimester D. Third trimester B

Which of the following is the priority focus of nursing practice with the current early postpartum discharge?

A. Promoting comfort and restoration of health B. Exploring the emotional status of the family C. Facilitating safe and effective self-and newborn care D. Teaching about the importance of family planning D

The diet that is appropriate in normal pregnancy should be high in

A. Protein, minerals and vitamins B. Carbohydrates and vitamins C. Proteins, carbohydrates and fats D. Fats and minerals A

The nurse assesses the vital signs of a client, 4 hours' postpartum that are as follows: BP 90/60; temperature 100.4ºF; pulse 100 weak, thready; R 20 per minute. Which of the following should the nurse do first?

A. Report the temperature to the physician B. Recheck the blood pressure with another cuff C. Assess the uterus for firmness and position D. Determine the amount of lochia D

. To determine if there is blood in the amniotic fluid from her accident, Jessica has an amniocentesis procedure performed. What is an instruction you would give Jessica prior to this?

A. She should void just before the procedure to reduce bladder size B. The dye inserted with the procedure will still be present at birth C. She will be given a lead shield to protect herself from X-ray D. She can expect labor to start within 24 hours of the procedure A

When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?

A. Startle reflex B. Babinski reflex C. Grasping reflex D. Tonic neck reflex A

When preparing to listen to the fetal heart rate at 12 weeks' gestation, the nurse would use which of the following?

A. Stethoscope placed midline at the umbilicus B. Doppler placed midline at the suprapubic region C. Fetoscope placed midway between the umbilicus and the xiphoid process D. External electronic fetal monitor placed at the umbilic B

One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro reflex, the boy's hands shake. Which intervention should the nurse implement first?

A. Stimulate the infant to cry. B. Wrap the infant in warm blankets. C. Feed the infant formula. D. Obtain a serum glucose level. D

Forty eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. By this time, the nurse expects that the phase of postpartum psychological adaptation that the client would be in would be termed which of the following?

A. Taking in B. Letting go C. Taking hold D. Resolution C

Which of the following is true regarding the fontanels of the newborn?

A. The anterior is triangular shaped; the posterior is diamond shaped. B. The posterior closes at 18 months; the anterior closes at 8 to 12 weeks. C. The anterior is large in size when compared to the posterior fontanel. D. The anterior is bulging; the posterior appears sunken C

When determining the duration of a uterine contraction the right technique is to time it from

A. The beginning of one contraction to the end of the same contraction B. The end of one contraction to the beginning of another contraction C. The acme point of one contraction to the acme point of another contraction D. The beginning of one contraction to the end of another contraction

For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied?

A. The membranes must rupture B. The fetus must be at 0 station C. The cervix must be dilated fully D. The patient must receive anesthesia A

Barbiturates are usually not given for pain relief during active labor for which of the following reasons?

A. The neonatal effects include hypotonia, hypothermia, generalized drowsiness, and reluctance to feed for the first few days. B. These drugs readily cross the placental barrier, causing depressive effects in the newborn 2 to 3 hours after intramuscular injection. C. They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate during labor. D. Adverse reactions may include maternal hypotension, allergic or toxic reaction or partial or total respiratory failure. D

Which of the following describes the Babinski reflex?

A. The newborn's toes will hyperextend and fan apart from dorsiflexion of the big toe when one side of foot is stroked upward from the ball of the heel and across the ball of the foot. B. The newborn abducts and flexes all extremities and may begin to cry when exposed to sudden movement or loud noise. C. The newborn turns the head in the direction of stimulus, opens the mouth, and begins to suck when cheek, lip, or corner of mouth is touched. D. The newborn will attempt to crawl forward with both arms and legs when he is placed on his abdomen on a flat surface

When giving narcotic analgesics to mother in labor, the special consideration to follow is:

A. The progress of labor is well established reaching the transitional stage B. Uterine contraction is progressing well and delivery of the baby is imminent C. Cervical dilatation has already reached at least 8 cm. and the station is at least (+)2 D. Uterine contractions are strong and the baby will not be delivered yet within the next 3 hours. D

When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?

A. Thrombophlebitis B. Pregnancy-induced hypertension C.Pressure on blood vessels from the enlarging uterus D. The force of gravity pulling down on the uterus C

Jessica has a fetal sonogram (ultrasound) scheduled to assess fetal health. Before this procedure you would instruct her to do which of the following:

A. To void just before the procedure B. To drink nothing for 2 hours beforehand C. To lie on her stomach for the procedure D. To drink 3 to 4 glasses of liquid beforehand d

he second stage of labor begins with ___ and ends with __?

A.Begins with full dilatation of cervix and ends with delivery of placenta B. Begins with true labor pains and ends with delivery of baby C. Begins with complete dilatation and effacement of cervix and ends with delivery of baby D. Begins with passage of show and ends with full dilatation and effacement of cervix C

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, "We know several friends in our age group and all of them have their own child already, Why can't we have one?". Which of the following would be the most pertinent nursing diagnosis for this couple?

A.Fear related to the unknown B. Pain related to numerous procedures. C. Ineffective family coping related to infertility. D. Self-esteem disturbance related to infertility. D

A client who's admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time?

A.Placing the client in bed to begin fetal monitoring. B.Preparing for immediate delivery. C. Checking for ruptured membranes. D. Providing comfort measures B