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NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4
NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4Processes Of Birth
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- Maternity and Women's Health Care TodayThe Nurse's Role in Maternity and Women's Health CareEthical, Social, and Legal IssuesReproductive Anatomy and PhysiologyHereditary and Environmental Influences on ChildbearingConception and Prenatal DevelopmentPhysiologic Adaptations to PregnancyPsychosocial Adaptations to PregnancyNutrition for ChildbearingAntepartum Fetal AssessmentPerinatal EducationProcesses of BirthNursing Care During Labor and BirthIntrapartum Fetal SurveillancePain Management During ChildbirthNursing Care During Obstetric ProceduresPostpartum Physiologic AdaptationsPostpartum Psychosocial AdaptationsNormal Newborn: Processes of AdaptationAssessment of the Normal NewbornCare of the Normal NewbornInfant FeedingHome Care of the InfantThe Childbearing Family with Special NeedsComplications of PregnancyConcurrent Disorders During PregnancyIntrapartum ComplicationsPostpartum Maternal ComplicationsHigh-Risk Newborn: Complications Associated with Gestational Age and DevelopmentHigh-Risk Newborn: Acquired and Congenital ConditionsFamily PlanningInfertilityPreventive Care for WomenWomen's Health ProblemsInfertilityPreventive Care for WomenWomen's Health Problems
Question 1
Free
Multiple Choice
The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that in addition to all that he's doing now, he could tell her when the contractions are:
Choose correct answer/s
2 minutes apart.
at their acme.
at their increment.
at their decrement.
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Question 2
Free
Multiple Choice
The nurse is explaining to a group of nursing students what occurs during active labor as the uterus contracts. Which statement explains the maternal-fetal exchange of oxygen and waste products during a contraction?
Choose correct answer/s
Is not significantly affected
Increases as blood pressure decreases
Diminishes as the spiral arteries are compressed
Continues except when placental functions are reduced
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Question 3
Free
Multiple Choice
The nurse is directing an unlicensed assistive personnel (UAP) to take maternal vital signs between contractions. Which statement is the best rationale for assessing maternal vital signs between contractions?
Choose correct answer/s
Vital signs taken during contractions are not accurate.
During a contraction, assessing fetal heart rate is the priority.
Maternal blood flow to the heart is reduced during contractions.
Maternal circulating blood volume increases temporarily during contractions.
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Question 4
Free
Multiple Choice
Uncontrolled maternal hyperventilation during labor results in:
Choose correct answer/s
metabolic acidosis.
metabolic alkalosis.
respiratory acidosis.
respiratory alkalosis.
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Question 5
Free
Multiple Choice
Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?
Choose correct answer/s
Extension
Engagement
Internal rotation
External rotation
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Question 6
Multiple Choice
The laboring client asks the nurse how the labor contractions work to dilate the cervix. The best response by the nurse is that labor contractions facilitate cervical dilation by:
Choose correct answer/s
promoting blood flow to the cervix.
contracting the lower uterine segment.
enlarging the internal size of the uterus.
pulling the cervix over the fetus and amniotic sac.
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Question 7
Multiple Choice
Pregnant clients can usually tolerate the normal blood loss associated with childbirth because they have:
Choose correct answer/s
a higher hematocrit.
increased leukocytes.
increased blood volume.
a lower fibrinogen level.
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Question 8
Multiple Choice
The nurse is assessing the duration of a client's labor contractions. Which action does the nurse implement to assess the duration of labor contractions?
Choose correct answer/s
Assess the strongest intensity of each contraction.
Assess uterine relaxation between two contractions.
Assess from the beginning to the end of each contraction.
Assess from the beginning of one contraction to the beginning of the next.
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Question 9
Multiple Choice
Which event is the best indicator of true labor?
Choose correct answer/s
Bloody show
Cervical dilation and effacement
Fetal descent into the pelvic inlet
Uterine contractions every 7 minutes
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Question 10
Multiple Choice
Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
Choose correct answer/s
Station
Flexion
Descent
Engagement
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Question 11
Multiple Choice
An increase in urinary frequency and leg cramps after the 36th week of pregnancy most likely indicates:
Choose correct answer/s
lightening.
breech presentation.
urinary tract infection.
onset of Braxton-Hicks contractions.
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Question 12
Multiple Choice
A nullipara client has progressed to the active phase of labor. The nurse understands that this phase of labor, on the average, for a nullipara will last how long?
Choose correct answer/s
50 minutes
hours 6 to 7 hours
8 to 10 hours
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Question 13
Multiple Choice
A client just delivered a baby by the vaginal route. The client asks the nurse why the baby's head is not round, but oval. Which explanation should the nurse give to the client?
Choose correct answer/s
This results from molding.
This results from lightening.
This results from the fetal lie.
This results from the fetal presentation.
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Question 14
Multiple Choice
A client whose cervix is dilated to 5 cm is considered to be in which phase of labor?
Choose correct answer/s
Latent phase
Active phase
Second stage
Third stage
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Question 15
Multiple Choice
The nurse is assessing a client in the active phase of labor. What should the nurse expect during this phase?
Choose correct answer/s
The client is sociable and excited.
The client is requesting pain medication.
The client begins to experience the urge to push.
The client experiences loss of control and irritability.
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Question 16
Multiple Choice
A laboring client asks the nurse how she will know that the contraction is at its peak. The nurse explains that the contraction peaks during which stage of measurement?
Choose correct answer/s
The acme
The interval
The increment
The decrement
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Question 17
Multiple Choice
A client in labor presents with a breech presentation. The nurse understands that a breech presentation is associated with:
Choose correct answer/s
more rapid labor.
a high risk of infection.
maternal perineal trauma.
umbilical cord compression.
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Question 18
Multiple Choice
The primary difference between the labor of a nullipara and that of a multipara is:
Choose correct answer/s
total duration of labor.
level of pain experienced.
amount of cervical dilation.
sequence of labor mechanisms.
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Question 19
Multiple Choice
Which maternal factor may inhibit fetal descent?
Choose correct answer/s
A full bladder
Decreased peristalsis
Rupture of membranes
Reduction in internal uterine size
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Question 20
Multiple Choice
Which assessment finding would cause a concern for a client who had delivered vaginally?
Choose correct answer/s
Estimated blood loss (EBL) of 500 mL during the birth process
White blood cell count of 28,000 mm3 postbirth
Client complains of fingers tingling
Client complains of thirst
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