Exam 6: Nursing Care of Mother and Infant During Labor and Birth

The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. The nurse knows that this pattern is indicative of:

The nurse recognizes the contraction duration and interval that could result in fetal compromise is:

The nurse explains that the "four P's" of the birth process are ____________________, ____________________, ____________________, and ____________________.

Using a diagram, the nurse demonstrates the sequence of the mechanisms of labor. Place the 7 mechanisms of labor in the appropriate order.

It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus's hips are flexed and the knees are extended. The nurse would record this presentation as:

The nurse explains that the third stage of labor ends with:

At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse instructs the woman that the beginning of true labor is indicated by:

The nurse, while caring for a woman in the first stage of labor, reminds the patient that contractions during this stage of labor:

The husband of a woman in labor asks, "What does it mean when the baby is at -1 station?" After giving an explanation, the nurse determines that teaching was effective when the husband states the fetal head is:

The most important nursing activity during the fourth stage of labor is to:

The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor. The most appropriate nursing diagnosis is:

At 1 and 5 minutes of life, a newborn's Apgar score is 9. The nurse understands that a score of 9 indicates this newborn:

During the fourth stage of labor, the nurse encourages the mother to void, because a full bladder may:

The nurse explains that the function of contractions during the second stage of labor is to:

Vaginal examination reveals the presenting part is the infant's head, which is well flexed on his/her chest. This presentation is referred to as:

A woman is 7 cm dilated and her contractions are 3 minutes apart. When she begins cursing at her birthing coach and the nurse, the nurse assesses the most likely explanation for the woman's change in behavior is that:

When the infant is in a vertex presentation, meconium-stained amniotic fluid indicates:

The nurse would coach the laboring woman with a fully dilated cervix to push by saying:

When the nurse observes the patient bearing down with contractions and crying out, "The baby is coming!" the nurse should:

While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's most informative response would be that the woman should come when she: