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

MATCHING 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 nurse recognizes that a woman is in true labor when she states:

A nulliparous woman who has just begun the second stage of her labor would most likely:

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

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?

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

MATCHING 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 3

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

With regard to a woman's intake and output during labor,nurses should be aware that:

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

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

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

When assessing a woman in the first stage of labor,the nurse recognizes that the most conclusive sign that uterine contractions are effective would be:

As the United States and Canada continue to become more culturally diverse,it is increasingly important for the nursing staff to recognize a wide range of varying cultural beliefs and practices.Nurses need to develop respect for these culturally diverse practices and learn to incorporate these into a mutually agreed on plan of care.Although it is common practice in the United States for the father of the baby to be present at the birth,in many societies this is not the case.When implementing care,the nurse would anticipate that a woman from which country would have the father of the baby in attendance?

Through vaginal examination the nurse determines that a woman is 4 cm dilated,and the external fetal monitor shows uterine contractions every 3.5 to 4 minutes.The nurse would report this as:

When managing the care of a woman in the second stage of labor,the nurse uses various measures to enhance the progress of fetal descent.These measures include:

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:

In documenting labor experiences,nurses should know that a uterine contraction is described according to all these characteristics except:

A patient whose cervix is dilated to 5 cm is considered to be in which phase of labor?

At 1 minute after birth,the nurse assesses the newborn to assign an Apgar score.The apical heart rate is 110 bpm,and the infant is crying vigorously with the limbs flexed.The infant's trunk is pink,but the hands and feet are blue.What is the correct Apgar score for this infant?