Question 1

Why is the relaxation phase between contractions important?

Accepted Answer

A)  The laboring woman needs to rest. 
B)  The uterine muscles fatigue without relaxation. 
C)  The contractions can interfere with fetal oxygenation. 
D)  The infant progresses toward delivery at these times. 
A)  The laboring woman needs to rest. 
B)  The uterine muscles fatigue without relaxation. 
C)  The contractions can interfere with fetal oxygenation. 
D)  The infant progresses toward delivery at these times. C

Question 2

What marks the end of the third stage of labor?

Accepted Answer

A)  Full cervical dilation 
B)  Expulsion of the placenta and membranes 
C)  Birth of the infant 
D)  Engagement of the head 
A)  Full cervical dilation 
B)  Expulsion of the placenta and membranes 
C)  Birth of the infant 
D)  Engagement of the head B

Question 3

While caring for an Arab woman in labor,the nurse should provide cultural sensitivity through which interventions? (Select all that apply. )

Accepted Answer

A)  Provide for extreme modesty. 
B)  Assign a male caregiver. 
C)  Arrange for the husband/partner to participate in labor. 
D)  Provide adequate pain control. 
E)  Respect protective amulets. 
A)  Provide for extreme modesty. 
B)  Assign a male caregiver. 
C)  Arrange for the husband/partner to participate in labor. 
D)  Provide adequate pain control. 
E)  Respect protective amulets. A,D,E

Question 4

The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.What does this pattern indicate?

Accepted Answer

A)  A well-oxygenated fetus 
B)  Compression of the umbilical cord 
C)  Compression of the fetal head 
D)  Uteroplacental insufficiency 
A)  A well-oxygenated fetus 
B)  Compression of the umbilical cord 
C)  Compression of the fetal head 
D)  Uteroplacental insufficiency

Question 5

A pregnant woman,gravida 2,para 1,tells the nurse she desires a VBAC (vaginal birth after cesarean section)with this pregnancy.What is the primary concern regarding complications for this patient during labor and birth?

Accepted Answer

A)  Eclampsia 
B)  Placental abruption 
C)  Congestive heart failure 
D)  Uterine rupture 
A)  Eclampsia 
B)  Placental abruption 
C)  Congestive heart failure 
D)  Uterine rupture

Question 6

At a prenatal visit,a primigravida asks the nurse how she will know her labor has started.The nurse knows that what indicates the beginning of true labor?

Accepted Answer

A)  Contractions that are relieved by walking 
B)  Discomfort in the abdomen and groin 
C)  A decrease in vaginal discharge 
D)  Regular contractions becoming more frequent and intense 
A)  Contractions that are relieved by walking 
B)  Discomfort in the abdomen and groin 
C)  A decrease in vaginal discharge 
D)  Regular contractions becoming more frequent and intense

Question 7

Vaginal examination reveals the presenting part is the infant's head,which is well flexed on the chest.What is this presentation?

Accepted Answer

A)  Vertex 
B)  Military 
C)  Brow 
D)  Face 
A)  Vertex 
B)  Military 
C)  Brow 
D)  Face

Question 8

What is the most important nursing intervention during the fourth stage of labor?

Accepted Answer

A)  Monitor the frequency and intensity of contractions. 
B)  Provide comfort measures. 
C)  Assess for hemorrhage. 
D)  Promote bonding. 
A)  Monitor the frequency and intensity of contractions. 
B)  Provide comfort measures. 
C)  Assess for hemorrhage. 
D)  Promote bonding.

Question 9

One hour postdelivery the nurse notes the new mother has saturated three perineal pads.What is the most appropriate nursing action?

Accepted Answer

A)  Check the fundus for position and firmness. 
B)  Report to the doctor immediately. 
C)  Change the pads and chart the time. 
D)  Time how long it takes to soak one pad. 
A)  Check the fundus for position and firmness. 
B)  Report to the doctor immediately. 
C)  Change the pads and chart the time. 
D)  Time how long it takes to soak one pad.

Question 10

What is the nurse primarily concerned about maintaining in the initial care of the newborn?

Accepted Answer

A)  Fluid intake 
B)  Feeding schedule 
C)  Thermoregulation 
D)  Parental bonding 
A)  Fluid intake 
B)  Feeding schedule 
C)  Thermoregulation 
D)  Parental bonding

Question 11

A nursing student assisting a woman in labor asks the instructor,"What does it mean when the baby is at minus 1 station?" After being given an explanation by the nursing instructor,what statement by the student indicates an accurate understanding of station?

Accepted Answer

A)  "Fetal head is above the ischial spines." 
B)  "Fetal head is below the ischial spines." 
C)  "Fetal head is engaged in the mother's pelvis." 
D)  "Fetal head is visible at the perineum." 
A)  "Fetal head is above the ischial spines." 
B)  "Fetal head is below the ischial spines." 
C)  "Fetal head is engaged in the mother's pelvis." 
D)  "Fetal head is visible at the perineum."

Question 12

A pregnant woman arrives at the emergency department (ED)and reports she is in labor.After a thorough examination and diagnostic testing,it is determined to be false (prodromal)labor.What signs and symptoms would lead the nurse to suspect false (prodromal)labor?

Accepted Answer

A)  Leaking of vaginal fluid 
B)  Contractions intensify with ambulation 
C)  Pink spotting 
D)  Painless tightening of abdominal muscles 
E)  Cervix thick and not effaced 
A)  Leaking of vaginal fluid 
B)  Contractions intensify with ambulation 
C)  Pink spotting 
D)  Painless tightening of abdominal muscles 
E)  Cervix thick and not effaced

Question 13

How should the nurse intervene to relieve perineal bruising and edema following delivery?

Accepted Answer

A)  Place an ice pack on the area for 12 hours. 
B)  Place a warm pack on the perineal area for 24 hours. 
C)  Administer aspirin to relieve inflammation. 
D)  Change the perineal pad frequently. 
A)  Place an ice pack on the area for 12 hours. 
B)  Place a warm pack on the perineal area for 24 hours. 
C)  Administer aspirin to relieve inflammation. 
D)  Change the perineal pad frequently.

Question 14

What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?

Accepted Answer

A)  Fetal distress 
B)  Fetal maturity 
C)  Intact gastrointestinal tract 
D)  Dehydration in the mother 
A)  Fetal distress 
B)  Fetal maturity 
C)  Intact gastrointestinal tract 
D)  Dehydration in the mother

Question 15

The nurse is caring for a woman in the first stage of labor.What will the nurse remind the patient about contractions during this stage of labor?

Accepted Answer

A)  They get the infant positioned for delivery. 
B)  They push the infant into the vagina. 
C)  They dilate and efface the cervix. 
D)  They get the mother prepared for true labor. 
A)  They get the infant positioned for delivery. 
B)  They push the infant into the vagina. 
C)  They dilate and efface the cervix. 
D)  They get the mother prepared for true labor.

Question 16

What is the most appropriate statement from the nurse when coaching the laboring woman with a fully dilated cervix to push?

Accepted Answer

A)  "At the beginning of a contraction,hold your breath and push for 10 seconds." 
B)  "Take a deep breath and push between contractions." 
C)  "Begin pushing when a contraction starts and continue for the duration of the contraction." 
D)  "At the beginning of a contraction,take two deep breaths and push with the second exhalation." 
A)  "At the beginning of a contraction,hold your breath and push for 10 seconds." 
B)  "Take a deep breath and push between contractions." 
C)  "Begin pushing when a contraction starts and continue for the duration of the contraction." 
D)  "At the beginning of a contraction,take two deep breaths and push with the second exhalation."

Question 17

What are the advantages of a freestanding birth center? (Select all that apply. )

Accepted Answer

A)  Homelike setting 
B)  Designed for high-risk pregnancies 
C)  Lower costs 
D)  Attended by certified obstetricians 
E)  Immediate emergency access 
A)  Homelike setting 
B)  Designed for high-risk pregnancies 
C)  Lower costs 
D)  Attended by certified obstetricians 
E)  Immediate emergency access

Question 18

At 1 and 5 minutes of life,a newborn's Apgar score is 9.What does the nurse understand that a score of 9 indicates?

Accepted Answer

A)  The newborn will require resuscitation. 
B)  The newborn may have physical disabilities. 
C)  The newborn will have above average intelligence. 
D)  The newborn is in stable condition. 
A)  The newborn will require resuscitation. 
B)  The newborn may have physical disabilities. 
C)  The newborn will have above average intelligence. 
D)  The newborn is in stable condition.

Question 19

The nurse is caring for a patient who is not certain if she is in true labor.How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?

Accepted Answer

A)  By offering the patient warm fluids to drink 
B)  By helping the patient to ambulate in the room 
C)  By seating the patient upright in a straight-back chair 
D)  By positioning the patient on her right side 
A)  By offering the patient warm fluids to drink 
B)  By helping the patient to ambulate in the room 
C)  By seating the patient upright in a straight-back chair 
D)  By positioning the patient on her right side

Question 20

What contraction duration and interval does the nurse recognize could result in fetal compromise?

Accepted Answer

A)  Duration shorter than 30 seconds,interval longer than 75 seconds 
B)  Duration shorter than 90 seconds,interval longer than 120 seconds 
C)  Duration longer than 90 seconds,interval shorter than 60 seconds 
D)  Duration longer than 60 seconds,interval shorter than 90 seconds 
A)  Duration shorter than 30 seconds,interval longer than 75 seconds 
B)  Duration shorter than 90 seconds,interval longer than 120 seconds 
C)  Duration longer than 90 seconds,interval shorter than 60 seconds 
D)  Duration longer than 60 seconds,interval shorter than 90 seconds

Exam 6: Nursing Care of Mother and Infant During Labor and Birth

Why is the relaxation phase between contractions important?

What marks the end of the third stage of labor?

While caring for an Arab woman in labor,the nurse should provide cultural sensitivity through which interventions? (Select all that apply. )

The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.What does this pattern indicate?

A pregnant woman,gravida 2,para 1,tells the nurse she desires a VBAC (vaginal birth after cesarean section)with this pregnancy.What is the primary concern regarding complications for this patient during labor and birth?

At a prenatal visit,a primigravida asks the nurse how she will know her labor has started.The nurse knows that what indicates the beginning of true labor?

Vaginal examination reveals the presenting part is the infant's head,which is well flexed on the chest.What is this presentation?

What is the most important nursing intervention during the fourth stage of labor?

One hour postdelivery the nurse notes the new mother has saturated three perineal pads.What is the most appropriate nursing action?

What is the nurse primarily concerned about maintaining in the initial care of the newborn?

A nursing student assisting a woman in labor asks the instructor,"What does it mean when the baby is at minus 1 station?" After being given an explanation by the nursing instructor,what statement by the student indicates an accurate understanding of station?

A pregnant woman arrives at the emergency department (ED)and reports she is in labor.After a thorough examination and diagnostic testing,it is determined to be false (prodromal)labor.What signs and symptoms would lead the nurse to suspect false (prodromal)labor?

How should the nurse intervene to relieve perineal bruising and edema following delivery?

What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?

The nurse is caring for a woman in the first stage of labor.What will the nurse remind the patient about contractions during this stage of labor?

What is the most appropriate statement from the nurse when coaching the laboring woman with a fully dilated cervix to push?

What are the advantages of a freestanding birth center? (Select all that apply. )

At 1 and 5 minutes of life,a newborn's Apgar score is 9.What does the nurse understand that a score of 9 indicates?

The nurse is caring for a patient who is not certain if she is in true labor.How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?

What contraction duration and interval does the nurse recognize could result in fetal compromise?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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