CoursePoint Ch. 13-14

Fetal heart rate monitoring reveals baseline tachycardia in the fetus. Which rate would be most likely? 134 beats per minute 144 beats per minute 154 beats per minute 164 beats per minute

164 beats per minute

There are four essential components of labor. The first is the passageway. It is composed of the bony pelvis and soft tissues. What is one component of the passageway? False pelvis Cervix Perineum Uterus

Cervix

While assessing the progress of the labor, the nurse explains that the fetal heart rate variability is moderate. Which explanation is best to use with the parents? FHR fluctuates from 6 to 25 beats per minute. FHR fluctuation range is undetectable. FHR fluctuates less than 5 beats per minute. FHR fluctuates over 25 beats per minute.

FHR fluctuates from 6 to 25 beats per minute.

A 32-year-old woman presents to the labor and birth suite in active labor. She is multigravida, relaxed, and talking with her husband. When examined by the nurse, the fetus is found to be in a cephalic presentation. His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude. How does the nurse document the position of the fetus? LOA LOP ROA ROP

ROA

The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect assessment method will the nurse likely use? external electronic fetal monitoring fetal blood pH fetal oxygen saturation fetal position

external electronic fetal monitoring

A 19-year-old female presents in advanced labor. Examination reveals the fetus is in frank breech position. The nurse interprets this finding as indicating: the buttocks are presenting first with both legs extended up toward the face. the fetus is sitting cross-legged above the cervix. one leg is presenting. one arm is presenting.

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

During labor, progressive fetal descent occurs. Place the stations listed in their proper sequence from first to last. All options must be used. +4 station -2 station 0 station +2 station -4 station

-4 station -2 station 0 station +2 station +4 station

A pregnant client arrives to the clinic for a prenatal visit appearing uncomfortable. During the assessment, the nurse determines the client is experiencing fairly strong contractions at 12:05 p.m., 12:10 p.m., 12:15 p.m., and 12:20 p.m. What can the nurse conclude from these findings? The client is in active labor. The duration of the contractions is every 5 minutes. The frequency of the contractions is every 5 minutes. The client can be sent home.

The frequency of the contractions is every 5 minutes.

To give birth to her infant, a woman is asked to push with contractions. Which pushing technique is the most effective and safest? lying supine with legs in lithotomy stirrups squatting while holding her breath head elevated, grasping knees, breathing out lying on side, arms grasped on abdomen

head elevated, grasping knees, breathing out

A client who requested "no drugs" in labor asks the nurse what other options are available for pain relief. The nurse reviews several options for nonpharmacologic pain relief, and the client thinks effleurage may help her manage the pain. This indicates that the nurse will: lead the client through a series of visualizations to aid in relaxation. instruct the client or her partner to perform light fingertip repetitive abdominal massage. instruct the client to perform controlled chest breathing with a slow inhale and a quick exhale. press down firmly with her index finger and forefinger on key trigger points on the client's ankle or wrist.

instruct the client or her partner to perform light fingertip repetitive abdominal massage.