Childbirth

Question 1

Dilatation follows effacement in the primipara. Full dilation is a usual distance of:

Answer 1

8 to 10 cm

Question 2

A post partum haemorrhage is any blood loss exceeding

Answer 2

500 millilitre

Question 3

The thinning of the cervix during labour is called:

Answer 3

Effacement

Question 4

The Moro reflex response is marked by:

Answer 4

Abduction and then adduction arms

Question 5

You record a newborn’s Apgar score at birth. A good 1-minute Apgar score is:

Answer 5

7 to 10

Question 6

When examining the umbilical cord immediately after birth the nurse should expect to observe:

Answer 6

Whitish grey colouration

Question 7

Which reflex shows the baby’s reaction to sudden movement by drawing up the legs, extending the arms, and then folding the arms across the chest?

Answer 7

Moro

Question 8

The skin of a newborn infant may be covered with a yellowish cheese like substance called:

Answer 8

Vernex caseosa

Question 9

The newborn would respond most effectively to feeding in which state:

Answer 9

Active alert

Question 10

During the transition from foetal to neonatal circulation, the newborn cardiovascular system accomplishes which of the following anatomic and physiologic alterations

1. Closure of the ductus venosus
2. Closure of the foramen ovale
3. Closure of the ductus arteriosis
4. Increased systemic pressure and decreased pulmonary artery pressure

Answer 10

1,2,3 and 4

Question 11

At birth the major cause of heat loss is by:

Answer 11

Evaporation

Question 12

The nurse is performing a 5 minute apgar on a newborn. Which of the following observations is included in the apgar score:

Answer 12

Muscle tone

Question 13

Vitamin K is given to the newborn to:

Answer 13

Enhance the ability of the blood to clot

Question 14

The primary nursing focus of the fourth stage of labour would be to:

Answer 14

Prevent haemorrhage and shock

Question 15

The most important factor in preventing post partum haemorrhage from the placental site is:

Answer 15

Complete separation of the placenta and membranes

Question 16

Retraction of uterine muscles during the first stage of labour causes:

Answer 16

Lengthening of the muscle fibres

Question 17

A woman diagnosed with marginal placenta praevia gave birth vaginally 15 minutes ago. She is at greatest risk for:

Answer 17

Haemorrhage

Question 18

Which of the following neonates will most likely need additional respiratory support at birth:

Answer 18

The infant born by caesarean birth

Question 19

The foetal presenting part is described as vertex when the:

Answer 19

Flexed head enters pelvis first

Question 20

Two hours after vaginally delivering a viable male neonate under epidural anaesthesia, the client with a midline episiotomy ambulates to the bathroom to void. After voiding, the nurse assesses the client’s bladder, finding it distended. The nurse interprets this finding based on the understanding that the client’s bladder distention is most likely caused by which of the following?1.Pressure of the uterus on the bladder
2.Prolonged first stage of labour 3.Urinary tract infection
4.Edema in the lower urinary tract area

Answer 20

4.Edema in the lower urinary tract

Question 21

During the transition from foetal to neonatal circulation, the newborn cardiovascular system accomplishes which of the following anatomic and physiologic alterations

Closure of the ductus venosus
Closure of the foramen ovale
Closure of the ductus arteriosis
Increased systemic pressure and decreased pulmonary artery pressure

Answer 21

1,2,3 and 4

Question 23

Phase one of labor (early)

Answer 23

Dilation=1-4cm
Contractions=5-30 min part and last 30-45 sec

Question 24

Phase two of labor (active)

Answer 24

Dilation=4-7cm
Contractions=3-5min part and last 60sec
Water may breack

Question 25

Phase 3 of labor (transition)

Answer 25

Dilation =8-10
And last 30min to 2 house
Contractions=2=3min