CARE OF MOTHER 1-2

Question 1

The frequency of maternal vital signs and respiratory
status assessment is as follows:

First stage latent

Answer 1

Blood pressure (BP), pulse, and respirations are
assessed every hour (if the BP is greater than
140/90 or if the pulse is greater than 100,
contact the primary care provider).
Temperature is assessed every 4 hours (every 2
hours if the membranes are ruptured).

Question 2

The frequency of maternal vital signs and respiratory
status assessment is as follows:

First stage active

Answer 2

BP, pulse, and respirations are assessed every
hour.

Question 3

The frequency of maternal vital signs and respiratory
status assessment is as follows:

First stage transition

Answer 3

BP, pulse, and respirations are assessed every
30 minutes.

Question 4

The frequency of maternal vital signs and respiratory
status assessment is as follows:

Second stage

Answer 4

BP and pulse assessed every 5 to 15 minutes
Fundal height is measured
Status of labor (i.e.. contractions [onset,
frequency, duration, and intensity],
membranes, bleeding, cervical dilation and
fetal descent) is determined.
The client’s needs for comfort, analgesia, or
anesthesia is assessed continuously.

Question 5

. Psychosocial assessment

Answer 5

anxiety, childbirth education, support systems, and
the client’s response to labor

Question 6

Palpation or electronic monitoring (external with
____ and internal with ____

Answer 6

tocodynamometer

intrauterine
pressure catheter)

Question 7

The
frequency of contraction assessment is as follows:

First stage latent -

Answer 7

every 30 minutes

Question 8

The
frequency of contraction assessment is as follows:

First stage active

Answer 8

every 15 to 30 minutes

Question 9

The
frequency of contraction assessment is as follows:

First stage transition

Answer 9

every 15 minutes

Question 10

The
frequency of contraction assessment is as follows:

Second stage –

Answer 10

each contraction

Question 11

• performed to assess
  cervical dilation and cervical effacement

Answer 11

Sterile vaginal examination -

Question 12

Sterile vaginal examination -

performed to assess
cervical dilation

Answer 12

(opening of external os from closed
to 10 cm) a

Question 13

Sterile vaginal examination -

cervical effacement

Answer 13

(thinning and
shortening of the cervix, as measured from 0% (thick)
to 100% (paper thin) effaced)

Question 14

• the long axis of the fetus is
  parallel to the long axis of the mother

Answer 14

Longitudinal lie

Question 15

• the long axis of the fetus is
  perpendicular to the long axis of the mother

Answer 15

Transverse lie

Question 16

. Monitor fetal status

Auscultate the FHR every ___during first
stage latent; every____during the second
stage.

Answer 16

30 minutes

15 minutes

Question 17

FETAL HEART RATE The normal range is between _____ beats per
minute

Answer 17

120 and 160

Question 18

Early deceleration is slowing of the FHR early in the
contraction. It is considered benign, mirrors the
contraction, and is indicative___

Answer 18

of head
compression.

Question 19

FHR ____ during contractions but returns to
normal after 10 to 15 seconds

Answer 19

decreases

Question 20

Late deceleration is an indication of _____
due to uteroplacental insufficiency. It usually
begins at the peak of the contraction and ends
after the contraction ends.

Answer 20

fetal hypoxia

Question 21

Variable deceleration is a transient decrease in
FHR before, during, or after the contraction. It
indicates __ and has a
characteristic V or U pattern.

Answer 21

cord compression

Question 22

Bradycardia is a FHR less than 100 beats per
minute or a drop of 20 beats per minute below
baseline.

Answer 22

It indicates cord compression or
placental separation

Question 23

Tachycardia is a FHR greater than 160 beats per
minute. It indicates_____ if it persists for
more than 1 hour or is accompanied by late
deceleration

Answer 23

fetal distress

Question 24

(Loss of beat-to-beat variability indicates

Answer 24

fetal
reaction to maternal drugs, fetal sleep, or fetal
demise.

Question 25

Assess fetal acid-base status with

Answer 25

fetal blood
sampling or fetal scalp stimulation.