Ch 13 Nclex practice OB

A new dad is alarmed at the shape of his newborn's head. You remind him this is due to: a. Cranial bones overlapping at the suture lines b. Prolonged labor c. A congenital defect d. Extreme pressure in the vaginal vault

a. Cranial bones overlapping at the suture lines

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 of the following? a. Restitution b. Crowning c. Descent d. Engagement

b. Crowning

On examination, the nurse determines the fetus is at -1 station. He explains this means the fetus is: a. 1 cm above the pubic bone b. 1 cm below the pubic bone c. 1 cm below the ischial spines d. 1 cm above the ischial spines

d. 1 cm above the ischial spines

characteristics of braxton hicks contractions

typically last about 30 and occurring primarily in the abdomen and groin and are relieved by walking, voiding, eating, increasing fluid intake, or changing positions

After conducting a childbirth class, you recognize that students understand what was presented after correctly choosing which of the following factors that can affect the labor process? (Select all that apply.) a. Powers b. Place c. Participation d. Passenger e. Patience

a. Powers d. Passenger e. Patience

The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction, documenting this as which of the following? a. Duration b. Peak c. Intensity d. Frequency

a. duration

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, you explain this is probably due to: a. Lightening b. Start of labor c. Placenta previa d. Rupture of the membranes

a. lightening

Which of the following would be least effective in promoting a positive birth outcome for a woman in labor? a. Promoting the woman's feelings of control b. Allowing the woman time to be alone c. Providing clear information about procedures d. Encouraging the woman to use relaxation techniques

b. Allowing the woman time to be alone

A fetus is in the LST position. The nurse interprets this as indicating which of the following as the presenting part? a. Chin b. Buttocks c. Fetal head d. Shoulder

b. Buttocks

When explaining to a class why labor begins, the nurse will include the fact that there are several theories that have been proposed to explain why labor begins, although none have been proven scientifically. Which of the following is one of those theories? a. Number of oxytocin receptors decrease. b. The level of estrogen decreases. c. Change in estrogen-to-progesterone ratio d. Prostaglandins decrease, leading to myometrium contractions.

c. Change in estrogen-to-progesterone ratio

Which of the following hormones would the nurse expect to cause the pelvic connective tissue to become more relaxed and elastic in preparation for labor? a. Oxytocin b. Prolactin c. Progesterone d. Relaxin

d. Relaxin

Assessment of a woman in labor reveals that the scapula of the fetus is the presenting part. The nurse interprets this finding as indicating which fetal presentation? a. vertex b. shoulder c. cephalic d. breech

b. shoulder

A 19-year-old female presents in advanced labor. Examination reveals the fetus is in frank breech position. You explain to the client this means which of the following? a. Buttocks are presenting first with both legs extended up toward the face. b. Fetus is sitting cross-legged above the cervix. c. One leg is presenting. d. One arm is presenting.

a. Buttocks are presenting first with both legs extended up toward the face.

A client is in the transitional phase of labor. Which of the following would the nurse most likely find? (Select all that apply.) a. Irritability with restlessness b. Apprehension mixed with excitement c. Strong desire to push d. Cervical dilation of 6 cm e. Contractions occurring every 3 minutes

a. Irritability with restlessness c. Strong desire to push

While discussing labor with your client and her partner, they ask what the best position is for delivering the baby. You provide them with information that indicates research has shown which of the following to be the best? a. Lying on her back with feet in stirrups b. Position of comfort for the mother c. Squatting d. Semi-Fowler's position

b. Position of comfort for the mother

Within the first hour after birth, the nurse would expect to find the woman's fundus: a. Between the umbilicus and symphysis pubis b. At the level of the umbilicus c. 2 cm above the umbilicus d. One fingerbreadth below the umbilicus

b. at level of umbilicus

A new dad is alarmed at the shape of his newborn's head. Assessment reveals swelling at the area of the presenting part. The swelling crosses the suture lines. The nurse suspects which condition? a. cephalohematoma b. molding c. caput succedaneum d. closed anterior fontanelle

b. molding

Assessment reveals that a woman's cervix is approximately 1 cm in length. The nurse would document this as: a. 75% effaced b. 100% effaced c. 50% effaced d. 0% effaced

c. 50% effaced

As the nurse working in labor and delivery, you understand that the client who is well prepared and has good labor support demonstrates all except which of the following? a. Less likely to need anesthesia b. Less likely to need analgesia c. Need someone to control the situation d. Unlikely to require cesarean birth

c. Need someone to control the situation

A young couple are anxious for the birth of their child. When discussing the options, you explain that elective induction of labor in nulliparous is associated with all of the following except: a. Neonatal resuscitation b. Postpartum hemorrhage c. Shorter hospitalizations d. Increased rates of cesarean sections

c. Shorter hospitalizations

When teaching a group of students about the structures of the fetal skull, the nurse describes the anterior fontanelle. Which of the following would the nurse include? a. Closes 8 to 12 weeks after birth b. Located at the back of the fetal head c. Triangular shape d. Approximately 2 to 3 cm in size

d. Approximately 2 to 3 cm in size

When monitoring a woman in labor, which of the following is not expected to occur? a. Respiratory rate to increase b. Heart rate increase by 10 to 20 beats per minute c. Blood pressure to increase up to 35 mmHg d. Cardiac output increase by 50% during the first stage

d. Cardiac output increase by 50% during the first stage

A pregnant woman comes to the emergency department because she thinks she is in labor. The nurse determines that the client is in true labor when assessment of contractions reveals which of the following? a. Contractions occur in an irregular pattern. b. Contractions last about 20 to 30 seconds. c. Contractions slow when the woman changes position. d. Contractions radiate to the front of the abdomen from the back.

d. Contractions radiate to the front of the abdomen from the back.

During the examination, the health care provider mentions the fetus has a good attitude. You explain to the parents that this means which of the following? a. The fetus is presenting head first. b. Posture of the fetus is with arms at its side and legs straight. c. Posture of the fetus with all joints flexed for delivery d. The fetus is cooperating with the labor.

c. Posture of the fetus with all joints flexed for delivery

A pregnant woman at 37 weeks gestation calls the clinic to say she thinks she is in labor. The nurse instructs the woman to go to the health care facility based on the client's report of contractions that are: a. occurring in abdomen and groin b. occurring about every 5 min c. lasting about 30 seconds d. relieved by walking

b. occurring about every 5 min

You have been asked to present information to a group of civic leaders concerning women's health issues. In preparing your information, you include what goals from Healthy People 2020? a. Ensure all couples receive preconceptional counseling b. Ensure prenatal care includes immunizations c. Reduce the rate of cesarean births among low-risk births d. Encourage women with previous cesareans to always have a cesarean

c. Reduce the rate of cesarean births among low-risk births