FON 26, 27, 28

Which characteristics are indications of true labor? (Select all that apply.)

Contractions follow a regular pattern The cervix softens, effaces, and dilates. Contractions get stronger with ambulation.

The laboring patient has just had membranes ruptured by the health care provider. The amniotic fluid is greenish-brown in color. What does this abnormal finding indicate?

Passage of meconium stool by the fetus

A pregnant patient comes into the clinic complaining of constipation. Which statement by the patient indicates the need for further teaching?

"I can stop taking my vitamins if I have hemorrhoids.

A pregnant patient asks the nurse about a darkened line that is seen on her abdomen. What would be the best response?

"That is linea nigra, a darkened line from the pubis to the umbilicus, as a result of increased hormones.

A pregnant patient comes to the clinic for a prenatal visit. At how many weeks' gestation would the patient need to be to hear fetal heart tones using a Doppler scan?

10 weeks

While in the clinic, a first-time pregnant patient asks the nurse when she should be able to feel the fetus move. What is the nurse's best response?

14 to 16 weeks' gestation Correct

A nurse is collecting data on a patient who is 28 weeks pregnant. What would the nurse expect the fundal height to measure in centimeters?

28 cm

Which of the following maternal changes are presumptive signs of pregnancy? (Select all that apply.)

Amenorrhea Breast changes Chadwick sign Correct

The nurse teaches care of the umbilical cord to a new mother. What instruction will the nurse provide?

Apply alcohol on the cord stump daily to keep it dry until it falls off.

A woman comes to the clinic for her first prenatal visit. The nurse asks when her first day of her last menstrual cycle was. The woman reports July 10, 2004. What would the nurse calculate her estimated date of delivery to be using the Naegele rule?

April 17, 2005 Correct

A pregnant patient comes to the hospital saying she thinks her water has broken. The nurse checks the fluid with Nitrazine test paper to determine if the fluid is amniotic fluid or vaginal secretions. What color will the nurse expect the paper to turn if the fluid is amniotic?

Deep blue

A pregnant patient comes to the clinic for a prenatal visit. She complains of being frequently awakened at night by leg cramps. What instructions should the nurse give this patient?

Dorsiflex her foot when the cramp occurs.

Which actions by the nursing mother will support milk production and promote infant comfort? (Select all that apply.)

Drink 8 to 10 glasses of fluids daily. Continue her prenatal vitamins and minerals until they are gone. Avoid spicy foods, chocolate, and onions.

What is the term for shortening and thinning of the cervix during the first stage of labor?

Effacement

The nurse observes a new mother turning away from her infant and sighing deeply. Which intervention would be most appropriate for the nurse?

Encourage the new mother to discuss her feelings by sitting next to her and stating, "Having a baby can be overwhelming."

The father's behavior when introduced to his new baby is typically an intense fascination. What is this behavior considered?

Engrossment

When assessing cultural preferences of a laboring patient, the nurse remembers to ask about traditional birth practices. Which birth practice is most common in non-American cultures?

Father is not present

During a postpartum check, the nurse assesses the new mother's uterus and notes it to be boggy. What is the nurse's first intervention?

Gently massage the fundus to increase contractility.

Based on the definitions of gravida and para, what documentation best describes a woman in the clinic who is currently pregnant and has had two prior children?

Gravida III, para II

A new mother reports feeling weak, light-headed, and being sick to her stomach. The LPN/LVN also notes that the patient's perineal pad is soaked since she last checked it 15 minutes ago. The patient's skin is cool and clammy. The pulse is 110 beats/min and the blood pressure is 80/60. What complication do these symptoms indicate?

Hypovolemic shock

What are the most appropriate patient problems for a breast-feeding mother? (Select all that apply.)

Imbalanced nutrition: less than body requirements related to the demands during lactation Anxiety related to lactation expectations Potential for infection related to dry, cracked nipples

Which physical signs and symptoms might the postpartum patient experience following delivery? (Select all that apply.)

Increased urination beginning 4 to 6 hours after delivery Increased diaphoresis, most commonly at night A normal bowel movement within 2 to 3 days

The health care provider is performing the Leopold maneuver on a laboring patient to check for fetal position. What is the most common position for delivery?

LOA

While assessing a laboring patient, which fetal heart tone (FHT) would the nurse consider cause for further or constant monitoring?

Late deceleration

The nurse is caring for a patient in labor. While assessing the patient's vital signs, the nurse notes a drop in the patient's blood pressure. To prevent supine hypotension, the nurse should encourage the patient to be in what position?

Left lateral side lying

A pregnant patient complains of having to go to the bathroom frequently and sometimes even has stress incontinence. What can the nurse teach the patient to do to increase the tone of the perineum muscles?

Perform Kegel exercises.

The vital signs of a newborn baby girl are: T—97.9, P—140, R—34 with brief periods of apnea, and B/P—80/40 with an increase in systolic pressure when crying. What is the nurse's next intervention?

Realize these vital signs are normal for a newborn and document the data on the flow sheet.

When the delivery of the placenta is complete, which stage of labor is complete?

Third stage