exam 2 module 4 OB

Assessment of a pregnant client reveals that she is experiencing Braxton Hicks contractions. Which finding would support this assessment? A. irregular pattern B. cervical dilation (dilatation) occurring C. typically very strong D. increasing duration

A. irregular pattern

A nurse is assessing a female client in the labor admission unit. The client has been having contractions every 5 minutes for the past 6 hours. Which finding would the nurse use to determine if the client is experiencing true labor? A. The client's cervix has changes of effacement and dilation (dilatation). B. The client has a history of giving birth to two infants. C. The client reports the contractions stay in the abdomen. D. Walking helps the reduce the frequency of the client's contractions.

A. The client's cervix has changes of effacement and dilation (dilatation).

A woman telephones the prenatal clinic and reports that her water just broke. Which suggestion by the nurse would be most appropriate? A."Call us back when you start having contractions." B. "Come to the clinic or emergency department for an evaluation." C. "Drink 3 to 4 glasses of water and lie down." D. "Come in as soon as you feel the urge to push."

B. "Come to the clinic or emergency department for an evaluation."

The nurse is caring for a client who is a primigravida. Which statement is best to improve the client's psyche? A. "You will be finished soon." B. "You are doing a great job" C. "Your second pregnancy will be easier." D. "You will be pushing very soon."

B. "You are doing a great job"

Which description is best when documenting an accurate client contraction? A. The client states the contraction as an 8 on the pain scale. B. The client's contractions last 30 seconds with rest between. C. The client's contractions are 5 minutes apart and last 45 seconds. D. The client cries with each contraction and holds the support partner's hand.

C. The client's contractions are 5 minutes apart and last 45 seconds.

A pregnant client arrives to the clinic for a prenatal visit appearing uncomfortable. During the assessment, the nurse determines the client is experiencing fairly strong contractions at 12:05 p.m., 12:10 p.m., 12:15 p.m., and 12:20 p.m. What can the nurse conclude from these findings? A. The client is in active labor. B. The duration of the contractions is every 5 minutes. C. The frequency of the contractions is every 5 minutes. D. The client can be sent home.

C. The frequency of the contractions is every 5 minutes.

A fetus is assessed at 2 cm above the ischial spines. How would the nurse document the fetal station? A. +4 B. +2 C. 0 D. -2

D. -2

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

D. Fetal lie

Which complication occurs as a result of ineffective breathing patterns? A. hiccups B. nausea C. flatus D. hyperventilation

D. hyperventilation

The fetus of a nulliparous woman is in a shoulder presentation. The nurse would prepare the client for which type of birth? A. cesarean B. vaginal C. forceps-assisted D. vacuum extraction

A. cesarean

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? A. duration B. intensity C. frequency D. peak

A. duration

A nurse is providing care to a pregnant client in labor. Assessment of a fetus identifies the buttocks as the presenting part, with the legs extended upward. The nurse identifies this as which type of breech presentation? A. frank B. full C. complete D. footling

A. frank

The nurse is teaching a primigravida who does not speak the dominant language. The nurse will teach about the most common type of fetal presentation. Which presentation will the nurse prepare? A. breech presentation using a picture B. cephalic presentation using preprinted materials in the client's language C. occiput presentation using a PowerPoint presentation D. footling presentation drawing a hand-prepared diagram

B. cephalic presentation using preprinted materials in the client's language

When assessing cervical effacement of a client in labor, the nurse assesses which characteristic? A. extent of opening to its widest diameter B. degree of thinning C. passage of the mucous plug D. fetal presenting part

B. degree of thinning

A student observes during an initial prenatal visit. The student states, "I heard the primary care provider say that the client has a gynecoid pelvis. What does that mean?" The best response by the nurse is: A. "It is a typical male pelvis. With this type of pelvis, large neonates must be born by cesarean birth although some small neonates are able to be born vaginally." B. "It is flat and narrow, making it extremely difficult for the neonate to pass through." C. "It is rounded in shape and allows ample room for the neonate to fit through the passageway." D. "It is elongated, the width is roomy, but the length is narrow."

C. "It is rounded in shape and allows ample room for the neonate to fit through the passageway."

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor? A. "I'm feeling contractions mostly in my back." B. "My contractions are about 6 minutes apart and regular." C. "The contractions slow down when I walk around." D. "If I try to talk to my partner during a contraction, I can't."

C. "The contractions slow down when I walk around."

Dilation (dilatation) follows effacement in the primiparous mother. To be fully dilated, the cervix should have a distance of what measurement? A. 3 to 4 cm B. 7 to 8 cm C. 8 to 10 cm D. 12 to 14 cm

C. 8 to 10 cm

A nulliparous client at 37 weeks' gestation calls the labor and delivery unit stating she thinks she is in labor. The nurse predicts she is in true labor based on which answer to her assessment questions? A. contractions, irregular, lasting 15 to 20 seconds B. bloody mucus in the toilet once earlier in the day C. contraction, regular and lasting longer and stronger D. scant amount of thick, white vaginal discharge, no odor

C. contraction, regular and lasting longer and stronger

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

A. The client's cervix is fully dilated.

A client in the latent phase of the first stage of labor is noted to be uncomfortable with intact membranes and mild contractions on assessment. The nurse should encourage the client to pursue which action? A. Complete bed rest B. Ambulation ad lib C. Bathroom privileges D. Up in chair TID

B. Ambulation ad lib

A gravida 1 client is admitted in the active phase of stage 1 labor with the fetus in the LOA position. The nurse anticipates noting which finding when the membranes rupture? A. Bloody fluid B. Clear to straw-colored fluid C. Greenish fluid D. Cloudy white fluid

B. Clear to straw-colored fluid

The nurse is assessing a pregnant client at 37 weeks' gestation and notes the fetus is at 0 station. When questioned by the client as to what has happened, the nurse should point out which event has occurred? A. flexion B. engagement C. extension D. expulsion

B. engagement

Assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that which part is presenting? A. shoulders B. occiput C. brow D. buttocks

B. occiput

A group of nursing students are preparing a presentation that will illustrate various components of the birthing process. When discussing the pelvis, the students should point out that the pelvis is often referred to as which term? A. passenger B. passageway C. powers D. psyche

B. passageway

During which time is the nurse correct to document the end of the third stage of labor? A. Following fetal birth B. When pushing begins C. At the time of placental delivery D. When the mother is moved to the postpartum unit

C. At the time of placental delivery

The client in active labor overhears the nurse state the fetus is ROA. The nurse should explain this refers to which component when the client becomes concerned? A. Fetal station B. Fetal attitude C. Fetal position D. Fetal size

C. Fetal position

Which assessment finding in a client reporting uterine contractions would be most consistent as an indicator of approaching labor? A. decrease in vaginal secretions B. development of a membrane further closing the cervix C. rupture of amniotic membranes D. decrease in duration of contractions

C. rupture of amniotic membranes