OB 8-10 prequiz
Of the four components of labor, the __________ consists of the woman's bony pelvis and soft tissues of the cervix and vagina
passageway
The fourth stage of labor is considered the __________ period
recovery
A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which of the following?
respiratory depression
The three main directions that the fetus can present in the pelvis are cephalic, breech, and
shoulder
A __________ headache is suspected when the woman has intense pain upon sitting upright that is relieved when lying still.
spinal
Passing through the birth canal is beneficial to the fetus in what 2 ways?
stimulates surfactant production and clears the respiratory passageways of mucus
Pain __________ is the level of pain necessary for an individual to perceive pain
threshold
The __________ phase of the first stage of labor is the most intense phase of labor.
transitiontransition
The __________ blood cell count increases in response to inflammation, pain, and stress of labor.
white
A patient in labor and delivery has just been diagnosed with pre-eclampsia. Signs and symptom the nurse should monitor related to this condition include which of the following? (Select all that apply.)
• BP > 140/90 mm Hg • protein in urine • edema of face • headache
The nurse encourages a woman in labor to ambulate based on the understanding that it helps with which of the following? Select all that apply
• Enlists the aid of gravity to move the fetus • Enhances the effectiveness of contractions • Encourages rotation of the fetus • Helps the fetus line up with the angle of the pelvis • Increases the urge to push during the second stage
When an examiner does an initial vaginal examination on a patient in labor, he or she is confirming which of the following? (Select all that apply.)
• presentation • position • attitude • fetal station
Opioid medications are also known as __________ analgesics.
narcotic
The second stage of labor begins when the cervix is
10 cm dialated
The fetal heart rate should be strong and regular with a baseline between __________ and 160 beats per minute.
110
Transitional phase of labor starts when the cervix is __________ cm and ends with full dilation.
8
Which of the following is true regarding analgesia versus anesthesia?
Analgesia only reduces pain, but anesthesia partially or totally blocks all pain in a particular area
A patient is recovering from a standard delivery. The nurse has just removed the epidural catheter and applied a sterile pressure dressing. What is it important for the nurse to do now
Assess return of sensory and motor functions to the lower extremities
Early decelerations are nonreassuring fetal heart rate patterns that occur when blood flow is diminished through the placenta.
False
The nurse should perform a vaginal examination immediately if bright red painless bleeding is observed
False
True labor is when the woman experiences regular and consistent contractions with or without cervical dilation
False
Which birthing position would you recommend to hasten delivery, enhance placental blood flow, decrease fetal stress, and reduce the possibility that an episiotomy will be required?
Hands and knees
When documenting the fetus is at "zero station," the nurse knows this is where in relation to the pelvic structure?
Ischial spines
If the amniotic fluid is green when the membranes rupture, what do you report to the RN?
Meconium in the amniotic sac
__________ anesthesia involves blocking a group nerves that supply a particular organ or area of the body
Regional
__________ is the most accurate method to measure contraction intensity when utilizing external monitoring.
Palpation
What are the interrelated components that make up the process of labor and delivery?
Powers, passageway, passenger, psyche
A pregnant patient in the early phase of labor is experiencing abdominal pain and is becoming increasingly anxious. What is the best pain management technique the nurse can suggest at this stage?
Practicing effleurage on the abdomen
A woman arrives in labor and delivery, is panting and screaming "the baby is coming". What is the priority intervention by the nurse?
Quickly move the woman to a labor bed, check the perineum
__________ refers to the relationship of the presenting part of the fetus to the ischial spines of the pelvis
Station
The pain of labor is influenced by many factors. What is one of these factors
Woman's preparation for labor and delivery.
Which of the following signs signify that the second stage of labor has begun?
The urge to push occurs
What is the most important thing that the nurse can do during labor and delivery to prevent maternal and fetal infection?
Thoroughly wash hands before and after patient contact
The laboring patient is having contractions every two to three minutes, lasting 45 to 60 seconds and of strong intensity. The fetal head crowns when the client pushes. The cervix is completely dilated at 10 cm and 100% effaced. In which stage of labor is this patient
Transition
During contractions, blood flow is interrupted to the placenta, therefore decreasing blood flow to the fetus
True
During labor, the heart rate, cardiac output, and respiratory rate increases in the woman similar to that of aerobic exercise in order to meet the body's oxygen demands.
True
External fetal monitoring is a noninvasive evaluation of fetal heart rate patterns
True
General anesthesia crosses the placental barrier and may cause respiratory depression in the neonate.
True
It has been noted that a laboring woman copes better with the labor pain when coached by a doula.
True
It is critical to quickly assess a woman for preeclampsia when she presents in labor.
True
Massage and distraction are alternative nonpharmacologic pain interventions that are effective in all stages of labor.
True
The latent phase of labor for a multiparas woman usually averages eight to nine hours in length.
True
The most common complication of epidural anesthesia is hypotension.
True
The open glottis or natural method is a current recommended effective pushing technique
True
Women who are prepared for labor and have well-controlled pain management are more satisfied with their labor/birth experiences
True
__________ are fluctuations of the fetal heart rate from the baseline rate
Variability
The android pelvis is the most favorable for vaginal birth.
false
Malignant hyperthermia is a rare, life-threatening complication of __________ anesthesia
general
Which type of pelvis provides the most room to allow the fetus to be born vaginally?
gynecoid