Labor & Birth Process Ch. 13 NCLEX questions
A client in the 3rd stage of labor has experienced placental separation and expulsion. Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?
To constrict the uterine blood vessels.
A nurse is caring for a client in labor who is delivering. Which of the following fetal responses should the nurse monitor for in the client's baby?
Decrease in circulation and perfusion to the fetus.
A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which hot the following marks the termination of the 1st stage of labor?
Dilation of cervix diameter to 10 cm.
A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. The nurse should assess for which of the following conditions associated with shoulder presentation during a vaginal birth?
Fetal anomalies
A nurse is caring for a pregnant client during labor. Which of the following methods should the nurse use to provide comfort to the pregnant client? (Select all)
Hand holding, massaging, acupressure
A nurse is caring for a pregnant client who is in labor. Which of the following maternal physiologic responses should the nurse monitor for in the client as the client progresses through childbirth? (Select all)
Increase in heart rate, increase in BP, increase in respiratory rate
A pregnant client is admitted to a maternity clinic for child birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which of the following is the advantage of adopting a kneeling position during labor?
It helps to rotate the fetus in a posterior position.
A client in her 3rd trimester arrives at a health care facility complaining of cramping & low back pain; she also notes that she is urinating more frequently & 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. The nurse knows that the client is experiencing of the following conditions?
Lightening
A pregnant client is admitted to a maternity clinic for childbirth. Which assessment findings indicates the client's fetus is in the transverse lie position?
Long axis of the fetus is perpendicular to that of the client.
A nurse is caring for a client who is in the 1st stage of labor. The client is experiencing extreme pain due to the labor. The nurse understands that which of the following is causing the extreme pain in the client? (Select all)
Lower uterine segment distention, stretching and tearing of structures, dilation of the cervix
A nurse is assigned the task of education a pregnant client about childbirth. Which of the following nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive childbirth experience? (Select all)
Provide the client clear information on procedures involved; encourage the client to have a sense of mastery and self-control; encourage the client to have a positive reaction to the pregnancy.
The assessment of a pregnant client, who is toward the end of her 3rd trimester, reveals that she has increased prostaglandin levels. Which of the following factors should the nurse assess for in the client? (Select all)
Reduction in cervical resistance; myometrial contractions; softening and thinning of the cervix
A pregnant client is admitted to a maternity clinic after experiencing contractions. The assigned nurse observes that the client experiences pauses between contractions. The nurse knows that which of the following marks the importance of the pauses between contractions during labor?
Restoration of blood flow to uterus and placenta
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 delivered once and is pregnant a second time. What explanation should the nurse offer the client?
The cervix takes around 12 to 16 hours to dilate during the first pregnancy.
A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which of the following is the role of Braxton Hicks contractions in aiding labor?
These contractions help in softening and ripening the cervix.