Foundations 2

A patient at term arrives in the birthing suite assessment area in prelabor. She asks the perinatal nurse about the use of raspberry tea leaves as a potential labor inducer. Which response by the nurse is the most appropriate? 1) "Because you are close to your due date, this substance is not harmful to you or your fetus and may be beneficial." 2) "This is one of several substances believed to have properties that will stimulate labor." 3) "Raspberry tea leaves should only be used in moderation if you wish to use them." 4) "Scientific studies are not yet complete on this substance, so I am not able to tell you about the possible risks or benefits."

"Scientific studies are not yet complete on this substance, so I am not able to tell you about the possible risks or benefits."

The obstetrical nurse is asked to obtain a collection of amniotic fluid from a 35-week antenatal patient with preterm rupture of the membranes (PROM). The sample is to be tested for the lecithin/sphingomyelin (L/S) ratio to determine the maturity of which fetal body organ? 1) Lungs 2) Kidney 3) Heart 4) Brain

1

The perinatal nurse is providing care to a primiparous adult patient who is experiencing uterine contractions every 3 to 4 minutes and is 5 centimeters dilated. The patient is considering an epidural anesthetic but presently, with interventions that include focused relaxation methods and back massage, she is coping with her contractions. Which nursing action is the priority for this situation? 1) Assessment and documentation of labor progress 2) Ongoing pain assessment at regular intervals 3) Inclusion of the patient's partner in her care 4) Use of hydration to promote more frequent contractions

1

Which is the most frequent cause of late postpartum hemorrhage? 1) Retained placental fragments 2) Anemia 3) Thrombocytopenia 4) Internal tissue lacerations

1

The perinatal nurse obtains a history from a pregnant client at her first prenatal visit who complains of frequent nausea and vomiting. Which questions are appropriate based on the subjective data provided by the client? SELECT ALL THAT APPLY. 1) Did your mother or sisters have nausea and vomiting during pregnancy? 2) Do you have a history of migraine headaches? 3) Do you have nausea related to motion or travel? 4) Have you had nausea and vomiting in a previous pregnancy? 5) Were you nauseated before you got pregnant?

1, 2, 3, 4

The perinatal nurse anticipates a plan for birth based on a woman's diagnosis of preterm premature rupture of the membranes and which assessment data? SELECT ALL THAT APPLY. 1) Foul smelling discharge 2) Maternal temperature of 101.4°F 3) Pulse of 110 beats per minute 4) Pulse of 80 beats per minute 5) Respiratory rate of 16 breaths per minute

1,2,3

An adult pregnant client who used advanced reproductive technology including clomiphene citrate (Clomid) to achieve pregnancy is now at 12 weeks of gestation and has just had an early ultrasound examination because of complaints of severe nausea and vomiting. The ultrasound revealed a molar pregnancy. Which items in the client's history placed her at risk for gestational trophoblastic pregnancy? SELECT ALL THAT APPLY. 1) Clomiphene citrate (Clomid) use 2) History of miscarriage 3) Race and geographic location 4) Blood type A, partner's blood type O 5) Dietary intake

1,2,4

The neonatal nurse in conducting an inservice regarding an increase in the admission rate of preterm infants. Which is the primary reason for this increase that the nurse will share during the inservice? 1) Multiple pregnancies 2) Maternal marijuana use 3) Women whose labor is induced 4) Women who receive prenatal screening tests

1.

The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The client states that she has experienced vaginal bleeding for the last 30 minutes. Which vital sign is the priority for the nurse to assess based on this data? 1) Fetal heart rate 2) Temperature 3) Blood pressure 4) Pulse

1.

The perinatal nurse is planning care for a G1 TPAL 0000 patient, who has been in labor for 7 hours. There have been no changes in the patient's cervical dilatation over the last 2 hours and she is having uterine contractions every 1 to 2 minutes. The patient describes her pain level as a 6 out of a possible 10. The patient's history describes a single incident of childhood sexual abuse. Which nursing intervention is most appropriate based on this data? 1) Provide continuous emotional support. 2) Ask if she would like to have other family members present. 3) Suggest use of an all-fours position. 4) Encourage a left lateral position.

1.

39. Following an amniotomy, the perinatal nurse notes the presence of fetal bradycardia with the fetus in a transverse lie. Based on this data, which condition does the nurse suspect? 1) Cervical tearing 2) Cord prolapse 3) Vasa previa 4) Placenta previa

2

A 32-week-old infant, who has been maintaining his temperature at 99°F (37.2°C) for the last 48 hours, is now ready to be weaned from the incubator. The nurse understands that gradual improvement with a full recovery in about 3 days can happen when using the proper weaning procedure. If the infant continues to maintain his body temperature, which action by the nurse is the most appropriate? 1) Turn down the incubator temperature all at once in the morning. 2) Turn down the incubator temperature gradually every few hours. 3) Turn down the incubator temperature in 3 to 4 hours.

2

A perinatal nurse reviewing a woman's labor history is aware of the risk factors for hematoma development. Hematoma risk factors include operative vaginal birth and which other item? 1) Multiparity 2) Nulliparity 3) Squatting in second stage 4) Second stage < 45 minutes

2

A pregnant client comes to the labor triage unit at 33 weeks of gestation with complaints of abdominal pain and vaginal bleeding. The client rates her abdominal pain as a "9" on a scale of 1 to 10 (where 10 is the worst imaginable pain) and is noticeably distressed. The nurse plans care for this client based on which probable diagnosis? 1) Placenta previa 2) Abruptio placentae 3) Vasa previa 4) Vaginal hematoma

2

A young adult client comes to the clinic describing the sudden onset of abdominal cramping and bleeding. The client states that she had missed two periods but that her menstrual cycle is often irregular. Which intervention is most appropriate based on the current data? 1) Obtaining a serum hCG level 2) Scheduling an ultrasound of the pelvis 3) Obtaining a complete blood count (CBC) and electrolyte level 4) Attempting to obtain a fetal heart rate by Doppler stethoscope

2

Due to recent evidence, which cultural group requires close monitoring for group B streptococcal (GBS) disease prior to delivery? 1) Caucasians 2) African Americans 3) Asian Americans 4) Hispanics

2

The nurse is conducting a newborn assessment on an infant just delivered by vaginal birth. The nurse notes that the infant is experiencing respiratory distress and is having difficulty ventilating the infant. The infant has a scaphoid abdomen and a barrel chest. Which condition does the nurse suspect based on this data? 1) Cleft palate 2) Congenital diaphragmatic hernia 3) Gastroschisis 4) Omphalocele

2

The perinatal nurse is preparing to send a postpartum patient home with her new infant. In the postpartum teaching session, the nurse includes warning signs of late postpartum hemorrhage for which the patient should seek attention. In addition to a tender uterus with or without fever, which other finding would the nurse include? 1) Headache that continues for more than 24 hours 2) Red vaginal bleeding that continues for more than 1 week 3) Palpitations with any physical exercise 4) Burning and/or itching with urination

2

The perinatal nurse is providing care for a G1 TPAL 0000 woman in labor at term. After completing a vaginal examination, the nurse determines that the fetus is in an occiput-posterior position. Which might the nurse suggest to help move the fetus into the occiput anterior position prior to birth? 1) A back massage 2) Walking 3) Increased hydration 4) Use of imagery

2

Due to recent evidence, which cultural group requires close monitoring for group B streptococcal (GBS) disease prior to delivery? 1) Caucasians 2) African Americans 3) Asian Americans 4) Hispanics

2) African Americans

The nurse is assessing a client after the administration of methergine for postpartum hemorrhage. Which findings indicate ergotism? SELECT ALL THAT APPLY. 1) Increased temperature 2) Cold, numb fingers and toes 3) Chest pain 4) Decreased blood pressure 5) Nausea and vomiting

2,3,5

The perinatal nurse assists the practitioner with artificial rupture of the membranes for a pregnant client at 41 weeks of gestation. The client's 18-week ultrasound showed a posterior placenta. Bright red vaginal bleeding is noted with the amniotic fluid at the time of rupture. Based on the data, which diagnosis does the nurse plan care for at this time? SELECT ALL THAT APPLY. 1) Vaginal tear 2) Placenta previa 3) Cervical tear 4) Vasa previa 5) Vaginal hematoma

2,4

A pregnant client comes to the labor triage unit at 33 weeks of gestation with complaints of abdominal pain and vaginal bleeding. The client rates her abdominal pain as a "9" on a scale of 1 to 10 (where 10 is the worst imaginable pain) and is noticeably distressed. The nurse plans care for this client based on which probable diagnosis? 1) Placenta previa 2) Abruptio placentae 3) Vasa previa 4) Vaginal hematoma

2. Abruptio placentae

The perinatal nurse is providing care for a G1 TPAL 0000 woman in labor at term. After completing a vaginal examination, the nurse determines that the fetus is in an occiput-posterior position. Which might the nurse suggest to help move the fetus into the occiput anterior position prior to birth? 1) A back massage 2) Walking 3) Increased hydration 4) Use of imagery

2. Walking

During morning report, the neonatal intensive care nurse is given information about an extremely low-birth-weight infant. The nurse expects the infant's weight to be less than which value? 1) 2,000 grams 2) 1,500 grams 3) 1,000 grams 4) 900 grams

3

The neonatal nurse is providing care to a 4,300-gram infant born at 38 weeks' gestation with a type II intracranial hemorrhage related to a traumatic birth. The nurse is asked questions by the infant's parents, who are angry about the birth. They wish to know about the cause of their infant's condition and how it could have been prevented. Which response by the nurse is the most appropriate? 1) "It must be hard for you to see your infant in this condition. What information could I give you about his status today?" 2) "It seems that you are having a difficult time. Maybe I could ask the social worker to talk with you today." 3) "This must be a difficult experience for you. Why don't I set up a conference to give you an opportunity to talk with your care providers and your infant's caregivers so that your questions can be addressed?" 4) "You must be angry about your infant's birth. I am sure that things could have been done differently and you should talk with your doctor about the circumstances surrounding the birth."

3

The perinatal nurse admits a G4 TPAL 1122 woman to the postpartum area 4 hours following birth. Information is documented in the medical record that includes a diagnosis of factor V Leiden mutation. Which assessment will be critical for this patient in the next 48 hours? 1) Counting and weighing her perineal pads 2) Examining her nipples and breasts for redness or engorgement 3) Observing for pain, edema, or redness in the lower extremities 4) Measuring her fundal height and position

3

The perinatal nurse is aware that the risk for an early postpartum hemorrhage is greatest within which timeframe? 1) The first 2 hours 2) The first 3 hours 3) The first 4 hours 4) The first 24 hours

3

The perinatal nurse is providing care to several postpartum patients. Which patient is at the greatest risk for the development of puerperal infection? 1) Vaginal birth 2) Cesarean birth 3) Cesarean birth with prolonged labor 4) Cesarean birth with general anesthesia

3

The perinatal nurse measures blood loss for a postpartum patient. The blood loss weighs 1 gram. Which is this equivalent to when measuring in milliliters? 1) 0.5 2) 0.75 3) 1 4) 2

3

The perinatal nurse reviews the clinic notes for a woman scheduled to come in for prostaglandin E2 (Dinoprostone [Cervidil]) insertion. Which is indicated by the Bishop score of 7? 1) A long, closed cervix with a high presenting part 2) The woman's consent for treatment 3) A cervix with some effacement and dilatation 4) A requirement for prostaglandin E2 (Dinoprostone [Cervidil]) removal after 20 minutes

3

Which is the most common admitting diagnosis in early pregnancy? 1) Antenatal bleeding 2) Threatened preterm labor 3) Hyperemesis gravidarum 4) Multiple gestation

3

The perinatal nurse is planning an educational session regarding the conditions for labor induction recommended by the American College of Obstetricians and Gynecologists. In addition to diabetes mellitus and pregnancy-induced hypertension, which other condition warrants labor induction? 1) Transverse fetal lie 2) Multiple gestation 3) Intrauterine growth restriction 4) Preterm premature rupture of membranes

3. The perinatal nurse measures blood loss for a postpartum patient. The blood loss weighs 1 gram. Which is this equivalent to when measuring in milliliters? 1) 0.5 2) 0.75 3) 1 4) 2

The perinatal nurse knows that preterm premature rupture of the membranes describes an absence of contractions prior to _____ weeks with spontaneous rupture of the membranes in pregnancy.

37 weeks

A father in the neonatal intensive care unit has asked the neonatal nurse about pain. He is wondering how pain is assessed and whether his newborn has pain. When teaching this father, which symptoms will the nurse include as indicative of pain? 1) Regurgitation and drooling 2) Decreased respirations and heart rate 3) Increased acrocyanosis and low blood pressure 4) Increased respirations and exhibiting clenched hands

4

A male newborn is admitted to the neonatal intensive care unit (NICU) with a diagnosis of neurapraxia. The newborn's parents ask the neonatal nurse about their infant's prognosis. Which response by the nurse is the most appropriate? 1) Full recovery in about 10 days 2) Limited recovery over the next 2 weeks 3) Gradual improvement with a full recovery in 1 month 4) Gradual improvement with a full recovery in about 3 days

4

A patient at term arrives in the birthing suite assessment area in prelabor. She asks the perinatal nurse about the use of raspberry tea leaves as a potential labor inducer. Which response by the nurse is the most appropriate? 1) "Because you are close to your due date, this substance is not harmful to you or your fetus and may be beneficial." 2) "This is one of several substances believed to have properties that will stimulate labor." 3) "Raspberry tea leaves should only be used in moderation if you wish to use them." 4) "Scientific studies are not yet complete on this substance, so I am not able to tell you about the possible risks or benefits."

4

The perinatal nurse critically assesses a woman in the immediate postpartum period for blood loss using which parameter? 1) Blood pressure 2) Pulse 3) Respiratory rate 4) Mean arterial pressure

4

A male newborn is admitted to the neonatal intensive care unit (NICU) with a diagnosis of neurapraxia. The newborn's parents ask the neonatal nurse about their infant's prognosis. Which response by the nurse is the most appropriate? 1) Full recovery in about 10 days 2) Limited recovery over the next 2 weeks 3) Gradual improvement with a full recovery in 1 month 4) Gradual improvement with a full recovery in about 3 days

4) Gradual improvement with a full recovery in about 3 days

A premature infant has frequent apnea episodes, and the physician orders mild stimulation when these occur. To perform this intervention correctly, what does the nurse do? A - Flick the heels of the infant's feet B - Increase the oxygen flow rate C - Shake the baby by the shoulders D - Speak loudly to the infant

A - Flick the heels of the infant's feet

The charge nurse in the neonatal intensive care unit wants to create and atmosphere that is more conducive to developmental growth of their premature infants. Which nursing care action by the staff would best accomplish that goal? A - Instruct the nurses to use quiet, gentle voices B - Maintain low, soothing lights at all times C - Position infants with limbs in an extended position D - Wake the babies up every hour to stimulate them.

A - Instruct the nurses to use quiet, gentle voices

A nurse is caring for a premature infant in the neonatal intensive care unit (NICU). When does the nurse begin discharge planning? A - On the baby's admission to the NICU B - 1 week prior to planned discharge C - When the parents are able to learn about care D - When the baby is medically stable

A - On the baby's admission to the NICU

A woman with systemic lupus erythematosus (SLE) is being seen for her first prenatal visit. What information about SLE should the nurse provide to this patient? A. Cardiac problems in the newborn present the biggest concern. B. Labor and delivery will most likely exacerbate your disease. C. If the disease flares during pregnancy, elective abortion is needed. D. Medications for SLE are all contraindicated in pregnancy.

A. Cardiac problems in the newborn present the biggest concern.

The perinatal nurse understands that one of the risks of oxytocin infusion includes FHR changes related to which of the following? A. Decreased placental perfusion B. Oligohydramnios C. Maternal hypotonic contractions D. Maternal hypotension

A. Decreased placental perfusion

A nurse is reviewing hypotonic labor with a student nurse. The nurse explains to the student that which of the following is the most common cause of this dysfunctional labor pattern? A. Fetal macrosomia B. Maternal android pelvis C. Inadequate uterine pacemakers D. Fetal occiput-posterior Position

A. Fetal macrosomia

the perinatal nurse promotes postpartum health and prevents infection with the inclusion of information about which concept? A. good hand washing B. early ambulation C. minimal fluid intake D. restricted protein intake

A. Good hand washing

The perinatal nurse is aware that complications arising from amnioinfusion include which of the following? A. Infection B. Halt in Labor C. Neonatal hydrocephalus D. Fluid Overload

A. Infection

the nurse caring for postpartum patients understands that which of the following is the most common type of psychosocial disturbance seen in this population? A. postpartum blues B. postpartum depression C. postpartum psychosis D. postpartum mania

A. Postpartum blues

The perinatal nurse knows that which of the following conditions must be met before assisting at a forceps delivery? A. Presenting part must be engaged B. membranes must still be intact C. Patient's bladder should be full D. Cervix at least 50% dilated

A. Presenting parts must be engaged

A nurse is reviewing a patient's chart and notes that she has a history of "TORCH infection—T." What infection has this woman had?A. Toxoplasmosis B. Trigeminal neuralgia C. Tricuspid insufficiency secondary to rheumatic fever D. Tetanus

A. Toxoplasmosis

A woman is discussing becoming pregnant at the age of 42. What important information should the nurse provide to this woman? A. Women older than 35 are more likely to experience obstetric complications. B. Women older than 40 have SABs at four times the normal rate. C. Women do not have more pregnancy-related problems until they reach their 50s. D. Women older than 40 should not consider having a vaginal birth.

A. Women older than 35 are more likely to experience obstetric complications.

a perinatal nurse screens all patients for intimate partner violence. what technique is the best when performing this screening? A. asking direct questions about abuse B. having the woman fill out a survey C. scheduling a social worker to visit all new patients D. distributing flyers that encourage reporting abuse

A. asking direct questions about abuse

A 42 week gestational aged newborn is assessed 20 hours after delivery by the nurse. On assessment, the nurse auscultates rales and rhonchi and notes the newborn is tachypneic and has meconium-stained nails. The nurse suspects that the newborn has A - Sepsis B - Meconium aspiration pneumonia C - Transient tachypnea of the newborn D - Respiratory Distress Syndrom (RDS)

B - Meconium aspiration pneumonia

A nurse hears a health-care provider describe a pregnant woman as having tocophobia. What does the nurse understand this to mean? A. Allergy to tocolytics B. Fear of childbirth C. Fear of pain D. Atonic Uterus

B. Fear of childbirth

A patient is scheduled to have a salpingostomy to treat an ectopic pregnancy. What information should the nurse teach this patient? A. The operation will prevent any further ectopic pregnancies. B. It is an incision into the fallopian tube to remove the pregnancy. C. You will have your entire fallopian tube removed in this procedure. D. This operation has a high risk of causing infertility.

B. It is an incision into the fallopian tube to remove the pregnancy

A nurse reads in a woman's chart that she has a history of dystocia. Based on this information, the nurse assesses the woman for what condition? A. Fetal abnormalities B. Long, difficult labor C. Prior fetal demise D. Bleeding abnormalities

B. Long, difficult labor

a nurse reads on a patients chart that she has a clot in her superficial saphenous venous system. what condition should the nurse be prepared to treat? A. pulmonary embolism B. Superficial venous thrombosis C. deep vein thrombosis D. uterine thrombophlebitis

B. Superficial venous thrombosis

As part of a postpartum womans assessment, the perinatal nurse observes for signs ans symptoms of hematoma formation. which of the following is the most common anatomical site for a hematoma to form? A. rectum B. vulva C. cervix D. episiotomy site

B. Vulva

the perinatal nurse is providing information to a postpartum woman being discharged from the hospital on warfarin (Coumadin) therapy. which drug would the nurse instruct the patient to restrict? A. acetaminophen (Tylenol) B. ibuprofen (Motrin) C. prenatal vitamins D. docusate sodium (Colace)

B. ibuprofen (Motrin)

what teaching is important for the woman being treated with lithium for postpartum psychosis? A. dental visits every 4 months B. lithium levels drawn every 6 months C. do not drink any citrus juices D. use two types of birth control

B. lithium levels drawn every 6 months

A 30 week gestational aged neonate has anemia of prematurity. The neonatologist has ordered recombinant human erythropoietin 250 units/kg subcutaneous 3 times a week. Which intervention does the nurse implement related to this medication? A - administering the medication prior to feedings B- Applying pressure to the injections site for 5 minutes C - assessing hematocrit levels as per hospital policy D - assessing electrolyte levels weekly

C - assessing hematocrit levels as per hospital policy

A 24 hour old newborn is being treated for hyperbilirubinemia with phototherapy bilirubin lights. The patient is in an incubator, fully undressed. Which of the following nursing actions are inconsistent with best practice for this type of infant? A - Apply eye patches and a covering over the genital area B - Administer proper nutrition to ensure the clearance of bilirubin C - Apply a head covering to prevent heat loss D - Maintain adequate hydration to promote excretion of bilirubin.

C. Apply a head covering (stockinet hat) to prevent heat loss

A nurse is teaching a woman who is considering pregnancy in the near future. The woman lives with her husband who smokes; she drinks 2 glasses of wine a day and has both cats and dogs in the house. What action should the nurse suggest to prevent acquiring a TORCH infection? A. Ask the husband to smoke only outside. B. Stop drinking and avoid secondhand smoke. C. Avoid changing the kitty litter. D. Avoid blood and body fluids of other people.

C. Avoid changing the kitty litter

A woman presents to the OB unit in active labor. She has had no prenatal care and tells the nurse that the baby's father has gonorrhea. She has not been treated. For what complication is the newborn at most risk? A. Pneumonia B. Skin lesions C. Blindness D. Intellectual disability

C. Blindness

A nurse notes that a pregnant patient has 3+ reflexes noted on her chart. How would the nurse describe this finding to a nursing student? A. Average or normal B. Presence of clonus C. Brisker than average D. No response

C. Brisker than average

A woman has a history of placenta increta. What does the nurse understand about this condition? A. Slight penetrations of the myometrium by the trophoblast B. Placental perforation C. Deep placental penetration of the myometrium D. Abnormal implementation of the placental

C. Deep placental penetration of the myometrium

a nurse is caring for a patient on IV heparin for a DVT. which lab value should the nurse monitor as the priority? A. hemoglobin B. INR C. PTT D. platelet count

C. PTT

Upon assessing the newborn, the nurse notes shallow rapid respirations, palmar sweating, decreased oxygen saturation, and a high-pitched cry. These clinical assessments are indicative of which of the following? A. A neurological problem B. Hypoglycemia C. Pain D. Transient tachypnea of the newborn (TTN)

C. Pain

the perinatal nurse understands that a puerperal infection occurs within how many days after giving birth? A. 10 to 14 B. 15 to 30 C. within 28 days D. within 6 months

C. Within 28 days

A patient has an order for a prostaglandin E2 preparation. What does the nurse understand about this medication? A. Only used when delivery is imminent B. Cervical ripening agent C. Has a high rate of adverse reactions D. Is only given subcutaneously

Cervical ripening agent

A premature infant born at 35 weeks gestational age is being discharged pending the results of an Infant Care Seat Challenge. During the testing, the infant has three episodes of apnea lasting longer than 20 seconds. Which action by the nurse is best? A - Arrange for the parents to get an apnea-bradycardia monitor for the trip. B - Have the parents bring a different care seat to try with the infant C - Instruct the parents to use supplemental oxygen on the trip home D - Support the parents as they cope with the delay in the baby's discharge

D - Support the parents as they cope with the delay in the baby's discharge

A nurse assessing an infant notes the baby has been constipated, is lethargic, and is hypotonic. Which laboratory tests does the nurse anticipate being ordered? A - Complete blood count B - Direct bilirubin C - Hemoglobin and hematocrit D - Thyroxine and triiodothyronine

D - Thyroxine and triiodothyronine

The perinatal nurse is aware that recommendations for elective deliveries specify induction no earlier than what gestational age? A. 30 weeks B. 35 weeks C. 37 weeks D. 39 weeks

D. 39 weeks

Immediate conditions that pose nursing concerns for the small-for-gestational-age (SGA) newborn include which of the following? A. Long-term chronic or end-of-life care B. Bronchopulmonary dysplasia and ischemia C. Muscle contractures and hyperthermia D. Hypothermia and pain management

D. Hypothermia and pain management

the perinatal nurse is aware of the physical effects that maternal battering can have on a newborn. Which of the following is inconsistent with this knowledge? A. low birth weight infant B. preterm birth C. neonatal death D. prolonged labor

D. Prolonged Labor

The perinatal nurse talks with an Asian client who asks about taking ginger for her nausea and vomiting. The appropriate dose is ___ gram daily.

Ginger is effective with a 250 mg dose 4 times a day; therefore, 1000 mg (or 1g) daily is taught for the medicinal effects.

The perinatal nurse is developing a plan of care for a patient with hypotonic contractions in the second stage of labor. The nurse is aware that because the presenting part is above the ischial spines in the maternal pelvis, the contractions may not have enough force to facilitate fetal ____________.

Hypotonic labor is a common type of uterine dysfunctional pattern that contributes to poor labor progression. With hypotonic dystocia, the uterine contractions decrease in frequency and intensity. A hypotonic labor pattern usually occurs during the active phase of labor. It is defined as fewer than two to three contractions during a 10-minute period. The uterus can be easily indented, even at the peak of the contraction, and the intrauterine pressure (IUP) is insufficient for the progression of cervical effacement and dilation.

The nurse is providing care to a patient and family members who have just experienced a perinatal loss. Which questions by the nurse convey compassion to the patient and family?SELECT ALL THAT APPLY. 1) "What are you most worried or fearful about?" 2) "You can try again. Didn't the doctor tell you that?" 3) "How supportive are your family and close friends?" 4) "What coping mechanisms have been helpful for you in the past?" 5) "Why didn't you seek care sooner?"

It is important for the nurse to convey compassion to a patient and family members who have experienced a perinatal loss. Inquiring about the patient's worries, fears, support system, and coping mechanisms all convey compassion. Asking whether the doctor told her she can try again or why she didn't seek care sooner do not convey compassion in this situation.

The perinatal nurse understands that although an induction of labor for a postterm gestation may follow a maternal or medical request, this procedure carries the potential for increased interventions, including _________ _______.

Labor induction often leads to an increase in interventionist care, including the use of intravenous therapy, amniotomy, internal monitoring, epidural anesthesia, cesarean birth, and a longer stay in the labor unit.

The perinatal nurse is aware that two of the criteria that must be met prior to the use of _______ forceps are that the fetal scalp is visible and the fetal position is occiput anterior or posterior.

Outlet

A woman has a history of a bilobed placenta, each with its own circulation. What condition does this describe? A. Battledore placenta B. Circumvallate placenta C. Succenturiate placenta D. Placenta percreta

Succenturiate placenta