ch 13 labor and birth process Flashcards
a woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?
the contractions slow down when i walk around
a client is in the third stage of labor. which finding would alert the nurse that the placenta is separating?
uterus becomes globular
when assessing cervical effacement of a client in labor, the nurse assesses which characteristic?
degree of thinning
a woman calls the health care facility stating that she is in labor. the nurse would urge the client to come to the facility if the client reports which symptom?
moderately strong contractions every 4 minutes, lasting about 1 minute
a woman is in the first stage of labor. the nurse would encourage her to assume which position to facilitate the process of labor?
upright
a client has not received any medication during her labor. she is having frequent contractions about every 1-2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. her cervix is 8 cm dilated and 90% effaced. the nurse interprets these findings as indicating:
late active phase of the first stage of labor
the fetus of a nulliparous woman is in a shoulder presentation. the nurse would prepare the client for which type of birth?
cesarean
assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7-8 minutes, lasting about 40 seconds. the nurse determines that this client is in:
latent phase of the first stage
a client is admitted to the labor and birthing suite in early labor. on review of her prenatal history, the nurse determines that the client’s pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal birth. which pelvic shape would the nurse have noted?
gynecoid
a woman telephones the prenatal clinic and reports her water just broke. which suggestion by the nurse would be most appropriate?
come to the clinic or emergency room for an evaluation
a nurse is conducting a continuing education program for a group of nurses working in the perinatal unit. after reviewing information about the maternal bony pelvis with the group, the nurse determines that the teaching was successful based on which statements by the group?
the pelvic outlet is associated with the true pelvis
a nurse is providing care to a pregnant client in labor. assessment of a fetus identifies the buttocks as the presenting part, with the legs extended upward. the nurse identifies this as which type of breech presentation?
frank
a woman in her third trimester comes to the clinic for a prenatal visit. during assessment the woman reports that her breathing has become much easier in the last week but she has noticed increased pelvic pressure, cramping, and lower back pain. the nurse determines that which even has most likely occurred?
lightening
a nurse is conducting an in service program fora group of nurses working in the labor and birth suite of the facility. after teaching the group about the factors affecting the labor process, the nurse determines that the teaching was successful when the group identifies which component as part of the true pelvis? select all that apply
-pelvic inlet
-mid pelvis
-pelvic outlet
a nurse is providing care to a woman in labor. after assessment of the fetus, the nurse documents the fetal lie. which term would the nurse use?
longitudinal
the nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. the nurse interprets this information as indicating which part as the presenting part?
buttocks
a nurse is preparing a class for pregnant women about labor and birth. when describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? select all that apply
-internal rotation
-descent
-flexion
the nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. the nurse notes the time the contraction takes form its onset to reach its highest intensity. the nurse interprets this time was which phase?
increment
a nurse is assessing a woman in labor. which finding would the nurse identify as a cause for concern during a contraction?
respiratory rate of 10 breath per minute
a nurse is caring for several women in labor. the nurse determines that which woman is in the latent phase of labor?
contractions every 5 minutes, cervical dilation 3 cm
a nurse is preparing a presentation for a group of pregnant women about the labor experience. which factors would the nurse include when discussing measures to promote coping for a positive labor experience? select all that apply.
-presence of a support partner
-low anxiety level
-participation in a pregnancy exercise program
during a follow up prenatal visit, a pregnant woman asks the nurse how long she will be in labor. which response by the nurse is most appropriate?
its difficult to predict how your labor will progress, but will be there for you the entire time
a nurse is describing how the fetus moves through the birth canal. which component would the nurse identify as being most important in allowing the fetal head to move through the pelvis?
sutures
assessment of a pregnant woman reveals that the presenting part of the fetus is at level of the maternal ishcial spines. the nurse documents this as which station?
0
a nurse is providing care to a pregnant woman in labor. the woman is in the first stage of labor. when describing this stage to the client, which event would the nurse identify as the major change occurring in this stage?
cervical dilation (dilatation)
a nurse is providing care to a woman in labor, the nurse determines that the client is in the active phase based on which finding? select all that apply:
-cervical dilation 6 cm
-contractions every 2-3 minutes
a pregnant woman comes to the labor and birth unit in labor. the woman tells the nurse that yesterday she had a burst of energy and didn’t know why. which response by the nurse is most appropriate?
you had a burst of epinephrine, which is common before labor
a nurse is conducting a class for a group of nurses new to the labor and b ruth unit about labor and the passage of the fetus through the birth canal. as part of the class, the nurse explains that specific diameters of the fetal skull can affect the birth process. which diameter would the nurse identify as being most important in affecting the birth process. select all that apply
-suboccpitobregmatic
-biparietal
assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. the nurse interprets this finding to indicate that the presenting part is at which station?
0
a nurse is providing care to a client in labor. a pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother’s pelvis and directed toward the anterior portion of the pelvis. when developing this client’s plan of care, which intervention would the nurse include?
implementing measures for a vaginal birth
