Exam 16: Giving Birth

The nurse teaching a prenatal class explains that which is the best indicator of true labor?

At hand-off report the off-going nurse states that the patient demonstrated clonus on her last assessment.What action by the on-coming nurse takes priority?

The labor and delivery nurse is evaluating a newly admitted woman's lab and notes a hemoglobin of 9.1 mg/dL and hematocrit of 31%.What action by the nurse takes priority?

During labor,a vaginal examination should be performed only when necessary because of the risk of

Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?

The student nurse learns that which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

The nurse auscultates the fetal heart rate (FHR)and determines a rate of 152.Which nursing intervention is most appropriate?

What assessment finding does the nurse expect in a woman with cervical dilation and effacement?

What finding should the nurse recognize as being associated with fetal compromise?

Thirty minutes after birth,the nurse assesses a woman's fundus as soft and boggy.What action by the nurse takes priority?

The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones.On the basis of this observation,the nurse should

During the active phase of labor,the FHR of a low-risk patient should be assessed every

A laboring woman is lying in the supine position.The most appropriate nursing action is to

Thirty minutes after giving birth a woman's uterus feels boggy to the nurse.The nurse massages the fundus without change.What action does the nurse take next?

A 25-year-old primigravida is in the first stage of labor.She and her husband have been holding hands and breathing together through each contraction.Suddenly the woman pushes her husband's hand away and shouts,"Don't touch me!" What action by the nurse is most appropriate?

To assess the duration of labor contractions,the nurse determines the time

A woman at 40 weeks of gestation calls the OB triage nurse to report a trickle of fluid from her vagina.What action by the nurse is most appropriate?

The nurse who elects to practice in the area of obstetrics learns about the "four Ps." What are the "four Ps"?

To teach and support the woman in labor,the nurse explains that the strongest part of a labor contraction is the

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?