Exam 16: Nursing Care of the Family During Labor and Birth

When planning care for a laboring woman whose membranes have ruptured,the nurse recognizes that the woman's risk for _________________________ has increased.

If a woman complains of back labor pain,the nurse could best suggest that she:

The nurse expects to administer an oxytocic (e.g.,Pitocin,Methergine)to a woman after expulsion of her placenta to:

A means of controlling the birth of the fetal head with a vertex presentation is:

Leopold maneuvers would be an inappropriate method of assessment to determine:

The labor process is an exciting and anxious time for the patient and her partner and family. In a relatively short period of time, they experience one of the most profound changes in their lives. Nursing care management focuses on assessment and support throughout labor and birth, with the goal of ensuring the best possible outcome for mother and newborn. Please match each nursing diagnosis with the appropriate intervention needed to achieve the expected outcome. -Orient the patient and family to the labor and birth unit.

Women who have participated in childbirth education classes often bring a "birth bag" or "Lamaze bag" with them to the hospital.These items often assist in reducing stress and providing comfort measures.The nurse caring for women in labor should be aware of common items that a client may bring,including (Select all that apply):

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

Because the risk for childbirth complications may be revealed,nurses should know that the point of maximal intensity (PMI)of the fetal heart tone (FHT)is:

It is paramount for the obstetric nurse to understand the regulatory procedures and criteria for admitting a woman to the hospital labor unit.Which guideline is an important legal requirement of maternity care?

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.The nurse concludes that:

A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage.The nurse's best response is:

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

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

The nurse teaches a pregnant woman about the characteristics of true labor contractions.The nurse evaluates the woman's understanding of the instructions when she states,"True labor contractions will:

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

When a nulliparous woman telephones the hospital to report that she is in labor,the nurse initially should: