Test 2 158 PrepU

A woman is documented on the labor and birth board to be 7 cm dilated. Her family wants to know how long she will be in labor. The nurse should provide which information to the family

She is in active labor; she is progressing at this point and we will keep you posted

The expected fetal heart rate response in an active fetus is:

acceleration of at least 15 bpm for 15 seconds.

The nurse is reviewing the uterine contraction pattern and identifies the peak intensity, documenting this as which phase of the contraction

acme

A pregnant client has come to a health care provider for her first prenatal visit. The nurse needs to document useful information about the past health history. What are goals of the nurse in the history-taking process? Select all that apply

to prepare a plan of care that suits the client's lifestyle to develop a trusting relationship with the client to prepare a plan of care for the pregnancy

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 the client

dilation of cervix to 10 cm

A nurse is assigned to conduct an admission assessment on the phone for a pregnant client. Which information should the nurse obtain from the client? Select all that apply

estimated due date characteristics of contractions appearance of vaginal blood

When providing preconception care to a client, the nurse would identify which medication as being safe to continue during pregnancy

famotidine

As a woman enters the second stage of labor, which would the nurse expect to assess

feelings of being frightened by the change in contractions

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

fetal anomalies

A pregnant client in her 32nd week of gestation has been admitted to a health care center reporting decreased fetal movement. What should the nurse determine first before placing the fetoscope on the woman's abdomen, so as to auscultate the fetal heart sounds?

fetal back

After teaching the pregnant woman about ways to minimize flatulence and bloating during pregnancy, the nurse understands that which client statement indicates the need for additional teaching

ill switch to crewing gum instead of mints

A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client as the client progresses through birth? Select all that apply

increase in BP, HR, and RR

A nurse is caring for a client in her fourth stage of labor. Which of the following assessments would indicate normal physiologic changes occurring during the fourth stage of labor? Select all that apply.

Decreased intra-abdominal pressure Well-contracted uterus in the midline Mild uterine cramping and shivering

The skull is the most important factor in relation to the labor and birth process. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible

molding

A client gave birth to a child 3 hours ago and noticed a triangular-shaped gap in the bones at the back of the head of her newborn. The attending nurse informs the client that it is the posterior fontanelle. The client is anxious to know when the posterior fontanelle will close. Which time span is the normal duration for the closure of the posterior fontanelle

8-12 weeks

A nurse reviews a pregnant client's birth plan. Which response from the client would indicate to the nurse that further teaching is indicated

I will remain in my bed for my labor and birth like last time

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

ROA

A nurse is caring for a client who has been administered an epidural block. Which should the nurse assess next

RR

A pregnant woman states that she would like to take a tub bath but has heard from her aunt that this could be dangerous to the baby. Which instruction should the nurse give to the client

Tub baths are fine unless you are unstable on your feet or are experiencing vaginal bleeding

client in her third trimester of pregnancy arrives at a health care facility with a report of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical examination conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. What should the nurse do next

continue to monitor the client

A labor and delivery nurse knows that when assessing a woman's contraction pattern, it is important to include which of the following? (Select all that apply.)

frequency, duration, intensity

A new OB/GYN care provider has just finished evaluating her one hundredth client. In reviewing the documentation from all clients thus far, which types of pelvis would the nurse assume the care provider has seen the most and the least

gynecoid and platypelloid, respectively

A nursing student is learning about intermittent fetal heart rate monitoring during labor. The student correctly chooses which of the following as used routinely for this procedure? (Select all that apply.)

Doppler fetoscope fetal monitor

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

fetal heart rate declining late with contractions and remaining depressed

A nurse is monitoring a fetal heart rate (FHR) pattern on her client in labor. The earlier baseline FHR was 140. The FHR now is 168. The nurse knows that which factors can affect changes in the FHR? Select all that apply

fetal movement fetal distress maternal fever

A nurse performs an initial assessment of a laboring woman and reports the following findings to the primary care provider: fetal heart rate is 152 bpm, cervix is 100% effaced and 5 cm dilated, membranes are intact, and presenting part is well applied to the cervix and at -1 station. The nurse recognizes that the client is in which stage of labor

first, active

A patient is admitted to the labor and delivery unit. Upon examination, she is found to be dilated 3 cm. The nurse notes that the woman is having contractions that last about 45 seconds and are about 5 minutes apart. Based on this information, in which phase of labor is this patient

latent phase

A client in her second trimester of pregnancy visits a health care facility. The client frequently engages in aerobic exercise and asks the nurse about doing so during her pregnancy. Which precaution should the nurse instruct the pregnant client to take when practicing aerobic exercises

maintain tolerable intensity of exercise

A woman is told she has an anthropoid pelvis. This means her pelvis

narrow transversely

Assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that which part is presenting

occiput

The five "Ps" of labor are

passageway, passenger, position, powers, psych

A patient who is in her 9th month of pregnancy comes to the emergency department and reports that bright red blood is coming from her vagina. She denies having any pain. What needs to be ruled out before a vaginal examination can be performed

placenta previa

When an examiner does an initial vaginal examination on a patient in labor, he or she is confirming which of the following? (Select all that apply.)

presentation position attitude fetal station

Which phase of the involuntary uterine contraction pattern should the nurse be observing that is beneficial to the pH of the fetal scalp

relaxation

A nurse explains to a pregnant woman the importance of consuming adequate iodine in her diet. Which of the following conditions can a deficiency in iodine lead to

thyroid enlargement (goiter)

Assessment of a pregnant client reveals that she is experiencing Braxton Hicks contractions. Which factor would the nurse explain as the cause of these contractions

uterine distention