intrapartum/ labor and birth process practice questions

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? Assist with insertion of a central venous access device for administration. Give the medication orally every hour for the first 4 hours. Give the medication as an intramuscular injection using the Z-track technique. Administer the medication piggybacked into a primary IV line using a pump.

Administer the medication piggybacked into a primary IV line using a pump.

A primigravida client at 39 weeks' gestation calls the OB unit questioning the nurse about being in labor. Which response should the nurse prioritize? Emphasize that food and fluid should stop or be light. Ask the woman to describe why she believes that she is in labor. Arrange for the woman to come to the hospital for labor evaluation. Tell the woman to stay home until her membranes rupture.

Ask the woman to describe why she believes that she is in labor.

A primigravida has an office appointment at 39 weeks' gestation. Which assessment data is most definitive of the onset of labor? The fetal head is engaged in the pelvis. Expulsion of the mucus plug. Cervical ripening is noted on examination. The mother reports frequent urination.

Cervical ripening is noted on examination.

Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? Maternal heart rate and blood pressure Fetal heart rate in relation to contractions Maternal request for pain medication The station in which the fetus is located

Fetal heart rate in relation to contractions

A multiparous woman at 39 weeks' gestation arrives at the labor and delivery unit stating that she is in labor. Upon pelvic examination, the nurse documents a softening of the cervix and 3 cm dilation. Which nursing action is best? Send the client home and return if contractions increase Have the client ambulate in the hall and recheck. Admit the client directly to the labor and delivery area Have the client rest in bed on her left side.

Have the client ambulate in the hall and recheck.

The nurse has been asked to present information to a group of civic leaders concerning women's health issues. In preparing the information, the nurse includes what goal from Healthy People 2030 related to women in labor? Reduce the rate of cesarean births among low-risk women. Encourage women with previous cesareans to always have a cesarean. Ensure care during labor includes immunizations. Ensure all couples receive preconception genetic counseling.

Reduce the rate of cesarean births among low-risk women.

The nurse is noting a collection of blood under the scalp on a newborn being discharged to home. The nurse is correct to prepare teaching instructions of which topic? a caput succedaneum developmental delay wrapping of the head a cephalohematoma

a cephalohematoma

A nurse is teaching a group of pregnant women about the signs that labor is approaching. When describing these signs, which sign would the nurse explain as being essential for effacement and dilation (dilatation) to occur? lightening Braxton Hicks contractions bloody show cervical ripening and softening

cervical ripening and softening

A client calls the prenatal clinic and tells the nurse, "I think I am in labor." The nurse determines that the client is in true labor based on which client statement? "The contractions lessen after I drink a large glass of water." "I feel the tightening primarily in the front of my belly." "I feel pressure in my vagina when I have the contraction." "I will have a strong one and then the next one will be weaker."

"I feel pressure in my vagina when I have the contraction."

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. "Maintaining hydration by drinking water will lessen false labor pains." "Vaginal pressure may intensify during false labor." "False labor pains begin in the back and move downward toward the pelvis. "The intensity of contractions is inconsistent in false labor." "Walking will make my labor pains increase if I am experiencing false labor."

"Maintaining hydration by drinking water will lessen false labor pains." "The intensity of contractions is inconsistent in false labor."

Which client outcome during active and transitional labor is best? The client will state a pain level of 7 and under during contractions. The client will practice breathing techniques during contractions. The client will tolerate 8 oz (240 ml) of clear liquids during labor process. The client will walk in the hall for 15 minutes every 2 hours.

The client will practice breathing techniques during contractions.

The nurse is assisting a client in labor and delivery and notes the placenta is now delivered. What will the nurse document? completion of the third stage of labor completion of the fourth stage of labor attachment phase transition phase

completion of the 3rd stage of labor

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? restitution descent crowning engagement

crowning

The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction. The nurse would document this as which finding? intensity frequency duration peak

duration

What term is used to describe the position of the fetal long axis in relation to the long axis of the mother? Fetal attitude Fetal position Fetal lie Fetal presentation

fetal lie

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? stage 3 stage 2 latent phase transition phase

latent phase

When going through the transition phase of labor, women often feel out of control. What do women in the transition phase of labor need the most? just to be left alone their significant other beside them intense nursing care positive reinforcement

positive reinforcement

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? breech cephalic shoulder vertex

shoulder

A nurse is monitoring a woman in labor. Which assessment finding is most concerning to the nurse? Client begins vomiting. Respiratory rate is 22 breaths/minute. Temperature is 101.6°F (38.7°C). Blood pressure is 128/82 mm Hg.

temp is greater than 101.6 F

What assessment finding would suggest to the care team that the pregnant client has completed the first stage of labor? The client has contractions once every two minutes. The infant is born. The client's cervix is fully dilated. The client experiences her first full contraction.

the clients cervix is completely dilated