Exam 27: Labor and Delivery

The health care provider has decided to induce labor with prostaglandin gel and an amniotomy.When should the nurse expect that labor will start?

When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR)decreases to 120 beats/min at the beginning of a contraction and returns to a baseline of 155 beats/min at the end of the contraction.What should this indicate to the nurse?

The first-time mother has been told by the nurse that the first stage of labor is the longest.What would be an appropriate nursing intervention for comfort during this time?

The nurse is alarmed as she assesses a protruding umbilical cord from the vagina.What immediate action should the nurse take?

Which assessment findings suggest probable fetal distress? (Select all that apply. )

How do Braxton-Hicks contractions,which may begin in the first trimester and become increasingly stronger during the pregnancy,differ from labor contractions?

A pregnant woman is discussing her desire to have her baby in a birthing center.Which factors could exclude the patient from delivering in a birthing center? (Select all that apply. )

During labor,the patient screams at her husband to get out of her sight.What would be the most appropriate action for the nurse?

What area of the uterus provides the force during a contraction?

Which type of monitor will assesses the intensity of contractions?

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

When the nurse performs the Nitrazine test on vaginal secretions of a patient who thinks her membranes have ruptured,the paper turns yellow.What does this finding indicate?

Why is oxytocin administered in the third stage of labor?

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to 24 hours postrupture.

Using Leopold maneuvers to assess fetal position,the nurse finds a soft rounded prominence at the level of the fundus,a hard round prominence just above the symphysis pubis,and nodulations on the left side of the uterus.How should the nurse document the fetal position?