OB Exam 1
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. lightening. b. start of labor. c. placenta previa. d. rupture of the membranes.
a
A client gave birth to a healthy boy 2 days ago. Both mother and baby have had a smooth recovery. The nurse enters the room and tells the client that she and her baby will be discharged home today. The client states, "I do not want to go home." What is the nurse's most appropriate response? a. Ask the client to explain why she does not want to go home. b. Inform the primary care provider that the client does not want to go home. c. Tell the client that she must go home as per hospital policy. d. Ask the client if she has any support in the home.
a
A client has come to the office for her first postpartum visit. On evaluating her blood work, the nurse would be concerned if the hematocrit is noted to have: a. acutely decreased. b. acutely increased. c. slightly decreased. d. slightly increased.
a
A client in labor has requested the administration of narcotics to reduce pain. At 2 cm cervical dilation (dilatation), she says that she is managing the pain well at this point but does not want it to get ahead of her. What should the nurse do? a. Advise the client to hold out a bit longer, if possible, before administration of the drug, to prevent slowing labor. b. Agree with the client, and administer the drug immediately to keep the pain manageable. c. Explain to the client that narcotics should only be administered an hour or less before birth. d. Refuse to administer narcotics because they can develop dependency in the client and the fetus.
a
A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention? a. Help the woman change positions. b. Obtain assistance to check for a compressed umbilical cord. c. Prepare the woman for an emergency cesarean birth. d. Document the finding.
a
A client is in the first stage of labor and asks the nurse what type of pain she should expect at this stage. What is the nurse's most appropriate response? a. pain from the dilation or stretching of the cervix b. hypoxia of the contracting uterine muscles c. distention of the vagina and perineum d. pressure on the lower back, buttocks, and thighs
a
A new mother is concerned because it is 24 hours after birth and her breasts have still not become engorged with breast milk. How should the nurse respond to this concern? a. "It takes about 3 days after birth for milk to begin forming." b. "I'm sorry to hear that. There are some excellent formulas on the market now, so you will still be able to provide for your infant's nutritional needs." c. "You may have developed mastitis. I'll ask the primary care provider to examine you." d. "You are experiencing lactational amenorrhea. It may be several weeks before your milk comes in."
a
A nurse is assessing a breastfeeding client in the third week postpartum. During the physical examination, the nurse observes that the rugae in the vagina have not reappeared. Which factor would the nurse identify as the possible cause of delayed return of rugae? a. low circulating estrogen level b. low circulating progesterone level c. high circulating prolactin level d. low circulating oxytocin level
a
A nurse is auscultating the fetal heart rate of a woman in labor. To ensure that the nurse is assessing the FHR and not the mother's heart rate, which action would be most appropriate for the nurse to do? a. Palpate the mother's radial pulse at the same time. b. Ask the woman to hold her breath while assessing the FHR. c. Have the woman lie completely flat on her back while auscultating. d. Instruct the woman to bend her knees and flex her hips.
a
A nurse is caring for a breastfeeding client who reports engorgement. The nurse identifies that the client's condition is due to not fully emptying her breasts at each feeding. Which suggestion should the nurse make to help her prevent engorgement? a. Feed the baby at least every two or three hours. b. Apply cold compresses to the breasts. c. Provide the infant oral nystatin. d. Dry the nipples following feedings.
a
A nurse is caring for a client who has been administered an epidural block. Which should the nurse assess next? a. respiratory rate b. temperature c. pulse d. uterine contractions
a
A nurse is coaching a woman during the second stage of labor. Which action should the nurse encourage the client to do at this time? a. Push with contractions and rest between them. b. Hold the breath while pushing during contractions. c. Begin pushing as soon as the cervix has dilated to 8 cm. d. Pant while pushing.
a
A nurse is explaining to a pregnant client about the changes occurring in the body in preparation for labor. Which hormone would the nurse include in the explanation as being responsible for causing the pelvic connective tissue to become more relaxed and elastic? a. relaxin b. progesterone c. oxytocin d. prolactin
a
A nurse is performing a vaginal examination of a woman in the early stages of labor. The woman has been at 2 cm dilated for the past 2 hours, but effacement has progressed steadily. Which statement by the nurse would best encourage the client regarding her progress? a. You are still 2 cm dilated, but the cervix is thinning out nicely." b. "There has been no further dilatation; effacement is progressing." c. "You haven't dilated any further, but hang in there; it will happen eventually." d. Don't mention anything to the client yet; wait for further dilatation to occur.
a
A nurse is providing care to a postpartum woman who is breastfeeding her 1-day old neonate. While observing the interaction, the woman says to the nurse, "I have noticed some tingling in both of my breasts just before my baby starts to feed and then for a bit during the feeding. What is happening?" Which response by the nurse would be appropriate? a. "What you are feeling is the normal let-down reflex when milk is released." b. "There must be something causing a blockage in your milk ducts." c. "I need to call your provider because it sounds like you might be developing an infection." d. "Tingling in your breasts is most likely a sign that your breast tissue is swollen."
a
A nurse is teaching a postpartum woman about breastfeeding. When explaining the influence of hormones on breast-feeding, the nurse would identify which hormone that is responsible for milk production? a. prolactin b. estrogen c. oxytocin d. progesterone
a
A nurse notes a pregnant woman has just entered the second stage of labor. Which interaction should the nurse prioritize at this time to assist the client? a. encouraging the woman to push when she has a strong desire to do so b. alleviating perineal discomfort with the application of ice packs c. palpating the woman's fundus for position and firmness d. completing the identification process of the newborn with the mother
a
A woman who gave birth to a healthy baby 5 days ago is experiencing fatigue and weepiness, lasting for short periods each day. Which condition does the nurse believe is causing this experience? a. postpartum baby blues b. postpartum anxiety c. postpartum reaction d. postpartum depression
a
How does a woman who feels in control of the situation during labor influence her pain? a. Feelings of control are inversely related to the client's report of pain. b. Decreased feeling of control helps during the third stage. c. There is no association between the two factors. d. Feeling in control shortens the overall length of labor.
a
The coach of a client in labor is holding the client's hand and appears to be intentionally applying pressure to the space between the first finger and thumb on the back of the hand. The nurse recognizes this as which form of therapy? a. acupressure b. acupuncture c. effleurage d. biofeedback
a
The nurse is admitting a primigravida client who has just presented to the unit in early labor. Which response should the nurse prioritize to assist the client in remaining calm and cooperative during birth? a. "The baby is coming. Relax and everything will turn out fine." b. "Do you want me to call in your family?" c. "Even though the baby is coming, the health care provider will be here soon." d. "The baby is coming. I'll explain what's happening and guide you."
a
The nurse is caring for a client in active labor who has had a fetal blood sampling to check for fetal hypoxia. The nurse determines that the fetus has acidosis when the pH is: a. 7.15 or less. b. 7.25 or more. c. 7.20. d. 7.21.
a
The nurse is preparing a new mother to be discharged home after an uncomplicated delivery. During discharge education, which type of lochia pattern should the nurse tell the woman is abnormal and needs to be reported to her health care provider immediately? a. moderate lochia serosa on day 4 postpartum, increasing in volume and changing to rubra on day 5 b. moderate flow of lochia rubra on day 3 postpartum, changing to serosa on day 5 c. lochia progresses from rubra to serosa to alba within 10 days d. moderate lochia rubra on day 3, mixed serosa and rubra on day 4, light serosa on day 5
a
Which cardinal movement of delivery is the nurse correct to document by station? a. Descent b. Flexion c. Extension d. Internal rotation
a
Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? a. Fetal heart rate in relation to contractions b. The station in which the fetus is located c. Maternal heart rate and blood pressure d. Maternal request for pain medication
a
Which nursing action is a priority when the fetus is at the +4 station? a. Have a blue bulb suction and an infant warmer ready b. Have a tocometer and a patient gown ready c. Provide lubricating jelly and an internal monitor d. Prepare for an immediate cesarean section
a
Which primary symptom does the nurse identify as a potentially fatal complication of epidural or intrathecal anesthesia? a. Difficulty breathing b. Staggering gait c. Decreased level of consciousness d. Intense pain
a
A nurse is preparing a class for a group of new parents on the psychological adaptations that occur after the birth. The nurse should include which signs and symptoms that might suggest postpartum depression? Select all that apply. a. restlessness b. feelings of worthlessness c. feeling overwhelmed d. sleeping well e. hunger
a,b,c
The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers performed? Select all that apply. a. determining the presentation of the fetus b. determining the position of the fetus c. determining the lie of the fetus d. determining the weight of the fetus e. determining the size of the fetus
a,b,c
A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. a. Turn the client on her left side. b. Reduce intravenous (IV) fluid rate. c. Administer oxygen by mask. d. Assess client for underlying causes. e. Ignore questions from the client.
a,c,d
Which interventions would the nurse take to reduce the incidence of infection in a postpartum woman? Select all that apply. a. Teach proper positioning of the infant for breastfeeding. b. Recommend that the mother change her peripads every 12 hours. c. Encourage intake of fluids following delivery and after discharge. d. Wash her hands before and after caring for the client. e. Have the mother maintain a low activity level to allow the perineum to heal.
a,c,d
A client in active labor is given spinal anesthesia. Which information would the nurse include when discussing with the client and family about the disadvantages of spinal anesthesia? a. passage of the drug to the fetus b. headache following anesthesia c. excessive contractions of the uterus d. increased frequency of micturition
b
A client who requested "no drugs" in labor asks the nurse what other options are available for pain relief. The nurse reviews several options for nonpharmacologic pain relief, and the client thinks effleurage may help her manage the pain. This indicates that the nurse will: a. lead the client through a series of visualizations to aid in relaxation. b. instruct the client or her partner to perform light fingertip repetitive abdominal massage. c. instruct the client to perform controlled chest breathing with a slow inhale and a quick exhale. d. press down firmly with her index finger and forefinger on key trigger points on the client's ankle or wrist.
b
A nurse is caring for a client on the second day postpartum. The client informs the nurse that she is voiding a large volume of urine frequently. Which factor should the nurse identify as a potential cause for urinary frequency? a. urinary overflow b. postpartum diuresis c. urinary tract infection d. trauma to pelvic muscles
b
A nurse is caring for a non-breastfeeding client in the postpartum period. The client reports engorgement. What suggestion should the nurse provide to alleviate breast discomfort? a. Apply warm compresses. b. Wear a well-fitting bra. c. Express milk frequently. d. Apply hydrogel dressing.
b
A nurse is making an initial call on a new mother who gave birth to her third baby 5 days ago. The woman says, "I just feel so down this time. Not at all like when I had my other babies. And this one just doesn't sleep. I feel so inadequate." What is the best response to this new mother? a. "Every baby is different with their own temperament. Maybe this one just isn't ready to sleep when you want him to." b. "It sounds like you have the 'baby blues.' They are common after having a baby when you are not getting enough sleep, are busy with your other children, and are still a bit uncomfortable from the birth. They will most likely go away in a day or two." c. "It sounds like you need to make an appointment with a counselor. You may have postpartum depression." d. "Tell me, are you seeing things that aren't there, or hearing voices?"
b
A nurse is performing an assessment on a female client who gave birth 24 hours ago. On assessment, the nurse finds that the fundus is 2 cm above the umbilicus and boggy. Which intervention is a priority? a. Notify the primary care provider, and document the findings. b. Have the client void, and then massage the fundus until it is firm. c. Assess a full set of vital signs. d. Check and inspect the lochia, and document all findings.
b
A woman at 38 weeks' gestation is in labor and oxytocin is prescribed to augment her labor. When preparing to administer this medication, what action by the nurse would be appropriate? a. Give the medication as an intramuscular injection using the Z-track technique. b. Administer the medication piggybacked into a primary IV line using a pump. c. Give the medication orally every hour for the first 4 hours. d. Assist with insertion of a central venous access device for administration.
b
A woman who gave birth to her infant 1 week ago calls the clinic to report pain with urination and increased frequency. What response should the nurse prioritize? a. "This is normal; give it a few days and then call back." b. "After birth it is easier to develop an infection in the urinary system; we need to see you today." c. "Are you washing and providing good perineal hygiene? If not, this may be the reason for the irritation." d. "It is common for women to have yeast problems; try an over the counter cream and let us know if this continues."
b
The nurse is admitting to the floor a woman who just gave birth. What medical and pregnancy history would the labor and delivery nurse include in the report? a. Length of labor b. Maternal blood type c. The newborn's weight d. Apgar scores
b
The nurse is assessing a client at a postpartum visit and notes the client is emotionally sensitive, complains about being a failure, and appears extremely sad. The nurse concludes the client is presenting with which potential condition? a. postpartum blues b. postpartum depression c. postpartum psychosis d. anxiety disorders
b
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine contractions are effective and progressing well based on which finding? a. Engagement of fetus b. Dilation (dilatation) of cervix c. Rupture of amniotic membranes d. Bloody show
b
The nurse is preparing to teach a group of new parents about the labor process. When detailing the differences between the various presentations, which one should the nurse point out seldom happens? a. Breech b. Shoulder c. Oblique lie d. Transverse lie
b
The nursing instructor is leading a discussion on the physical changes to a woman's body after the birth of the baby. The instructor determines the session is successful after the students correctly point out which process results in the return of nonpregnant size and function of the female organs? a. Evolution b. Involution c. Decrement d. Progression
b
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. False pelvis b. Cervix c. Perineum d. Uterus
b
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. crowning b. effacement c. dilation (dilatation) d. molding
b
While waiting for the placenta to deliver during the third stage of labor the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock? a. tachypnea and a widening pulse pressure b. tachycardia and a falling blood pressure c. bradycardia and auscultation of fluid in the base of the lungs d. bradypnea and hypertension
b
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? a. LOA b. LOP c. ROA d. ROP
c
A client arrives at a health care facility in the latent phase of the first stage of labor. Which intervention should the nurse implement? a. Assist in preparation for a cesarean birth. b. Assist in providing epidural anesthesia. c. Provide emotional and physical support. d. Administer the drug naloxone.
c
A multigravida client is still focusing on her difficult labor and discusses it with the nurse at each opportunity, several hours after the birth. Which action should the nurse prioritize after noting the client's partner is spending more time with the infant than the client? a. Redirect her attention to the baby by reminding her of the details of newborn care. b. Ask her to describe how she plans to integrate the newcomer into her existing family, including any actions she has taken to prepare the siblings. c. Encourage her to discuss her experience of the birth and answer any questions or concerns she may have. d. Point out positive features of her baby, and encourage her to hold and cuddle the baby.
c
A nurse is conducting an in-service program for staff nurses working in the labor and birth unit. The nurse is discussing ways to promote a positive birth outcome for the woman in labor. The nurse determines that additional teaching is necessary when the group identifies which measure? a. promoting the woman's feelings of control b. providing clear information about procedures c. allowing the woman time to be alone d. encouraging the woman to use relaxation techniques
c
A pregnant client arrives to the clinic for a prenatal visit appearing uncomfortable. During the assessment, the nurse determines the client is experiencing fairly strong contractions at 12:05 p.m., 12:10 p.m., 12:15 p.m., and 12:20 p.m. What can the nurse conclude from these findings? a. The client is in active labor. b. The duration of the contractions is every 5 minutes. c. The frequency of the contractions is every 5 minutes. d. The client can be sent home.
c
A woman is in labor with her second child. She knows that she will want epidural anesthesia, and she has already signed her consent form. What must the nurse do before the woman receives the epidural? a. Review the woman's medical history and laboratory results, and interview her to confirm all information is accurate and up to date. b. Place the woman in the fetal position on the table, and keep her steady so that she won't move during the procedure. c. Administer a fluid bolus through the IV line to reduce the risk of hypotension. d. Prepare a sterile field with the supplies and medications that will be needed.
c
A woman states that she does not want any medication for pain relief during labor. Her primary care provider has approved this for her. What the nurse's best response to her concerning this choice? a. "That's wonderful. Medication during labor is not good for the baby." b. "Your health care provider is a man and has never been in labor; he may be underestimating the pain you will have." c. "I respect your preference, whether it is to have medication or not." d. "Let me get you something for relaxation if you don't want anything for pain."
c
At what time is the laboring client encouraged to push? a. When the nurse wants the client to push b. When the health care provider has arrived c. When the cervix is fully dilated d. When the fetal head can be seen
c
General anesthesia is not used frequently in obstetrics because of the risks involved. There are physiologic changes that occur during pregnancy that make the risks of general anesthesia higher than it is in the general population. What is one of those risks? a. The client is more sensitive to preanesthetic medications. b. The client is less sensitive to inhalation anesthetics. c. Neonatal depression is possible. d. Fetal hypersensitivity to anesthetic is possible.
c
The nurse is assisting a client in labor and delivery and notes the placenta is now delivered. What will the nurse document? a. completion of the fourth stage of labor b. attachment phase c. completion of the third stage of labor d. transition phase
c
The nurse is conducting a postpartum examination on a client who reports pain and is unable to sit comfortably. The perineal exam reveals an episiotomy without signs of a hematoma. Which action should the nurse prioritize? a. Notify a health care provider. b. Apply a warm washcloth. c. Place an ice pack. d. Put on a witch hazel pad.
c
The nurse is looking at the latest lab work for her postpartum client. The client's predelivery hemoglobin and hematocrit (H & H) was 12.8 and 39, respectively. This morning, the client's values are 8.9 and 30. How would the nurse interpret these lab values? a. The client will need a transfusion, so the RN needs to be notified. b. The client will be tired, so encourage her to sleep whenever the baby sleeps. c. The health care provider needs to be notified of the latest lab values. d. These values are expected for a 1-day postpartum mother.
c
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. transition phase b. stage two c. latent phase d. stage three
c
The nurse is observing a set of new parents to ensure that they are bonding with their newborn. What displayed behavior would indicate that the parents bonding is maladaptive? a. The mother states that she has her father's eyes. b. The father holds the newborn en face and talks to her. c. The mother is reluctant to touch the newborn for fear of hurting her. d. The parents explore the newborn's extremities, counting fingers and toes.
c
The nurse is preparing discharge for a client who plans to bottle-feed her infant. Which instruction should the nurse prioritize for this client in the discharge teaching? a. Run warm water over the breast in the shower. b. Massage the breasts when they are painful. c. Wear a tight, supportive bra. d. Express small amounts of milk when they are too full.
c
The student nurse is learning about normal labor. The teacher reviews the cardinal movements of labor and determines the instruction has been effective when the student correctly states the order of the cardinal movements as follows: a. internal rotation, descent, extension, flexion, external rotation, expulsion b. descent, flexion, external rotation, extension, internal rotation, expulsion c. descent, flexion, internal rotation, extension, external rotation, expulsion d. internal rotation, flexion, descent, extension, external rotation, expulsion
c
When assessing the uterus of a 2-day postpartum client, which finding would the nurse evaluate as normal? a. a scant amount of lochia alba b. a moderate amount of lochia alba c. a moderate amount of lochia rubra d. a scant amount of lochia serosa
c
he nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. How should the nurse document this finding? a. presentation b. attitude c. lie d. position
c
During a prepared childbirth class, the nursing is discussing the differences between true and false labor. Which responses by a client indicate an understanding of false labor? Select all that apply. a. "Walking will make my labor pains increase if I am experiencing false labor." b. "False labor pains begin in the back and move downward toward the pelvis. c. "Maintaining hydration by drinking water will lessen false labor pains." d. "Vaginal pressure may intensify during false labor." e. "The intensity of contractions is inconsistent in false labor."
c,e
A client who gave birth about 12 hours ago informs the nurse that she has been voiding small amounts of urine frequently. The nurse examines the client and notes the displacement of the uterus from the midline to the right. As long as there is a prescription, what intervention would the nurse perform next? a. Insert a 20 gauge IV. b. Administer oxytocin IV. c. Notify the health care provider. d. Perform urinary catheterization.
d
A nurse is assessing a postpartum client and notes an elevated temperature. Which temperature protocol should the nurse prioritize? a. 99.1ºF (37.3ºC) at 12 hours postbirth and decreases after 18 hours b. 100.1ºF (37.8ºC) at 24 hours postbirth and decreases the second postpartum day c. 100.3ºF (37.9ºC) at 24 hours postbirth and remains the same for the second postpartum day d. 100.5ºF (38.1ºC) at 48 hours postbirth and remains the same the third day postpartum
d
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? a. diffuse abdominal cramping b. rupturing of fetal membranes c. start of regular contractions d. dilation of cervix diameter to 10 cm
d
A woman who is breastfeeding her newborn reports that her breasts seem quite full. Assessment reveals that her breasts are engorged. Which factor would the nurse identify as the most likely cause for this development? a. cracking of the nipple b. improper positioning of infant c. inadequate secretion of prolactin d. inability of infant to empty breasts
d
As a woman enters the second stage of labor, her membranes spontaneously rupture. When this occurs, what would the nurse do next? a. Test a sample of amniotic fluid for protein. b. Ask her to bear down with the next contraction. c. Elevate her hips to prevent cord prolapse. d. Assess fetal heart rate for fetal safety.
d
Assessment of a woman in labor reveals that the scapula of the fetus is the presenting part. The nurse interprets this finding as indicating which fetal presentation? a. cephalic b. vertex c. breech d. shoulder
d
During the second stage of labor, a woman is generally: a. very aware of activities immediately around her. b. anxious to have people around her. c. no longer in need of a support person. d. turning inward to concentrate on body sensations.
d
If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor? a. a shallow deceleration occurring with the beginning of contractions b. variable decelerations, too unpredictable to count c. fetal baseline rate increasing at least 5 mm Hg with contractions d. fetal heart rate declining late with contractions and remaining depressed
d
The client may spend the latent phase of the first stage of labor at home unless which occurs? a. The client passes the bloody show b. The contractions vary in length and intensity c. The client begins back labor d. The client experiences a rupture of membranes
d
The community health nurse is conducting a presentation on labor and delivery. When illustrating the birth process, the nurse should point out "0 station" refers to which sign? a. "This is just a way of determining your progress in labor." b. "This indicates that you start labor within the next 24 hours." c. "This means +1 and the baby is entering the true pelvis." d. "The presenting part is at the true pelvis and is engaged."
d
The nurse has been monitoring a multipara client for several hours. She cries out that her contractions are getting harder and that she cannot do this. The nurse notes the client is very irritable, nauseated, annoyed, and doesn't want to be left alone. Based on the assessment the nurse predicts the cervix to be dilated how many centimeters? a. 0 to 2 b. 5 to 7 c. 3 to 4 d. 8 to 10
d
The nurse is assessing a postpartum woman and is concerned the client may be hemorrhaging. Which assessment finding is the nurse finding most concerning? a. increased blood pressure b. increased cardiac output c. increased hematocrit level d. increased heart rate
d
The nurse notes that the fetal head is at the vaginal opening and does not regress between contractions. The nurse interprets this finding as which process? a. engagement b. descent c. restitution d. crowning
d
What is a nursing intervention that helps prevent the most frequent side effect from epidural anesthesia in a pregnant client? a. administrating IV ephedrine b. administrating IV naloxone c. maintaining the client in a supine position d. starting an IV and hanging IV fluids
d
Which nursing intervention offered in labor would probably be the most effective in applying the gate control theory for relief of labor pain? a. Encourage the woman to rest between contractions. b. Change the woman's position. c. Give the prescribed medication. d. Massage the woman's back.
d
Which possible outcome would be a major disadvantage of any pain relief method that also affects awareness of the mother? a. The father's coaching role may be disrupted at times. b. The infant may show increased drowsiness. c. The mother may have continued memory loss postpartum. d. The mother may have difficulty working effectively with contractions.
d
The nurse is assisting a client through labor, monitoring her closely now that she has received an epidural. Which finding should the nurse prioritize to the anesthesiologist? a. Dry, cracked lips b. Urinary retention c. Rapid progress of labor d. Inability to push
d
What assessment finding would suggest to the care team that the pregnant client has completed the first stage of labor? a. The client's cervix is fully dilated. b. The infant is born. c. The client has contractions once every two minutes. d. The client experiences her first full contraction.
a
A nurse is caring for a client who is nursing her baby boy. The client reports afterpains. Secretion of which substance would the nurse identify as the cause of afterpains? a. prolactin b. progesterone c. oxytocin d. estrogen
c
The student nurse is preparing to assess the fetal heart rate (FHR). She has determined that the fetal back is located toward the client's left side, the small parts toward the right side, and there is a vertex (occiput) presentation. The nurse should initially begin auscultation of the fetal heart rate in the mother's: a. right upper quadrant. b. right lower quadrant. c. left upper quadrant. d. left lower quadrant.
d
