OB 8-10 prequiz

Of the four components of labor, the __________ consists of the woman's bony pelvis and soft tissues of the cervix and vagina

passageway

The fourth stage of labor is considered the __________ period

recovery

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which of the following?

respiratory depression

The three main directions that the fetus can present in the pelvis are cephalic, breech, and

shoulder

A __________ headache is suspected when the woman has intense pain upon sitting upright that is relieved when lying still.

spinal

Passing through the birth canal is beneficial to the fetus in what 2 ways?

stimulates surfactant production and clears the respiratory passageways of mucus

Pain __________ is the level of pain necessary for an individual to perceive pain

threshold

The __________ phase of the first stage of labor is the most intense phase of labor.

transitiontransition

The __________ blood cell count increases in response to inflammation, pain, and stress of labor.

white

A patient in labor and delivery has just been diagnosed with pre-eclampsia. Signs and symptom the nurse should monitor related to this condition include which of the following? (Select all that apply.)

• BP > 140/90 mm Hg • protein in urine • edema of face • headache

The nurse encourages a woman in labor to ambulate based on the understanding that it helps with which of the following? Select all that apply

• Enlists the aid of gravity to move the fetus • Enhances the effectiveness of contractions • Encourages rotation of the fetus • Helps the fetus line up with the angle of the pelvis • Increases the urge to push during the second stage

When an examiner does an initial vaginal examination on a patient in labor, he or she is confirming which of the following? (Select all that apply.)

• presentation • position • attitude • fetal station

Opioid medications are also known as __________ analgesics.

narcotic

The second stage of labor begins when the cervix is

10 cm dialated

The fetal heart rate should be strong and regular with a baseline between __________ and 160 beats per minute.

110

Transitional phase of labor starts when the cervix is __________ cm and ends with full dilation.

8

Which of the following is true regarding analgesia versus anesthesia?

Analgesia only reduces pain, but anesthesia partially or totally blocks all pain in a particular area

A patient is recovering from a standard delivery. The nurse has just removed the epidural catheter and applied a sterile pressure dressing. What is it important for the nurse to do now

Assess return of sensory and motor functions to the lower extremities

Early decelerations are nonreassuring fetal heart rate patterns that occur when blood flow is diminished through the placenta.

False

The nurse should perform a vaginal examination immediately if bright red painless bleeding is observed

False

True labor is when the woman experiences regular and consistent contractions with or without cervical dilation

False

Which birthing position would you recommend to hasten delivery, enhance placental blood flow, decrease fetal stress, and reduce the possibility that an episiotomy will be required?

Hands and knees

When documenting the fetus is at "zero station," the nurse knows this is where in relation to the pelvic structure?

Ischial spines

If the amniotic fluid is green when the membranes rupture, what do you report to the RN?

Meconium in the amniotic sac

__________ anesthesia involves blocking a group nerves that supply a particular organ or area of the body

Regional

__________ is the most accurate method to measure contraction intensity when utilizing external monitoring.

Palpation

What are the interrelated components that make up the process of labor and delivery?

Powers, passageway, passenger, psyche

A pregnant patient in the early phase of labor is experiencing abdominal pain and is becoming increasingly anxious. What is the best pain management technique the nurse can suggest at this stage?

Practicing effleurage on the abdomen

A woman arrives in labor and delivery, is panting and screaming "the baby is coming". What is the priority intervention by the nurse?

Quickly move the woman to a labor bed, check the perineum

__________ refers to the relationship of the presenting part of the fetus to the ischial spines of the pelvis

Station

The pain of labor is influenced by many factors. What is one of these factors

Woman's preparation for labor and delivery.

Which of the following signs signify that the second stage of labor has begun?

The urge to push occurs

What is the most important thing that the nurse can do during labor and delivery to prevent maternal and fetal infection?

Thoroughly wash hands before and after patient contact

The laboring patient is having contractions every two to three minutes, lasting 45 to 60 seconds and of strong intensity. The fetal head crowns when the client pushes. The cervix is completely dilated at 10 cm and 100% effaced. In which stage of labor is this patient

Transition

During contractions, blood flow is interrupted to the placenta, therefore decreasing blood flow to the fetus

True

During labor, the heart rate, cardiac output, and respiratory rate increases in the woman similar to that of aerobic exercise in order to meet the body's oxygen demands.

True

External fetal monitoring is a noninvasive evaluation of fetal heart rate patterns

True

General anesthesia crosses the placental barrier and may cause respiratory depression in the neonate.

True

It has been noted that a laboring woman copes better with the labor pain when coached by a doula.

True

It is critical to quickly assess a woman for preeclampsia when she presents in labor.

True

Massage and distraction are alternative nonpharmacologic pain interventions that are effective in all stages of labor.

True

The latent phase of labor for a multiparas woman usually averages eight to nine hours in length.

True

The most common complication of epidural anesthesia is hypotension.

True

The open glottis or natural method is a current recommended effective pushing technique

True

Women who are prepared for labor and have well-controlled pain management are more satisfied with their labor/birth experiences

True

__________ are fluctuations of the fetal heart rate from the baseline rate

Variability

The android pelvis is the most favorable for vaginal birth.

false

Malignant hyperthermia is a rare, life-threatening complication of __________ anesthesia

general

Which type of pelvis provides the most room to allow the fetus to be born vaginally?

gynecoid