Exam 18: Nursing Care During Labour and Birth

Which description of the phases of the second stage of labour is accurate?

A pregnant woman is in her third trimester.She asks the nurse to explain how she can tell true labour from false labour.What should the nurse tell her about true labour contractions?

After an emergency birth,the nurse encourages the woman to breastfeed her newborn.What is the primary purpose of this activity?

The nurse teaches a pregnant woman about the characteristics of true labour contractions.The nurse knows that the woman has understood the teaching when she states which of the following about true labour contractions?

Which of the following is a means of controlling the birth of the fetal head with a vertex presentation?

When assessing a multiparous woman who has just given birth to a 2500 g 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.What do these findings indicate to the nurse?

Which term is inappropriate for documenting information about uterine contractions?

When managing the care of a woman in the second stage of labour,the nurse uses various measures to enhance the progress of fetal descent.Which interventions would be appropriate at this time?

Which finding indicates to the nurse that the second stage of labour,the descent phase,has begun?

When a nulliparous woman telephones the hospital to report that she is in labour,what should the nurse do,initially?

A multiparous woman has been in labour for 8 hours.Her membranes have just ruptured.What is the nurse's initial response?

Women who have participated in childbirth education classes often bring a "birth bag" or "Lamaze bag" with them to the hospital.Which of the following is a common item that a patient might bring with them for their labour and birth?

Through vaginal examination the nurse determines that a woman is 4 cm dilated,and the external fetal monitor shows uterine contractions every 3½ to 4 minutes.How should the nurse document these findings?

Which suggestion would assist a woman if she is experiencing back labour pain?

Why would the nurse expect to administer an oxytocic to a woman after expulsion of her placenta?

Which action is correct when palpation is used to assess the characteristics and pattern of uterine contractions?

What should the nurse know about the point of maximal intensity (PMI)of the fetal heart tone (FHT)?

The nurse recognizes that a woman is in true labour when she states which of the following?

When planning care for a labouring woman whose membranes have ruptured,the nurse recognizes that the woman's risk for which of the following has increased?

Nurses can help their patients by keeping them informed about the distinctive stages of labour.What description of the phases of the first stage of labour is accurate?