OB Ch. 13, 14, 19, 20 Questions

In which manner is the fetal status best assessed during the active and transition stages of labor? A. Fetal heart rate between contractions B. Fetal movement on the tocometer C. Fetal kicks over a 1-minute period D. Fetal heart rate at the peak of a contraction

D

A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds which can prolong labor. Which compounds is the nurse referring to in the explanation? A. catecholamines B. oxytocin C. prostaglandins D. relaxin

A

The nurse is caring for a client at 39 weeks' gestation who is noted to be at 0 station. The nurse is correct to document which? A. The fetus is in the true pelvis and engaged. B. The fetus has descended down the birth canal. C. The client is fully effaced. D. The fetus is floating high in the pelvis.

A

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: A. placenta previa. B. rupture of the membranes. C. lightening. D. start of labor.

C

The nurse is assisting a client in labor and delivery and notes the placenta is now delivered. What will the nurse document? A. transition phase B. attachment phase C. completion of the third stage of labor D. completion of the fourth stage of labor

C

A nurse is teaching a group of pregnant women about the signs that labor is approaching. When describing these signs, which sign would the nurse explain as being essential for effacement and dilation to occur? A. Bloody show B. Lightening C. Braxton Hicks contractions D. Cervical ripening and softening

D

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: A. one arm is presenting. B. the buttocks are presenting first with both legs extended up toward the face. C. the fetus is sitting cross-legged above the cervix. D. one leg is presenting.

B

What assessment finding would suggest to the care team that the pregnant client has completed the first stage of labor? A. The infant is born. B. The client has contractions once every two minutes. C. The client experiences her first full contraction. D. The client's cervix is fully dilated.

D

The nurse is monitoring a client who is in labor and notes the client is happy, cheerful, and "ready to see the baby." The nurse interprets this to mean the client is in which stage or phase of labor? A. latent phase B. transition phase C. stage three D. stage two

A

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

A

A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. For which condition associated with shoulder presentation during a vaginal birth should the nurse assess? A. congenital anomalies B. fetal anomalies C. birth after due date D. uterine abnormalities

B

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? A. A woman should be allowed to assume a supine position. B. Routine intravenous fluid should be implemented. C. Women should be able to move about freely throughout labor. D. The support person's access to the client should be limited to prevent the client from becoming overwhelmed.

C

A primigravida client at 38 weeks' gestation calls the clinic and reports, "My baby is lower and it is more difficult to walk." Which response should the nurse prioritize? A. "The baby moved down into the pelvis; this means you will be in labor within 24 hours, so wait for contractions then come to the hospital." B. "This is not normal unless you are in active labor; come to the hospital and be checked." C. "That is something we expect with a second or third baby, but because it is your first, you need to be checked." D. "The baby has dropped into the pelvis; your body and baby are getting ready for labor in the next few weeks."

D

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? A. Cervix B. False pelvis C. Perineum D. Uterus

A

A nurse is performing an assessment on a client in early labor who is discouraged about the seemingly slow progress of her labor. Which response should the nurse prioritize for this client after noting the effacement is progressing even though the cervix is still only 2 cm for the past 2 hours? A. Don't mention anything to the client yet; wait for further dilatation to occur. B. "You are still 2 cm dilated, but the cervix is thinning out nicely." C. "There has been no further dilation; effacement is progressing." D. "You haven't dilated any further, but hang in there; it will happen eventually."

B

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 given birth once and is pregnant a second time. What explanation should the nurse offer the client? A. Contractions are stronger during the first pregnancy than the second. B. Braxton Hicks contractions are not strong enough during first pregnancy. C. The cervix takes around 12 to 16 hours to dilate during first pregnancy. D. Spontaneous rupture of membranes occurs during first pregnancy.

C

The client in active labor overhears the nurse state the fetus is ROA. The nurse should explain this refers to which component when the client becomes concerned? A. Fetal station B. Fetal size C. Fetal position D. Fetal attitude

C

When teaching a group of nursing students about the stages of labor, the nurse explains that softening, thinning, and shortening of the cervical canal occur during the first stage of labor. Which term is the nurse referring to in the explanation? A. dilation (dilatation) B. crowning C. effacement D. molding

C

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 as which finding? A. peak B. frequency C. intensity D. duration

D