Exam 12: The Process of Labor and Birth

The nurse in the birthing unit is aware that according to the Emergency Medical Treatment and Active Labor Act (EMTALA),pregnant women should receive care for problems such as which of the following?

The OB nurse assesses moderate baseline variability on the fetal heart monitor.What action by the nurse is best?

A woman's birthing plan includes completing the latent phase of the first stage of labor at home.When should the nurse teach the woman to come in to the birthing unit?

The perinatal nurse is assessing a woman at 36 weeks' gestation.Her fundal height measurement was last recorded at 34 cm.The patient's abdomen appears to be widest from side to side.The nurse suspects the possibility of which type of fetal presentation?

The perinatal nurse describes different breech positions to the student nurse.The fetal position with extended legs toward the fetal shoulders is best described as which of the following?

The nurse is assessing a woman in labor.What techniques are vital for the nurse to use during this assessment?

During the second stage of labor,a nurse encourages effective pushing by the woman.What directions from the nurse best achieve this?

At 9:00 a.m.,the OB nurse assesses fetal station at 0.The laboring woman has strong,regular contractions.At 10:30 a.m.,the nurse again assesses fetal station at 0.What action by the nurse is best?

A nurse is assessing a woman in labor.In order to assess the fetal position most accurately,which of the following methods should be used?

A nurse assessing a fetal heart monitor notes minimal baseline variability not associated with a fetal sleep cycle.There is no change after fetal scalp stimulation.What action by the nurse is most important?

A nurse is caring for a new mother during the fourth stage of labor and assesses the following: patient has soaked two peri-pads in 45 minutes,pulse is 118 beats/minute,and blood pressure is 90/62 mm Hg.Which action by the nurse is most important?

A nurse assesses a newborn as follows: heart rate is 112 beats/minute; respiratory effort: slow,irregular,with a weak cry; muscle tone: some flexion of the extremities; reflex irritability: grimace; color: pink.What Apgar score does the nurse give this infant? ____________________

A nurse is assisting with an amnioinfusion.What critical nursing actions are included in this procedure?

A young girl in active labor arrives at the hospital without having had any prenatal care.She is extremely anxious and crying out in pain.What would the nurse assess to best determine that goals for the diagnosis of knowledge deficit have been met?

A nurse notes variable decelerations on the fetal heart monitor and is explaining them to the laboring woman and her partner.What information about these patterns does the nurse share?

A woman is in the early latent phase of labor and is frustrated by the length of time this stage is taking.What action by the nurse is best?

The nurse instructs the pregnant woman to report any rupture of the membranes along with a description of the fluid.Which of the following would the nurse evaluate as normal amniotic fluid?

A nurse assesses the fetal position in a laboring woman.The fetal position is documented as LSP.What action by the nurse is best?

The nurse explains to the class of nursing students that umbilical cord clamping occurs at what time after birth?

The perinatal nurse knows that changes in the pelvic floor musculature that normally occur in labor include which of the following?