Exam 16: Giving Birth

Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?

Which comfort measure should the nurse use to assist the laboring woman to relax?

A laboring woman is lying in the supine position.The most appropriate nursing action is to

To adequately care for patients,the nurse understands that labor contractions facilitate cervical dilation by

Inquiring about past pregnancies is an important part of the nursing assessment.Women who have had a previous cesarean birth may request a trial of labor and a ______ delivery.

Which patient at term should go to the hospital or birth center the soonest after labor begins?

At 1 minute after birth,the nurse assesses the newborn to assign an Apgar score.The apical heart rate is 110 bpm,and the infant is crying vigorously with the limbs flexed.The infant's trunk is pink,but the hands and feet are blue.What is the Apgar score for this infant?

A pregnant woman is at 38 weeks of gestation.She wants to know if any signs indicate "labor is getting closer to starting." The nurse informs the woman that which of the following is a sign that labor may begin soon?

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit.The fetal heart rate has been normal.Contractions are 5 to 9 minutes apart,20 to 30 seconds in duration,and of mild intensity.Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission).Membranes are intact.The nurse should expect the woman to be

The nurse auscultates the fetal heart rate (FHR)and determines a rate of 152.Which nursing intervention is appropriate?

Which assessment finding could indicate hemorrhage in the postpartum patient?

When assessing the fetus using Leopold maneuvers,the nurse feels a round,firm,movable fetal part in the fundal portion of the uterus and a long,smooth surface in the mother's right side close to midline.What is the likely position of the fetus?

During the active phase of labor,the FHR of a low-risk patient should be assessed every

Which maternal factor may inhibit fetal descent and require further nursing interventions?

Which statement is the best rationale for assessing maternal vital signs between contractions?

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?

Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

The primary difference between the labor of a nullipara and that of a multipara is the

To be aware of potential risks to the laboring woman,the nurse understands that a breech presentation is associated with

A 25-year-old primigravida is in the first stage of labor.She and her husband have been holding hands and breathing together through each contraction.Suddenly the woman pushes her husband's hand away and shouts,"Don't touch me!" This behavior is most likely