OB practice questions 13,14,21 and prep u
Interventions that are underutilized in promoting a normal birth. select all the apply
-oral nutrition and fluids in labor -open glottis pushing in the second stage of labor -skin-to-skin contact after birth for infant bonding
When assessing the following women, which would the nurse identify as being at the greatest risk for preterm labor?
Client with a history of preterm birth
When reviewing the medical record of the client, the nurse notes that the women has a condition in which the fetus cannot physically pass through the maternal pelvis. The nurse interprets this as:
Fetopelvic disproportion; this is defined as the condition in which the fetus is too large to pass through the maternal pelvis.
The nurse would anticipate a cesarean birth for a client who has which active infection present at the onset of labor?
Herpes simplex virus
A client who is in active labor and whose cervix had dilated to 4 cm experiences weakening in the intensity and frequency of her contractions and exhibits no further progress in labor. The nurse interprets this as a sign of
Hypotonic labor
The nurse is caring for a women experiencing hypertonic uterine dystocia. The woman's contractions are erratic in their frequency, duration, and of high intensity. The priority nursing intervention would be to:
Provide pain relief measures
When managing a client's pain during labor, nurses should:
Support the client's decision and requests
By the end of the second stage of labor, the nurse would expect which of the following events? The cervix is fully dilated and effaced
fetus is born and on the mother's chest
The rationale for using a prostaglandin gel for a client prior to the induction of labor is to:
soften and efface the cervix
When caring for a client during the active phase of labor without continuous electronic fetal monitoring, the nurse would intermittently assess FHR every:
15 to 30 minutes
A primigravida client in the second stage of labor has been moaning, screaming, and generally vocal throughout her labor. Her husband is distraught seeing his wife this way and asks the nurse for more pain medication for her. What is the nurse's best response?
Ask the client to describe the intensity of her pain on a scale of 0 to 10.
After a vaginal examination, the nurse determines that the client's fetus is in an occiput posterior position. The nurse would anticipate that the client would have
Intense back pain
During the fourth stage of labor, the nurse assesses the women at frequent intervals after giving childbirth. What assessment data would cause the nurse the most concern?
Uterine fundus palpated to the right of the umbilicus
A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?
help the woman change positions
A nurse is educating a group of nursing students about the molding of the fetal skull during the birth process. What would the nurse include as the usual cause of molding?
poorly ossified bones of the cranial vault
A nurse is monitoring a female client with an epidural block. Which complication would be the most important for the nurse to monitor in the client?
respiratory depression
Which of the following observations would suggest that placental separation is occuring?
Uterine shape changes to globular
The nurse notes the presence of transient fetal accelerations on the fetal monitoring strip. Which intervention would be most appropriate?
document this as indicating a normal pattern
The shortest but most intense phase of labor is the:
transition phase of the first stage of labor
As a laboring women is admitted to the labor and birth suite at 6 cm dilation. She would be in which phase of the first stage?
Active phase
The nurse is developing a plan of care for a woman experiencing dystocia. Which of the following nursing interventions would be the nurse's high priority?
Monitoring the fetal heart rate
Which assessment would indicate a women is in true labor?
cervix is 4 cm dilated and 90% effaced
The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers performed? Select all that apply.
determining the presentation of the fetus, determining the lie of the fetus, determining the position of the fetus
Which of the following practices would not be included in a physiologic birth?
early induction of labor less than 39 weeks of gestation
A client at 38 weeks' gestation has an ultrasound performed at a routine office visit and learns that her fetus has not moved out of a breech position. Which intervention does the nurse anticipate for this client?
external cephalic version
A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client as the client progresses through birth? Select all that apply.
increase in heart rate increase in respiratory rate increase in blood pressure
physiologic preparation for labor would be demonstrated by:
lightening whereby the fetus drops into true pelvis
Which fetal lie is most coducive to a vaginal birth?
longitudinal
As the nurse is explaining the difference between true versus false labor to her childbirth class, she states that the major difference between them is:
progressive cervical changes occur in true labor
When determining the frequency of contractions, the nurse should measure which of the following?
start of one contraction to the start of the next one
A nurse is preparing to teach a class to pregnant women about the signs of preterm labor and what to do if these occur. Which signs of preterm labor should the nurse include in the presentation? Select all that apply
uterine contractions, cramping, low back pain feeling of pelvic pressure or fullness increase in vaginal discharge nausea, vomiting, and diarrhea leaking of fluid from the vagina
When a client in labor is fully dilated, which instructions would be most effective to assist her in encouraging effective pushing
wait until you feel the urge to push
