Exam 12: The Process of Labor and Birth

A woman with a history of two stillbirths is in the active phase of the first stage of labor in the high-risk OB unit.How often should the nurse anticipate monitoring fetal heart tones (FHTs)?

The faculty member teaching a class of students explains several theories regarding the onset of labor.Which of the following does the faculty member include?

The nurse assesses a woman in labor and finds that her cervix is dilated to 9 cm.The nurse documents the woman to be in what phase of labor?

A nurse has assessed baseline fetal heart tones (FHTs)by auscultation and documents a funic soufflé of 158 beats/minute and a uterine soufflé of 90 beats/minute.When the first nurse gives a handoff report to an oncoming nurse,what can the second nurse conclude from this information?

A nursing instructor explains to the class of nursing students that the critical factors affecting the progress of labor include which of the following?

A nurse is caring for a woman in labor whose fetal heart rate tracings show late decelerations.What observation by the nurse indicates that an important outcome for the nursing diagnosis of impaired fetal gas exchange has been met?

A woman and her partner are interested in exploring different birthing options.What action by the perinatal nurse would be most helpful?

A nurse is measuring the frequency of a laboring woman's contractions.How does the nurse accomplish this correctly?

What nursing action best helps to prevent perineal lacerations during birth?

The perinatal nurse knows that a cephalic presentation has which of the following advantages to the woman in labor?

The perinatal nurse is describing the process of fetal engagement to a group of first-time parents in a prenatal class.The nurse explains that in primigravidas,the usual time for engagement to occur is which of the following?

The perinatal nurse describes normal maternal signs and symptoms associated with lightening to the prenatal class attendants.These signs and symptoms include which of the following?

A new nurse is caring for a woman in the transition phase of labor.The nurse attempts to engage the woman in conversation and chats even when the woman doesn't respond to these attempts.What action by the nurse's preceptor is most appropriate?

What important nursing action occurs right after the third stage of labor?

A patient's cervix is 8 cm dilated and she is 100% effaced.What action by the nurse is most important at this time?

The perinatal nurse obtains valuable information from a vaginal examination.Which of the following assessments from this examination should the nurse document?

A nurse assessing a woman in labor notes late decelerations on the fetal monitor and documents contractions occurring every 1 to 2 minutes.Oxytocin (Pitocin)is being infused IV,and oxygen is being delivered at 8 L/min per mask.The woman is positioned on her left side.What action by the nurse takes priority?

The perinatal nurse assessing a laboring woman's contraction intensity by internal monitoring would expect,during the transition phase,a reading in which of the following ranges?

When calling the primary health-care provider regarding a woman's admission,the perinatal nurse includes which of the following information?

A nurse notes fetal heart rate decelerations that appear to start just prior to a uterine contraction with the fetal heart rate returning to normal by the end of the contraction.How does the nurse document this finding?