Exam 18: Nursing Care During Labor and Birth

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

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

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

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.

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:

The nurse knows that the second stage of labor,the descent phase,has begun when:

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

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?

Vaginal examinations should be performed by the nurse under all of these circumstances except:

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

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. On the basis of this information,the nurse should:

Which collection of risk factors most likely would result in damaging lacerations (including episiotomies)?

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

For women who have a history of sexual abuse,a number of traumatic memories may be triggered during labor. The woman 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 would be key for the nurse to use while providing care?

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

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

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

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

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

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