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Questions in this quiz (67)
1What is the longest stage of Labor
- ASecond stage
- BFirst stage
- CThird stage
- DFourth stage
2How long is the Fourth stage of labor?
- A1-4 hours after delivery of placenta
- B1hour after delivery of placenta
- C2 hours after delivery placenta
- D5 hours after delivery placenta
3What are some Maternal physiological responses to labor?
- AIncreased heart rate, cardiac output, blood pressure (during contractions)
- BDecrease in Temperature
- CDecreased gastric motility and food absorption
- DSlight temperature elevation
- EDecreased blood glucose levels-because of there anxiety
4Fetal engagement means that
- APresenting part is +2 station
- BPresenting part reaching 0 station
- CBaby is facing up
- DBaby is facing down
5RSP means?
- AFetus is on right side(R), butt/sacrum down(S), face up(Posterior)
- BFetus is on Left side(L), butt/sacrum down(S), face up(Posterior)
- CFetus is on right side(R), Shoulder (A), face up(Posterior)
- DFetus is on right side(R), butt/sacrum down(S), face down(Anterior)
6Different forms of breech include:
- AFrank( legs up)
- BFull or complete
- CFootling or incomplete
- DTransverse
7these are able to mold and allow the baby to fit through the pelvis
- ASutures
- BFontanele
- CSkullbones
- DAmniotic fluid
8What does the true pelvis contain
- AMid-pelvis
- BOutlet (pelvic measurements)
- CWings of base of sacrum
- DUpper flared parts of 2 iliac bones and concavities
- EInlet
9Premonitary signs of labor include
- ABloody show
- BSpontaneous rupture of membranes
- CLightening
- DBraxton Hicks contractions
- EHeavy Bleeding
10Continuous infusion or intermittent injection; usually started when dilation >5 cm is a
- AEpidural block
- BLocalinfiltration
- Cpudendal block
- DIntrathecal
11Which analgesic allows more activity/movement
- ACombined Spinal-epidural block
- BSpinal block
- CInfiltration
- DDrip lock
12Second stage interventions with birth
- ASupporting involuntary bearing-down efforts; encouraging no pushing until strong desire or until descent and rotation of fetal head well advanced
- BProviding instructions, assistance, pain relief
- CUsing maternal positions to enhance descent and reduce pain
- DGetting Maternal history
13Fourth stage nursing management
- AChecking amniotic fluid
- BFundal checks; perineal care and hygiene
- CBladder status and voiding
- DParent-newborn attachment
14During a vaginal exam, the nurse notes that the cervix has a bluish color(vascularization rush to cervix). The nurse documents this finding as
- AHegar's sign
- BGoodell's sign
- CChadwick's sign
- DOrtolani's sign
15The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. The mother will most likely experience which of the following at that time?
- ADysuria
- BDyspnea
- CConstipation
- DUrinary frequency
16When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect?
- APancreatic function is affected by pregnancy.
- BGlucose is utilized more rapidly during a pregnancy.
- CThe pregnant woman increases her dietary intake.
- DGlucose moves through the placenta to assist the fetus.
17A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which of the following would be included as part of this assessment? (Select all that apply.
- APositive pregnancy test
- BUltrasound visualization of the fetus
- CAuscultation of a fetal heart beat
- DBallottement
- EAbsence of menstruation
- FSoftening of the cervix
18A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which of the following?
- AExcess folic acid, which could increase the risk for neural tube defects
- BMercury, which could harm the developing fetus if eaten in large amounts
- CLactose, which leads to abdominal discomfort, gas, and diarrhea
- DLow-quality protein that does not meet the woman's requirements
19A group of students are reviewing the signs of pregnancy. The students demonstrate understanding of the information when they identify which as presumptive signs? (Select all that apply.
- AAmenorrhea
- BNausea
- CAbdominal enlargement
- DBraxton-Hicks contractions
- EFetal heart sounds
20A nursing instructor is teaching a class to a group of students about pregnancy, insulin, and glucose. Which of the following would the instructor least likely include as opposing insulin?
- AProlactin
- BEstrogen
- CProgesterone
- DCortisol
21A pregnant woman comes to the clinic and tells the nurse that she has been having a whitish vaginal discharge. The nurse suspects vulvovaginal candidiasis, based on which assessment finding?
- AFever
- BVaginal itching
- CUrinary frequency
- DIncontinence
22When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes that the primary goal of these classes is to:
- AEquip a couple with the knowledge to experience a pain-free childbirth
- BProvide knowledge and skills to actively participate in birth and parenting
- CEliminate anxiety so that they can have an uncomplicated birth
- DEmpower the couple to totally control the birth process
23When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed?
- AHemoglobin and hematocrit
- BUrine for culture
- CFetal ultrasound
- DFundal height measurement
24During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?
- AIneffective tissue perfusion related to supine hypotensive syndrome
- BImpaired gas exchange related to pulmonary congestion
- CActivity intolerance related to increased metabolic requirements
- DAnxiety related to fear of pregnancy outcome
25During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. The nurse interprets this as:
- AVariable decelerations
- BFetal tachycardia
- CA nonreactive pattern
- DReactive pattern
26A client's maternal serum alpha-fetoprotein (MSAFP) level was unusually elevated at 17 weeks. The nurse suspects which of the following?
- AFetal hypoxia
- BOpen spinal defects
- CMaternal hypertension
- DDown syndrome
27A pregnant woman needs an update in her immunizations. Which of the following vaccinations would the nurse ensure that the woman receives?
- AMump
- BRubella
- CMeasels
- DHepatitis B
28After teaching a group of students about the discomforts of pregnancy, the students demonstrate understanding of the information when they identify which as common during the first trimester? (Select all that apply.)
- AUrinary frequency
- BBreast tenderness
- CCravings
- DBackache
- ELeg cramps
29A nurse is working with a pregnant woman to schedule follow-up visits for her pregnancy. Which statement by the woman indicates that she understands the scheduling?
- A“I need to make visits every 2 months until I'm 36 weeks pregnant.”
- B“Once I get to 28 weeks, I have to come twice a month.”
- C“From now until I'm 28 weeks, I'll be coming once a month.”
- D“I'll make sure to get a day off every 2 weeks to make my visits."
30After teaching a group of students about the different perinatal education methods, the instructor determines that the teaching was successful when the students identify which of the following as the Bradley method?
- APsychoprophylactic method
- BPartner-coached method
- CNatural childbirth method
- DMind prevention method
31Which of the following would indicate to the nurse that the placenta is separating?
- AUterus becomes globular
- BFetal head is at vaginal opening
- CUmbilical cord shortens
- DMucous plug is expelled
32A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?
- ASupine
- BLithotomy
- CUpright
- DKnee–chest
33A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating:
- ALatent phase of the first stage of labor
- BActive phase of the first stage of labor
- CTransition phase of the first stage of labor
- DPelvic phase of the second stage of labor
34Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in:
- ALatent phase of the first stage
- BActive phase of the first stage
- CTransition phase of the first stage
- DPerineal phase of the second stage
35After teaching a group of students about the maternal bony pelvis, which statement by the group indicates that the teaching was successful?
- AThe bony pelvis plays a lesser role during labor than soft tissue.
- BThe pelvic outlet is associated with the true pelvis.
- CThe false pelvis lies below the imaginary linea terminalis.
- DThe false pelvis is the passageway through which the fetus travels.
36A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as:
- A+4
- B0
- C-2
- D+2
37A nurse is documenting fetal lie of a woman in labor. Which term would the nurse most likely use?
- AFlexion
- BExtension
- CLongitudinal
- DCephalic
38The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which of the following is the presenting part?
- AOcciput
- BFace
- CButtocks
- DShoulder
39A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which of the following would the nurse most likely include? (Select all that apply.)
- AInternal rotation
- BAbduction
- CDescent
- DPronation
- EFlexion
40The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which of the following?
- AIncrement
- BAcme
- CPeak
- DDecrement
41A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?
- AHeart rate increase from 76 bpm to 90 bpm
- BBlood pressure rise from 110/60 mm Hg to 120/74
- CWhite blood cell count of 12,000 cells/mm3
- DRespiratory rate of 10 breaths /minute
42When describing the stages of labor to a pregnant woman, which of the following would the nurse identify as the major change occurring during the first stage?
- ARegular contractions
- BCervical dilation
- CFetal movement through the birth canal
- DPlacental separation
43A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which of the following would the nurse most likely include when discussing measures to promote coping for a positive labor experience? (Select all that apply.)
- APresence of a support partner
- BView of birth as a stressor
- CLow anxiety level
- DFear of loss of control
- EParticipation in a pregnancy exercise program
44Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which station?
- A0
- B+1
- C-2
- D-1
45A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?
- AButorphanol
- BFentanyl
- CNaloxone
- DPromethazine
46A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. Which of the following would the nurse do next?
- ACheck the fetal heart rate.
- BPerform a vaginal exam.
- CNotify the physician immediately.
- DChange the linen saver pad.
47A woman has just entered the second stage of labor. The nurse would focus care on which of the following?
- AEncouraging the woman to push when she has a strong desire to do so
- BAlleviating perineal discomfort with the application of ice packs
- CPalpating the woman's fundus for position and firmness
- DCompleting the identification process of the newborn with the mother
48The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next?
- AContinue to monitor the FHR because this pattern is benign.
- BPerform a vaginal exam to assess cervical dilation and effacement.
- CStay with the client while reporting the finding to the physician.
- DAdminister oxygen after turning the client on her left side.
49A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as:
- A+2 station
- B0 station
- C–2 station
- DCrowning
50The nurse is performing Leopold's maneuvers to determine fetal presentation, position, and lie. Which action would the nurse do first?
- AFeel for the fetal buttocks or head while palpating the abdomen.
- BFeel for the fetal back and limbs as the hands move laterally on the abdomen.
- CPalpate for the presenting part in the area just above the symphysis pubis.
- DDetermine flexion by pressing downward toward the symphysis pubis.
51When assessing fetal heart rate, the nurse finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which of the following would the nurse do next?
- AHave the woman change her position.
- BAdminister oxygen.
- CNotify the health care provider.
- DContinue to monitor the pattern every 15 minutes.
52A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the nurse to suspect that the woman needs additional teaching?
- A“The warmth and buoyancy of the water has a nice relaxing effect.”
- B“I can stay in the bath for as long as I feel comfortable.”
- C“My cervix should be dilated more than 5 cm before I try using this method.”
- D“The temperature of the water should be at least 105°F.”
53A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which of the following?
- ARespiratory depression
- BUrinary retention
- CAbdominal distention
- DHyperreflexia
54When applying the ultrasound transducers for continuous external electronic fetal monitoring, at which location would the nurse place the transducer to record the FHR?
- AOver the uterine fundus where contractions are most intense
- BAbove the umbilicus toward the right side of the diaphragm
- CBetween the umbilicus and the symphysis pubis
- DBetween the xiphoid process and umbilicus
55After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional teaching?
- A“This type of monitoring is the most accurate method for our baby.”
- B“Unfortunately, I'm going to have to stay quite still in bed while it is in place.”
- C“This type of monitoring can only be used after my membranes rupture.”
- D“You'll be inserting a special electrode into my baby's scalp.”
56When planning the care of a woman in the active phase of labor, the nurse would anticipate assessing the fetal heart rate at which interval?
- AEvery 2 to 4 hours
- BEvery 45 to 60 minutes
- CEvery 15 to 30 minutes
- DEvery 10 to 15 minutes
57Which of the following is a priority when caring for a woman during the fourth stage of labor?
- AAssessing the uterine fundus
- BOffering fluids as indicated
- CEncouraging the woman to void
- DAssisting with perineal care
58When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction?
- AIntense
- BStrong
- CModerate
- DMild
59A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as which of the following?
- ANormal
- BPossible infection
- CMeconium passage
- DTransient fetal hypoxia
60After teaching a group of students about fetal heart rate patterns, the instructor determines the need for additional teaching when the students identify which of the following as indicating normal fetal acid–base status? (Select all that apply.)
- ASinusoidal pattern
- BRecurrent variable decelerations
- CFetal bradycardia
- DAbsence of late decelerations
- EModerate baseline variability
61A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. The nurse interprets these changes as reflecting which of the following?
- AEarly decelerations
- BVariable decelerations
- CProlonged decelerations
- DLate decelerations
62A group of nursing students are reviewing the various medications used for pain relief during labor. The students demonstrate understanding of the information when they identify which agent as the most commonly used opioid?
- AButorphanol
- BNalbuphine
- CFentanyl
- DMeperidine
63A nurse is providing care to a woman during the third stage of labor. Which of the following would alert the nurse that the placenta is separating? (Select all that apply.)
- AUterus becoming discoid shaped
- BBoggy, soft uterus
- CSudden gush of dark blood from the vagina
- DShortening of the umbilical cord
64A nurse is assessing a woman after birth and notes a second-degree laceration. The nurse interprets this as indicating that the tear extends through which of the following?
- Askin
- BMuscles of perineal body
- CAnal sphincter
- DAnterior rectal wall
65Which position would be most appropriate for the nurse to suggest as a comfort measure to a woman who is in the first stage of labor? (Select all that apply.)
- AWalking with partner support
- BStraddling with forward leaning over a chair
- CClosed knee–chest position
- DRocking back and forth with foot on chair
- ESupine with legs raised at a 90-degree angle
66A pregnant woman admitted to the labor and birth suite undergoes rapid HIV testing and is found to be HIV-positive. Which of the following would the nurse expect to include when developing a plan of care for this women? (Select all that apply.)
- AAdministration of penicillin G at the onset of labor
- BAvoidance of scalp electrodes for fetal monitoring
- CRefraining from obtaining fetal scalp blood for pH testing
- DAdministering zidovudine at the onset of labor.
- EElecting for the use of forceps-assisted delivery
67A nurse is completing the assessment of a woman admitted to the labor and birth suite. Which of the following would the nurse expect to include as part of the physical assessment? (Select all that apply.)
- ACurrent pregnancy history
- BFundal height measurement
- CSupport system
- DEstimated date of birth
- EMembrane status
- FContraction pattern
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- Description
- Quiz on L&D, created by Becky Jean on 14/12/2017.
- Author
- Becky Jean
- Language
- English
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