possible questions for test 3

passageway

a group of nursing students are preparing a presentation which will illustrate various components of the birthing process. when presenting the pelvis, the students should point out that it is often referred to as which term?

assess fetal heart rate for fetal safety

as a woman enters the second stage of labor, her membranes spontaneously rupture. when this occurs, what should the nurse do next?

at the time of placental delivery

during which time is the nurse correct to document the end of the third stage of labor?

heart rate declining late with contractions and remaining depressed

if a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?

uteroplacental insufficiency

the nurse discovers that the FHM is now recording late decelerations in a client who is in labor. the nurse predicts this is most likely related to which event?

fetal lie

what term is used to describe the position of the fetal long axis in relation to the long axis of the mother?

increase in frequency of the contractions

a nurse is caring for a pregnant client with rhythmic uterine contractions. which feature should the nurse identify as associated with true labor?

offer comfort measures

a nurse is evaluating the external fetal monitor tracing shown. which nursing intervention would follow?

blue

a client states "i think my water broke, i felt this gush of fluid between my legs". the nurse tests this fluid with a nitrazine swab and confirms membrane rupture if the swab turns:

-2

a fetus is assessed at 2cm above the ischial spines. how would the nurse document the fetal station?

cervical dilation

a nurse is providing a pregnant woman in labor. the woman is in the first stage of labor.when describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

variable decelerations

a nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. the nurse interprets these changes as reflecting which type of deceleration?

increased risk of infection

a nurse sees a pregnant client at the clinic. the client is close to her due date. during the visit the nurse would emphasize that the client get evaluated quickly should her membranes rupture spontaneously based on the understanding of which possibility?

progressive cervical dilation and effacement

a client comes to the emergency department reporting strong contractions that have lasted for the last 2 hours. which assessment will indicate to the nurse that the client is in true labor?

respiratory depression

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

upright

a woman is in the first stage of labor. the nurse would encourage her to assume which position to facilitate the progression of labor?

variable deceleration pattern

a women in active labor has just had her membranes ruptured to speed up labor. the nurse is concerned the woman is experiencing a prolapse of the umbilical cord when the nurse notices which pattern on the fetal heart monitor?

164 beats per minute

fetal heart rate monitoring reveals baseline tachycardia in the fetus. which rate would be most likely?

decreased variability

the nurse has just administered morphine 2 mg IV to a laboring client. which change in the fetal heart rate pattern would the nurse prioritize?

external fetal monitoring

the nurse is assessing the laboring client to determine fetal oxygenation status. what indirect assessment method will the nurse likely use?

late decelerations

the nurse is caring for a client suspected to have a uterine rupture. the nurse predicts the fetal monitor will exhibit which pattern if this is true?

provide emotional and physical support

a client arrives at a health care facility in the latent phase of the first stage of labor. which intervention should the nurse implement?

breathing patterns are distraction techniques taught to decrease pain in labor

a client asks why she should learn breathing patterns for labor. after instruction is given, the nurse determines teaching as been effective when the client states:

lightening

a client calls the clinic asking to come in to be evaluated. she states that when she went to bed last night the fetus was high in the abdomen, but this morning the fetus feels like it has dropped down. after asking several questions, the nurse explains this is probably due to:

uterus becomes globular

a client is in the third stage of labor. which finding would alert the nurse that the placenta is separating?

women should be able to move freely throughout labor

a nurse is assisting a client who is in the first stage of labor. which principle should the nurse keep in mind to help make this client's labor and birth as natural as possible?

dilation of the cervix diameter to 10cm

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

you had a rush of adrenaline, which is common before labor

a pregnant woman comes to the labor and birth unit in labor. the woman tells the nurse, "yesterday i had this burst of energy and cleaned everything in sight, but i don't know why." which response by the nurse would be most appropriate?

between the umbilicus and the symphysis pubis

when applying the ultrasound transducer for continuous external electronic fetal monitoring, the nurse would place the transducer at which location on the client's body to record the FHR?

degree of thinning

when assessing cervical effacement of a client in labor, the nurse assesses which characteristic?

prolonged decelerations

when assessing fetal heart rate patterns, which finding would alert the nurse to a possible problem?

descent

which cardinal movement of delivery is the nurse correct to document by station?

duration

the nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction. the nurse would document this are which finding?

change the position of the client

the nurse is monitoring a laboring client with continuous fetal monitoring and notes a decrease in FHR with variable decelerations to 75 bpm. which intervention should the nurse prioritize?

continue to monitor the FHR because this pattern is benign

the nurse notes persistent early decelerations on the fetal monitoring strip. which action should the nurse prioritize in this situation?

crowning

the nurse notes that the fetal head is at the vaginal opening and does not regress between contractions. the nurse interprets this finding as which process?

severe decelerations occur and are due to cord compression

the nurse would prepare a client for amniofusion when which action occurs?

decent, flexion, internal rotation, extension, external rotation, expulsion

the student nurse is learning about normal labor. the reacher reviews the cardinal movements of labor and determines the instruction has been effective when the student correctly states the order of the cardinal movements as follows: