Evolve practice question for Exam 2

multiparous women should have

1 hour with no anesthesia and 2 hours with anesthesia

What is shoulder dystocia?

Where the baby's shoulder gets caught on the pubis during delivery, obstructing it. Obstetric emergency as *umbilical cord is compressed* in vagina

decent phase in second stage of labor

active pushing/strong urge to bear down to birth baby

What happens if the umbillical cord comes out first

babies head can be pressin on umbillical cord

back pain is most often associated with which fetal position a. Breech B. Transverse c. occiput anterior d. occiput posterior

d

first stage of labor is the

longest phase

First stage of labor involves

nursing assesment and diagnosis

what is the ritgen manuever

provide upward pressure from the coccygeal region to help delivery babies head

What is TACO used for for?

rupture membrane/Amniotic sack has ruptured (water breaking)

ROM (rupture of membranes)

rupture of amniotic sac membrane causing the loss of amniotic fluid "water" prior to the onset of labor

what is the latent phase of labor

up to 3cm of dilation

what is the fourth stage of labor?

2 hours after delivery of placenta

nulliparious women should have

2 hours with no regional anesthesia, 3 hours with anesthesia

what is the active phase of labor

From 4-7 cm

what is the transition phase of labor

From 8-10 cm

what are the phases in 1st stage of labor

Latent, Active and Transition

AROM (Assisted Rupture of Membranes)

Practitioner will rupture membrane to promote delivery of baby

what does taco stand for

Time Amount Color Odor

What is the third stage of labor?

delivery of placenta

a foggy uterus is bad because it means the uterus is

full of blood

vertex postion

head first delivery

If amniotic fluid has a odor it can indicate

infection

what are the two phases during the second phase of labor

latent and decent phase

SROM (spontaneous rupture of membranes)

when the membrane breaks spontaneously

First stage of labor diangostic and labaratory tests

- Analyisis of urine specimen - Blood tests - Group Beta Strep - Assessment of amniotic fluid and membranes

What is the pH of amniotic fluid? under microscope amniotic fluid looks like a

7.1-7.3 fern

A client at 38 weeks gestation is admitted for the induction of labor. which medication would the nurse anticipate preparing to administer to this client a. oxytocin b. estrogen c. ergonivine d. Progesterone

A

A client is recieving an epidural anesthetic during labor. Which alteration would the nurse recognize as a side effect of the anesthetic ? a. Hypertension B. Urinary retention c. hypothermia d. decreased level of consciousness

B

Soon after vaginal examination revealing cervical dilation of 8cm, bloody show increases and the client becomes nauseated and irritable. which pahse of labor would the nurse conclude the client is entering? a. latent b. active c. Trasition d. early active

C

A client in active labor is 100% effaced, dilated 3 cm, and at +1 station. what stage of labor has the client reached a. first B. latent c. Second D. Transitional

A

a woman presents in labor with her baby in frank breech, left sacral anterior position. where would the nurse listen for the fetal heart tone a. mothers left side, above the umbillicus b. mothers left side, below the umbillicus c. mothers rights side, above the umbillicus d. mothers right side, below the umbillicus

A

while caring for a client during labor which would the nurse remember about the second stage of labor? a. it ends at the time of birth b. it ends as the placenta is expelled c. it beings with the trasition phase of labor d. it begins with the onset of strong contractions

A

amnotic fluid from ruptured membrane should be what color

clear

when does stage one of labor end

compelete cervical dialtion (10cm) and 100% effaced

latent phase of 2nd stage of labor

passive descent of baby through birth canal

First stage of labor assessment and nursing diagnosis

Frequency- the beginning of one contraction to the beginning of the next • Intensity- the strength of the contraction at its peak • Duration- the tie that elapses between the onset and end of a contraction • Resting tone- the tension in the uterine muscle between contraction;relaxation of the uterus

What is the end of the second stage of labor?

baby is born

The fetus of a client in labor is found to be at +1 station. where would the nurse locate the presenting part? a. on the perineum b. high in the pelvis c. just below the ischial spines d. slightly above the ischial spines

c

a client in the second trimester of pregnancy arrives at the clinic for a general health checkup, including a pelvic examination. For which position would the nurse prepare the client? a. left lateral recumbent position b. Supine position c. Lithotomy position d. Dorsal recumbent position

c

which factor in a clients history suggests a risk for preterm labor a. primigravida b. android-shaped pelvis c. multiple urinary tract infections d. anticonvulsant medication therapy

c

which type of pelvic is considered the most favorable for a vaginal delivery a. android b. anthropoid c. gynecoid d. platypelloid

c