Exam 16: Giving Birth

What results from the adaptation of the fetus to the size and shape of the pelvis?

What nursing intervention is the priority when caring for a laboring woman?

At 1 minute after birth,the nurse assesses the newborn to assign an Apgar score.The apical heart rate is 110 bpm,and the infant is crying vigorously with the limbs flexed.The infant's trunk is pink,but the hands and feet are blue.What is the Apgar score for this infant?

The nurse is caring for a woman whose fetus has a breech presentation.What complication does the nurse prepare to assist with?

Which comfort measure should the nurse use to assist the laboring woman?

The nurse assesses a patient whose cervix is dilated to 5 cm.What phase of labor does the nurse recognize the woman to be in?

A student asks how pregnant women can usually tolerate the normal blood loss associated with childbirth.Which response by the nurse is best? "It is because they have

When assessing the fetus using Leopold maneuvers,the nurse feels a round,firm,movable fetal part in the fundal portion of the uterus and a long,smooth surface in the mother's right side close to midline.What is the likely position of the fetus?

The nurse is answering phone calls in the OB triage area.Which patient should the nurse advise to come to the hospital soonest after labor begins?

Leopold's maneuvers are used by practitioners to determine

Which assessment finding could indicate hemorrhage in the postpartum patient?

A student nurse is trying to assess vital signs on a laboring woman.Which statement by the registered nurse is the best rationale for assessing maternal vital signs between contractions?

The maternity nurse understands that as the uterus contracts during labor,maternal-fetal exchange of oxygen and waste products

The registered nurse tells the nursing student that which stage of labor varies most in length?

A pregnant woman is at 38 weeks of gestation.She wants to know if any signs indicate "labor is getting closer to starting." The nurse informs the woman that which of the following is a sign that labor may begin soon?

To adequately care for patients,the nurse understands that labor contractions facilitate cervical dilation by

A woman who is gravida 3 para 2 enters the intrapartum unit.Which nursing assessments take priority at this time? (Select all that apply.)

The nurse thoroughly dries the infant immediately after birth primarily to

Which maternal factor may inhibit fetal descent and require further nursing interventions?

The primary difference between the labor of a nullipara and that of a multipara is the