Exam 19: Nursing Care of the Family During Labor and Birth

Nurses alert to signs of the onset of the second stage of labor can be certain that stage has begun when:

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

As part of the physical examination component of assessment,Leopold maneuvers are used to help identify all of the following except:

The nurse who performs vaginal examinations to assess a woman's progress in labor should:

The Valsalva maneuver can be described as the process of making a forceful bearing-down attempt while holding one's breath with a closed glottis and tightening the abdominal muscles.During the second stage of labor,when the woman is ready to push,this is considered the optimal method to enhance movement of the fetus down the birth canal.Is this statement true or false?

A woman who has a history of sexual abuse may have a number of traumatic memories triggered during labor.She may fight the labor process and react with pain or anger.Alternately,she may become a passive player and emotionally absent herself from the process.The nurse is in a unique position of being able to assist the client to associate the sensations of labor with the process of childbirth and not the past abuse.The nurse can implement a number of care measures to help her client view the childbirth experience in a positive manner.Which intervention is key for the nurse to use while providing care?

The nurse should assist the laboring woman into a hands-and-knees position when:

The progress of labor can be verified effectively through use of a chart that plots cervical dilation and station.This chart is called a(n)____________________.

Nurses should not use ____________________ pressure to facilitate birth,because no standard techniques are available for this maneuver,and no legal,professional,or regulatory standards exist for its use.

The uterine contractions of a woman early in the active phase of labor are assessed by an internal uterine pressure catheter (IUPC).The nurse notes that the intrauterine pressure at the peak of the contraction ranges from 65 to 70 mm Hg,and the resting tone range is 6 to 10 mm Hg.The uterine contractions occur every 3 to 4 minutes and last an average of 55 to 60 seconds.Based on this information,the nurse should:

The most critical nursing action in caring for the newborn immediately after birth is:

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

A woman from out of state is visiting her relatives for the holidays.She presents at your facility in labor but does not have a copy of her prenatal records.The nurse would like to contact the woman's health care provider to obtain these records.Because the woman is in active labor it is not necessary for the nurse to obtain written consent for the transfer of these records.Is this statement true or false?

A multiparous woman has been in labor for 8 hours.Her membranes have just ruptured.The nurse's initial response is to:

The period encompassing the first 1 to 2 hours after birth often is referred to as the ____________________ stage of labor.

Emergency conditions during labor that require immediate nursing intervention can arise with startling speed.Examples of such emergencies include (choose all that apply):

Through vaginal examination,the nurse determines that a woman is 4 cm dilated,and the external fetal monitor shows uterine contractions every 3 1/2 to 4 minutes.The nurse reports this as:

A ____________-degree perineal laceration continues through the anal sphincter muscle.

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 practices and learn to incorporate them into a mutually agreed-upon 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 should anticipate that a woman from which country will have the baby's father in attendance?

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