Question 1

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.

Accepted Answer

18,24
eighteen,twenty-four
Aft

Question 2

When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR)decreases to 120 bpm at the beginning of a contraction and returns to a baseline of 155 bpm at the end of the contraction.What should this indicate to the nurse?

Accepted Answer

A) Early deceleration due to head compression 
B) That the fetus is in acute distress 
C) Variable decelerations due to cord compression 
D) That these are late decelerations 
A) Early deceleration due to head compression 
B) That the fetus is in acute distress 
C) Variable decelerations due to cord compression 
D) That these are late decelerations

Question 3

Why is the size and shape of the true pelvis more important than that of the false pelvis?

Accepted Answer

A) The fetal head must be able to pass through the true pelvis. 
B) The true pelvis are the mother's measurements. 
C) The size of the false pelvis can change. 
D) The size of the true pelvis needs to be larger. 
A) The fetal head must be able to pass through the true pelvis. 
B) The true pelvis are the mother's measurements. 
C) The size of the false pelvis can change. 
D) The size of the true pelvis needs to be larger.

Question 4

The patient's membranes have just ruptured.What is the first priority of the nurse?

Accepted Answer

A) Turn the patient on the left side 
B) Perform a Nitrazine test 
C) Check the fetal heart rate (FHR) 
D) Perform a vaginal examination 
A) Turn the patient on the left side 
B) Perform a Nitrazine test 
C) Check the fetal heart rate (FHR) 
D) Perform a vaginal examination

Question 5

Which assessment findings suggest probable fetal distress? (Select all that apply.)

Accepted Answer

A) Fetal heart rate (FHR) of 120 
B) Meconium-stained amniotic fluid 
C) Decreased FHR during contractions 
D) Strong contractions 10 seconds apart 
E) Slow return of FHR to baseline 
A) Fetal heart rate (FHR) of 120 
B) Meconium-stained amniotic fluid 
C) Decreased FHR during contractions 
D) Strong contractions 10 seconds apart 
E) Slow return of FHR to baseline

Question 6

The physician has decided to induce labor with prostaglandin gel and an amniotomy.When should the nurse expect that labor will start?

Accepted Answer

A) 1 hour 
B) 4 hours 
C) 8 hours 
D) 12 hours 
A) 1 hour 
B) 4 hours 
C) 8 hours 
D) 12 hours

Question 7

The first-time mother has been told by the nurse that the first stage of labor is the longest.What would be an appropriate nursing intervention for comfort during this time?

Accepted Answer

A) Cool fluids to drink 
B) A backrub in the sacral area 
C) Assisting to lie in a supine position 
D) Decreasing illumination in the room 
A) Cool fluids to drink 
B) A backrub in the sacral area 
C) Assisting to lie in a supine position 
D) Decreasing illumination in the room

Question 8

A patient arrives at the hospital having contractions.How should the nurse determine that the patient is in true labor?

Accepted Answer

A) There is no dilation 
B) The contractions are in the fundus 
C) The cervix has softened and effaced 
D) The contractions are irregular 
A) There is no dilation 
B) The contractions are in the fundus 
C) The cervix has softened and effaced 
D) The contractions are irregular

Question 9

In the illustration below,which item depicts the LOT position?

Accepted Answer

A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F) 6 
A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F) 6

Question 10

Why is oxytocin administered in the third stage of labor?

Accepted Answer

A) To stimulate lactation 
B) To relieve postpartum pain 
C) To stimulate uterine contractions 
D) To sedate the mother so she can rest 
A) To stimulate lactation 
B) To relieve postpartum pain 
C) To stimulate uterine contractions 
D) To sedate the mother so she can rest

Question 11

A mother is in early labor and asks the nurse how long the labor will last.The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when?

Accepted Answer

A) The cervix is completely effaced 
B) The baby is in position 
C) The cervix is fully dilated 
D) The woman begins pushing 
A) The cervix is completely effaced 
B) The baby is in position 
C) The cervix is fully dilated 
D) The woman begins pushing

Question 12

A pregnant woman is discussing her desire to have her baby in a birthing center.Which factors could exclude the patient from delivering in a birthing center? (Select all that apply.)

Accepted Answer

A) The patient is a primigravida. 
B) The patient will be having a planned cesarean delivery. 
C) The mother has preeclampsia. 
D) The baby is a boy. 
E) The mother has no support system. 
A) The patient is a primigravida. 
B) The patient will be having a planned cesarean delivery. 
C) The mother has preeclampsia. 
D) The baby is a boy. 
E) The mother has no support system.

Question 13

During labor,the patient screams at her husband to get out of her sight.What would be the most appropriate action for the nurse?

Accepted Answer

A) Ask the husband to leave the room 
B) Assure the husband that such behavior is normal 
C) Remind the patient that the husband wants to help 
D) Change the patient's position 
A) Ask the husband to leave the room 
B) Assure the husband that such behavior is normal 
C) Remind the patient that the husband wants to help 
D) Change the patient's position

Question 14

Using Leopold maneuvers to assess fetal position,the nurse finds a soft rounded prominence at the level of the fundus,a hard round prominence just above the symphysis pubis,and nodulations on the left side of the uterus.How should the nurse document the fetal position?

Accepted Answer

A) Right occiput anterior (RO
A) , vertex 
B) Left occiput anterior (LO
A) , vertex 
C) Right occiput transverse (ROT), breech 
D) Left occiput anterior (LO
A) , breech 
A) Right occiput anterior (RO
A) , vertex 
B) Left occiput anterior (LO
A) , vertex 
C) Right occiput transverse (ROT), breech 
D) Left occiput anterior (LO
A) , breech

Question 15

During the second stage of labor,how often should the nurse should monitor the fetal heart rate?

Accepted Answer

A) Every 5 minutes 
B) Every 15 minutes 
C) Every 30 minutes 
D) Every hour 
A) Every 5 minutes 
B) Every 15 minutes 
C) Every 30 minutes 
D) Every hour

Question 16

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

Accepted Answer

A) Pelvimetry 
B) Palpation 
C) Ultrasonography 
D) X-ray 
A) Pelvimetry 
B) Palpation 
C) Ultrasonography 
D) X-ray

Exam 26: Labor and Delivery

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.

When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR)decreases to 120 bpm at the beginning of a contraction and returns to a baseline of 155 bpm at the end of the contraction.What should this indicate to the nurse?

Why is the size and shape of the true pelvis more important than that of the false pelvis?

The patient's membranes have just ruptured.What is the first priority of the nurse?

Which assessment findings suggest probable fetal distress? (Select all that apply.)

The physician has decided to induce labor with prostaglandin gel and an amniotomy.When should the nurse expect that labor will start?

The first-time mother has been told by the nurse that the first stage of labor is the longest.What would be an appropriate nursing intervention for comfort during this time?

A patient arrives at the hospital having contractions.How should the nurse determine that the patient is in true labor?

In the illustration below,which item depicts the LOT position?

Why is oxytocin administered in the third stage of labor?

A mother is in early labor and asks the nurse how long the labor will last.The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when?

A pregnant woman is discussing her desire to have her baby in a birthing center.Which factors could exclude the patient from delivering in a birthing center? (Select all that apply.)

During labor,the patient screams at her husband to get out of her sight.What would be the most appropriate action for the nurse?

Using Leopold maneuvers to assess fetal position,the nurse finds a soft rounded prominence at the level of the fundus,a hard round prominence just above the symphysis pubis,and nodulations on the left side of the uterus.How should the nurse document the fetal position?

During the second stage of labor,how often should the nurse should monitor the fetal heart rate?

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

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The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in to _ hours postrupture.