Exam 12: The Process of Labor and Birth

The perinatal nurse knows that when the fetal head is fully extended and the occiput is near the spine,the delivery team should prepare for the presenting fetal part to be which of the following?

A woman arrives at the birthing unit complaining of frequent strong contractions that begin in her back and cannot be relieved by walking or changing positions.What action by the nurse is most appropriate?

Place the following cardinal movements in the order in which they occur as a fetus passes through the birth canal during a vertex-presentation birth. A) _____ Flexion B) _____ External rotation C) _____ Descent D) ____ Extension E) _____ Restitution F) _____ Internal rotation G) ____ Expulsion

The perinatal nurse describes prelabor or Braxton Hicks contractions to the prenatal class attendants as which of the following?

A woman in labor seems to be progressing more slowly than expected.Which action should the nurse perform first?

A nurse notes a perineal laceration that extends into the rectal mucosa after a woman gives birth to a full-term baby.How does the nurse document this information?

A nurse suspects that a laboring woman has entered the second stage of labor by what assessment?

A woman in the perinatal clinic reports a gush of vaginal fluid after sneezing.The nurse performs a Nitrazine tape test and documents that the tape is beige in color.What action should the nurse take?

A husband in the labor suite is concerned that as his wife's labor progresses,she has become distant,is not interested in conversation,and,at times,is short with him.Which response by the nurse is best?

A nurse assessing fetal heart tones hears them best below the level of the maternal umbilicus.What type of fetal presentation would this nurse expect?

A woman is admitted in labor.The perinatal nurse would demonstrate cultural sensitivity by assessing the patient for which of the following?

The nurse assessing a woman in the third stage of labor would expect which of the following findings?

A nulliparous woman in labor is 3 cm dilated at 10:00 a.m.Based on knowledge of the average nulliparous woman's progression,when would the nurse expect her to be fully dilated?

A new nurse is preparing to assess the fetal heart rate response to stimulation with vibroacoustic stimulation.What action by the new nurse would prompt the precepting nurse to intervene?

A nurse assesses fetal heart tones at 100 beats/minute.Which action by the nurse takes priority?

A nurse assesses the fetal heart rate at 188 beats/minute in a woman who is receiving a tocolytic medication to halt contractions.Which action should the nurse take first?

A woman who is 37 weeks pregnant calls the birthing center to report a gush of clear fluid from her vagina.What response by the nurse is best?

A nurse reads in a woman's chart that the fetus is in a longitudinal lie.What can the nurse conclude about this situation?

A new nurse is assessing baseline fetal heart tones (FHTs)by auscultation and notes that the heart rate increased during a contraction from 140 to 158.What action by the nurse preceptor is best?

A woman who is 40 weeks pregnant calls the clinic to report that she noted a small amount of blood-tinged mucus on her toilet tissue this morning.What response by the nurse is most appropriate?