OB Study Guide Ch. 13

1. A client in her third trimester of pregnancy arrives at a healthcare facility complaining of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical examination conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. The nurse notes knows that the client is experiencing which of the following conditions?

Ans: Lightening

13. A pregnant client is admitted to a maternity clinic for childbirth. Which assessment finding indicates that the client's fetus is in the transverse lie position?

Ans: Long axis of fetus is perpendicular to that of client

10. A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. the nurse understands that which of the following is causing extreme pain the client? Select all that apply

Ans: Lower uterine segment distention Ans: Stretching and tearing of structures Ans: Dilation of cervix

4. A pregnant client wants to know why the labor of a first-time-pregnant woman usually lasts longer than that of a woman who has already delivered once and is pregnant a second time. What explanation should the nurse offer the client?

Ans: The cervix takes around 12-16 hours to dilate during first pregnancy

7. A nurse is caring for a client in labor who is delivering. Which of the following fetal responses should the nurse monitor for in the client's baby?

Ans: Decrease in circulation and perfusion to the fetus

9. A nurse is caring for a pregnant client in labor in the health care facility. The nurse knows that which of the following marks the termination of the first stage of labor in the client?

Ans: Dilation of the cervix to 10 cm

11. A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. The nurse should assess for which of the following conditions associated with shoulder presentation during a vaginal birth?

Ans: Fetal anomalies

3. A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hick contractions. The nurse hast to educate the client on the usefulness of Braxton Hicks contractions. Which of the following is the role of Braxton Hicks contractions in aiding labor?

Ans: These contractions help in softening and ripening the cervix

8. A client in the 3rd stage of labor has experienced placental separation and expulsion. Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?

Ans: To constrict the uterine blood vessels

12. A nurse is assigned the task of educating a pregnant client about childbirth. Which of the following nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive childbirth experience?

Ans: Provide the client clear information on procedures involved Ans: Encourage the client to have a sense of mastery and self-control Ans: Encourage the client to have a positive reaction to pregnancy

14. A pregnant client is admitted to a maternity clinic after experiencing contractions. The nurse knows that which of the following marks the importance of the pauses between contractions during labor?

Ans: Restoration of blood flow to uterus and placenta

5. A pregnant client is admitted to a maternity clinic for childbirth. The client wishes to adopt the kneeling position during labor. The nurse knows that which of the following is the advantage of adopting a kneeling position during labor?

Ans: It helps to rotate the fetus in a posterior position

2. The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has increased prostiglandin levels. Which of the following factors should the nurse assess for in the client? Select all that apply

Ans: Reduction in cervical resistance Ans: Myometrial contraction Ans: Softening and thinning of the cervix

15. A nurse is caring for a pregnant client during labor. Which of the following methods should the nurse use to provide comfort to the pregnant client? Select all that apply

Ans: Hand holding Ans: Massaging Ans: Acupuncture

6. A nurse is caring for a pregnant client who is in labor. Which of the following maternal physiologic responses should the nurse monitor for in the client as the client progresses through childbirth? Select all that apply

Ans: Increase in HR Ans: Increase in BP Ans: Increase RR