Exam 17: Nursing Care of the Family During Labour and Birth

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A pregnant woman is in her third trimester.She asks the nurse to explain how she can tell true labour from false labour.What should the nurse tell her about true labour contractions?

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A

What would the nurse expect from a nulliparous woman who has just begun the second stage of her labour?

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C

Through vaginal examination the nurse determines that a woman is 4 cm dilated,and the external fetal monitor shows uterine contractions every 3 1/2 to 4 minutes.How should the nurse document these findings?

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B

Which assessment findings would indicate that a woman's membranes are probably ruptured? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,C

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When managing the care of a woman in the second stage of labour,the nurse uses various measures to enhance the progress of fetal descent.Which interventions would be appropriate at this time?

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When assessing a woman in the first stage of labour,the nurse recognizes that which is the most conclusive sign that uterine contractions are effective?

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Which action is correct when palpation is used to assess the characteristics and pattern of uterine contractions?

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Which cannot be identified by Leopold manoeuvres?

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Which is a means of controlling the birth of the fetal head with a vertex presentation?

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The uterine contractions of a woman early in the active phase of labour are assessed by an internal uterine pressure catheter (IUPC).The nurse notes that the intrauterine pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting tone range is 6 to 10 mm Hg.The uterine contractions occur every 3 to 4 minutes and last an average of 55 to 60 seconds.On the basis of this information,what should the nurse do?

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What should the nurse be aware of with regard to the third stage of labour?

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Which collection of risk factors most likely would result in damaging lacerations?

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What is an expected characteristic of amniotic fluid?

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When planning care for a labouring woman whose membranes have ruptured,the nurse recognizes that the woman's risk for which has increased?

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Which term is inappropriate for documenting information about uterine contractions?

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A multiparous woman has been in labour for 8 hours.Her membranes have just ruptured.What is the nurse's initial response?

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When implementing labour and delivery care,the nurse would anticipate that a woman from which ethnic group would likely not have the father of the baby in attendance?

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Nurses can help their patients by keeping them informed about the distinctive stages of labour.What description of the phases of the first stage of labour is accurate?

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After an emergency birth,the nurse encourages the woman to breastfeed her newborn.What is the primary purpose of this activity?

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Women who have participated in childbirth education classes often bring a "birth bag" or "Lamaze bag" with them to the hospital.Which is a common item that a patient might bring with her for her labour and birth?

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