Exam 19: Nursing Care of the Family During Labor and Birth

A woman who has a history of sexual abuse may have a number of traumatic memories triggered during labor.She may fight the labor process and react with pain or anger.The nurse can implement a number of care measures to help her client view the childbirth experience in a positive manner.Which intervention is key for the nurse to use while providing care?

As the United States and Canada continue to become more culturally diverse,recognizing a wide range of varying cultural beliefs and practices is increasingly important for the nursing staff.A client is from which country if she requests to have the baby's father in attendance?

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

When assessing a multiparous woman who has just given birth to an 8-pound boy,the nurse notes that the woman's fundus is firm and has become globular in shape.A gush of dark red blood comes from her vagina.What is the nurse's assessment of the situation?

Which description of the phases of the second stage of labor is most accurate?

The vaginal examination is an essential component of labor assessment. It reveals whether the client is in true labor and enables the examiner to determine whether membranes have ruptured. The vaginal examination is often stressful and uncomfortable for the client and should be performed only when indicated. Match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman. -Step 5

A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage.What is the nurse's ideal response?

The vaginal examination is an essential component of labor assessment. It reveals whether the client is in true labor and enables the examiner to determine whether membranes have ruptured. The vaginal examination is often stressful and uncomfortable for the client and should be performed only when indicated. Match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman. -Step 3

The nurse is caring for a client in early labor.Membranes ruptured approximately 2 hours earlier.This client is at increased risk for which complication?

Which collection of risk factors will most likely result in damaging lacerations,including episiotomies?

A laboring woman is reclining in the supine position.What is the most appropriate nursing action at this time?

Which technique is an adequate means of controlling the birth of the fetal head during delivery in a vertex presentation?

A 25-year-old gravida 3,para 2 client gave birth to a 9-pound,7-ounce boy,4 hours ago after augmentation of labor with oxytocin (Pitocin).She presses her call light,and asks for her nurse right away,stating "I'm bleeding a lot." What is the most likely cause of postpartum hemorrhaging in this client?

Women who have participated in childbirth education classes often bring a birth plan with them to the hospital.Which items might this plan include? (Select all that apply).

Which clinical finding indicates that the client has reached the second stage of labor?

What is the most critical nursing action in caring for the newborn immediately after the birth?

The vaginal examination is an essential component of labor assessment. It reveals whether the client is in true labor and enables the examiner to determine whether membranes have ruptured. The vaginal examination is often stressful and uncomfortable for the client and should be performed only when indicated. Match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman. -Step 6

The uterine contractions of a woman early in the active phase of labor are assessed by an internal uterine pressure catheter (IUPC).The uterine contractions occur every 3 to 4 minutes and last an average of 55 to 60 seconds.They are becoming more regular and are moderate to strong.Based on this information,what would a prudent nurse do next?

The vaginal examination is an essential component of labor assessment. It reveals whether the client is in true labor and enables the examiner to determine whether membranes have ruptured. The vaginal examination is often stressful and uncomfortable for the client and should be performed only when indicated. Match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman. -Step 1

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