Quiz module 7
The woman is about to deliver the placenta
A woman had a baby by normal spontaneous delivery 10 minutes ago. The nurse notes that a gush of blood was just expelled from the vagina and the umbilical cord lengthened. What should the nurse conclude?
Use open-ended questions to clarify her true feelings about the experience.
A woman having her third baby has planned epidural analgesia for labor and birth. However, her labor was so rapid that she did not have the epidural. What is the best initial nursing approach in this case?
Fundal contractility
A woman who states that she "thinks" she is in labor enters the labor suite. Which of the following assessments will provide the nurse with the most valuable information regarding the client's labor status?
Dark red mixed with mucus
Bloody show differs from active vaginal bleeding in that bloody show:
Most exchange of fetal oxygen and waste products occurs at that time.
The nurse should note how long the interval between contractions lasts because:
Separates from center Fetal side Most common type of separation
The placenta separates via Schultze mechanism. Which of the following describes this? Select all that apply.
Change in the amount of cervical thinning
Choose the most reliable evidence that true labor has begun.
Uterus contracts
During the third stage of labor, the following physiological changes Which of the following happens first
Mrs. C 30 weeks pregnant whose pre pregnant weight is 122 lb and now 132 lb
The OB nurse is assessing several pregnant women. Which of the following women should require immediate attention?
Uterus rising in the abdomen and feeling globular
The client is in the third stage of labor. Which of the following assessments should the nurse make/observe for?
During second stage of labor
The most appropriate time for the nurse to assist a laboring woman to push is:
Cervix is dilated completely
The nurse is caring for a client in labor. Which assessment findings indicate to the nurse that the client is beginning the second stage of labor?
Check the blood pressure between two contractions.
The nurse is monitoring several women in the labor room. When assessing a laboring woman's blood pressure, the nurse should:
Twin A in vertex position
The nurse is providing care for a patient with a twin pregnancy. Which of the following fetal factors would enhance the possibility of a vaginal birth?
Supporting the perineum when woman bears down
To decrease the possibility of perineal laceration during delivery, the nurse performs which of the following interventions prior to delivery?
There is possibility of cord prolapse
When auscultating the fetal heart rate of a term fetus during labor, the nurse notes a rate of 130 to 105 beats per minute (bpm), after the rupture of membranes. How should the nurse interpret the data?
Look ate her perineum
A laboring woman who has not taken pain medication abruptly stops her previous breathing techniques during a contraction and makes low-pitched grunting sounds. The priority nursing action is to:
Perineum begins to bulge with each contraction.
A nurse is caring for a primigravida during labor. What does the nurse observe that indicates birth is about to take place?
My contractions will be mild, lasting for approximately 30 seconds, and occurring about every 10 minutes
The nurse reviews the contractile patterns seen during the latent phase of labor. Which of the following statements made by the patient indicates that she understood the teaching?