Quizzes

Select the correct order of occurrence of the phases of labor. Active, Transition, Latent Latent, Active, Transition Transition, Latent, Active Latent, Transition, Active

Latent, Active, Transition

The nurse explains which of the following "theory of labor onset " to the client? b. Prostaglandin release causes an increase in cervical resistance c. Oxytocin causes the cervix to efface and dilate a. Utero-placental insufficiency occurs d. Progesterone increases the blood flow to the myometrium

Oxytocin causes the cervix to efface and dilate

While caring for the client who gave birth one day ago, the nurse notes that the client repeatedly reviews her labor and birth experience and is very dependent on the nurse for care. The nurse is correct in identifying the following interventions to use with the client. A. Reassure the client that caring for the newborn "comes naturally". B. Offer explanations and involve the client in the care of herself and the infant. C. Assess all of the infant's diapers and observe all feedings. D. Restrict visitors to only the significant other

B. Offer explanations and involve the client in the care of herself and the infant.

From the above case study information, which is the priority nursing intervention? A. Place ice on the perineum B. Have the woman void and massage the fundus C. Observe breastfeeding D. change the peripads

B. have the woman void and massage the fundus

The nurse's explanation of the process of involution should include the following information. a. The uterus can be palpated at the umbilicus for 6 weeks. b. PP bleeding will become redder and increase in amount over the 6 week period following delivery. C. Afterbirth cramps may occur with stronger intensity during breastfeeding. d. The estrogen and progesterone increase.

C. Afterbirth cramps may occur with stronger intensity during breastfeeding.

CASE STUDY: Your postpartum client is a 27 year old G 2 P 1 who gave birth to a healthy baby boy. She is 36 hours postpartum and is breastfeeding her baby. You note that her fundus is 2/U, boggy, and to the right of the umbilicus. Her lochia is rubra and moderate amount. Her intact perineum is sore, 2-3 on pain scale. She informs you that she has a cramping sensation in her pelvic area when she breastfeeds her baby. Her nipples are pink and she indicates they are tender. 9. Identify the following assessment data which deviate from the the expected. A. moderate rubra lochia B. sore perineum C. states has cramping when she breastfeeds D. fundus is 2/U boggy, and to the right of the umbilicus

D. fundus is 2/U boggy, and to the right of the umbilicus

Allows majority of the umbilical vein blood to bypass the liver and merge with blood moving through the vena cava.

Ductus venosus

a pregnant woman is admitted to labor and delivery experiencing contractions. The assigned nurse observes that the woman experiences pauses between the contractions. The nurse knows that which event marks the importance of the pauses between contractions during labor? a. Effacement and dilation of the cervix. b. Shortening of the the upper uterine segment c. Reduction in the length of the cervical canal. d. Restoration of blood flow to the uterus and the placenta.

Restoration of blood flow to the uterus and the placenta.

Carries oxygenated blood from the placenta to the fetus.

Umbilical artery

Carries deoxygenated blood and wastes from the fetus to the placenta.

Umbilical vein

Educate the patient to notify the healthcare provider if she notices any of the following symptoms of subinvolution once she is discharged on the third postpartum day ( select all that apply). a) Vaginal discharge with clots ( larger than a golf ball ) that has changed to bright red color b) Foul smelling lochia c) Hematuria d) Diaphoresis and diuresis

a) Vaginal discharge with clots ( larger than a golf ball ) that has changed to bright red color

7. A patient comes to the labor and delivery triage unit and the exam reveals that the cervix is 8 cm dilated, 100% effaced and 0 station. While preparing for an eminent delivery, the nurse should ask to the following admission questions immediately. a) EDD b) Allergies c) Sex of children d) Number of pregnancies

a,b,c,d

During the postpartum assessment the nurse should perform the following skills ( select all that apply). a) Palpate the fundal height, consistancy, and location. b) Palpate the breasts and inspect the condition of the nipples. c) Analyze the maternal carbohydrate intake. d) Evaluate the lochia color, amount , and odor.

a,b,c,d

To prepare for the delivery the nurse should do the following: (select all that apply) a) Prepare the instruments on the delivery table and neonatal resuscitation supplies b) Place the patient in the supine position for delivery c) Cleanse the perineum and take off the lower portion of the bed before the fetal descent occurs d) Coach pushing and notify provider that it is time for delivery

a,b,d

Lochia refers to the discharge that occurs after childbirth. Choose the correct sequence in which the 3 stages of lochia should occur. a. serosa, alba, rubra, b. rubra, serosa, alba c. alba, serosa, rubra d. rubra, alba, serosa

b. ruba, serosa, alba

Uterine atony may be seen more frequently in the following clients. a. Client that has had a spontaneous vaginal delivery b. Client that is now G5 T4 P1 A0 L5 c. Client that has a non palpable bladder d. Client that had a primary ceserean section for breech.

b.client that is now G5 T4 P1 A0 L5

A pregnant woman wants to know why the labor of a first time pregnant woman usually lasts longer that that of one who has already delivered a baby and is pregnant a second time. What explanation would the nurse offer the woman ? a. Braxton Hicks contractions are not strong enough during the labor of a primigravida. d. Labor contractions are stronger for the primigravida than the multigravida. c. The cervix usually takes around 10-16 hours of labor contractions to dilate fully during the first pregnancy d.Spontaneous rupture of the membranes occurs only during the first pregnancy.

c. The cervix usually takes around 10-16 hours of labor contractions to dilate fully during the first pregnancy

. A patient in the third stage of labor has experienced placental separation and expulsion. Why is it necessary for a nurse to massage the woman's uterus until it is firm? a. To push the uterus out of the pelvis. b. To remove placental pieces left attached to the uterine wall. c. To constrict the uterine blood vessels and minimize bleeding. d. To lessen the chances of conducting an episiotomy.

c. To constrict the uterine blood vessels and minimize bleeding.

The thinning and opening of the cervix occur during which stage of labor? b. Stage Four d. Stage Three a. Stage Two c. Stage One

c. stage one

The breasts fill with milk within 3-5 days after delivery. Until then the discharge from the breasts is called

colostrum

A nurse is caring for a woman during the second stage of labor and is delivering. Which fetal response should the nurse monitor? a. Decrease in carbon dioxide pressure b. Increase in fetal breathing movements c. Increase in fetal oxygen pressure d. Decrease in circulation and perfusion to the fetus

d. Decrease in circulation and perfusion to the fetus

The nurse is caring for a patient in labor and delivery. The nurse knows that which sign marks the termination of the first stage of labor? a. Diffuse abdominal cramping b. Rupture of the membranes c. Onset of regular contractions d. Full or complete dilation of the cervix to 10 cm

d. Full or complete dilation of the cervix to 10 cm

Prior to assessing the fundus the nurse should have the patient empty her bladder and do the following: a. Place a pillow behind her right side to displace the uterus to the left side b. Elevate her legs c. Sit in the semi-fowlers position d. Lie in a supine position

d. lie in a supine position

Connect the pulmonary artery to the aorta which allows bypassing the lungs.

ductus arteriousus

Allows some of the blood entering the right atrium to cross immediately to the left atrium.

foramen ovale