Exam 18: Nursing Care During Labor and Birth

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

A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse's best response is:

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

What is an expected characteristic of amniotic fluid?

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

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

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:

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

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:

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

With regard to the procedures and criteria for admitting a woman to the hospital labor unit,nurses should be aware that:

Concerning the third stage of labor,nurses should be aware that:

When assessing a multiparous woman who has just given birth to an 8-pound 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. The nurse concludes that:

For the labor nurse,care of the expectant mother begins with any or all of these situations except:

Women who have participated in childbirth education classes often bring a "birth bag" or "Lamaze bag" with them to the hospital. The nurse caring for women in labor should be aware of common items that a client might bring including (choose all that apply):

A pregnant woman is in her third trimester. She asks the nurse to explain how she can tell true labor from false labor. The nurse would tell her that true labor contractions:

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:

The nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates the woman's understanding of the instructions when she states,"True labor contractions will:

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