intrapartum

as the nurse is explaining the difference b/w true and false labor to her childbirth class she states that the major difference b/w them is

progressive cervical changes occur in true labor

A nurse assisting in the labor room is preparing to care for a client with hypertonic dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the client is to:

provide pain relief measures

The rationale for using a prostaglandin gel for a client prior to the induction of labor is to:

soften and efface the cervix

when determining the frequency of contractions the nurse would measure which of the following

start of 1 contraction to the start of next contraction

when managing a clients pain during labor nurses shoul

support the clients decisions and requests

the shortest but most intense phase of labor is the

transition phase

during the fourth stage of labor the nurse assesses the woman at frequent intervals after giving child birth. what assessment data would cause th enurse th emost concern

uterine fundus palpated to the right of the umbilicus

which of the following observations would suggest that placental separation is occuring

uterine shape changes to globular

when a client in labor is fully dilated which instruction would be most effective to assist her in encouraging effective pushing

wait until you feel the urge to push

when caring for a client during the active phase of labor w out continuous electronic fetal monitoring the nurse would intermittently assess FHR every

15-30 mins

physiologic preparation for labor would be demonstrated by

lightening whereby the fetus drops into true pelvis

which fetal lie is most conducive to a spontaneous vaginal birth

longitudinal

the nurse is developing a plan of care for a woman experiencing dystocia. which of the following nursing interventions would be the nurses high priority

montiroing fetal heart rate patterns

interventions that are underutilized in promotion a normal birth

oral nutrition & fluids in labor, ksin to skin contact after birth for infant bondign

a laboring woman is admitted to the labor and birth suite at 6 cm dilation. she would be in which phase of the first stage of labor

active

which assessment would indicate that a woman is in true labor

cervix is 4 cm dilated, 90% effaced

when assessing the following women which would the nurse identify as being at the greatest risk for preterm labor

client w history of previous preterm labor

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

which of the following practices would not be included in a physiologic birth

early induction of labor <39 weeks gestation

When reviewing the medical record of a client, the nurse notes that the woman has a condition in which the fetus cannot physically pass through the maternal pelvis. The nurse interprets this as:

fetopelvic disproportion

by the end of the second stage of labor the nurse would expect which of the following events? the

fetus is born and on mother chest

the nurse would anticipate a cesarean birth for a client who has which active infection present at onset of labor

herpes simplex virus

A client who was in active labor and whose cervix had dilated to 4 cm experiences a 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

after vaginal exam the nurse determines that the clients fetus is in an occiput posterior position. the nurse would anticipate that the client will have

intense back pain