Chapter 15 OB Book Questions
Which changes in the female body occur to allow the passage of the fetus down the birth canal? Select all that apply.
-The cervix softens -The cervix dilates to 10 cm -Vaginal rugae stretch and smooth out
Patterned breathing techniques used in labor provide which benefits? Select all that apply.
-distraction -conscious relaxation -pain relief without special tools
The nurse is documenting the length of time in the second stage of labor. Which data will the nurse use to complete the documentation?
Complete cervical dilation and time of fetal birth
A client has moved into the active phase of labor and is now at 6 cm dilated and +1 station. The nurse is prepared to monitor the contraction pattern how often?
Every 30 minutes
Which physical characteristic of the neonate is typically present in the neonate of a primigravid mother?
Significant head molding
A 24-year-old primigravida client at 39 weeks' gestation presents to the OB unit concerned she is in labor. Which assessment findings will lead the nurse to determine the client is in true labor?
The client reports back pain, and the cervix is effacing and dilating.
Which client outcome during active and transitional labor is best?
The client will practice breathing techniques during contractions.
A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?
Third
Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in:
latent phase of the first stage.
A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom?
moderately strong contractions every 4 minutes, lasting about 1 minute
A nurse is educating a group of nursing students about the molding of the fetal skull during the birth process. What would the nurse include as the usual cause of molding?
poorly ossified bones of the cranial vault
When assessing fetal heart rate patterns, which finding would alert the nurse to a possible problem?
prolonged decelerations
A patient comes to the birthing suite and informs the nurse that "the baby is coming" and "I feel like I have to have a bowel movement." It is likely that the woman is which of the following stages of labor?
second stage
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client's fundus and documents which finding as normal?
two fingerbreadths below the umbilicus
Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?
0
Which nursing action has a negative effect on fetal descent?
Administering narcotic pain medication
Which cardinal movement of delivery is the nurse correct to document by station?
Descent
Which assessment finding is most important as labor progresses?
The uterus relaxes completely between contractions.
The skull is the most important factor in relation to the labor and birth processes. 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
During which time is the nurse correct to document the end of the third stage of labor?
At the time of placental delivery
Which method does the nurse use to determine fetal presentation, position and attitude?
Utilize Leopold maneuvers
At what time is the laboring client encouraged to push?
When the cervix is fully dilated
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?
Latent phase
The nurse is monitoring a laboring client with continuous fetal monitoring and notes a decrease in FHR with variable deceleration to 75 bpm. Which intervention should the nurse prioritize?
Change the position of the client.
Which consideration is a priority when caring for a mother with strong contractions 1 minute apart?
Fetal heart rate in relation to contractions
The nurse is caring for a client at 39 weeks' gestation and whose fetal station is noted as a 0 (zero). The nurse is correct to document which?
The fetus is in the true pelvis and engaged.
