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OB Test 3 > Maternity Nursing Chap 12 > Flashcards

Maternity Nursing Chap 12 Flashcards

1
Q

True labor or False labor: Contractions regular and progressive

A

True labor

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2
Q

True labor or False labor: Cervix soft and posterior

A

False labor

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3
Q

True labor or False labor: Contractions ceasing with ambulation

A

False labor

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4
Q

True labor or False labor: Cervix soft, 25%, 2 cm, midposition

A

True labor

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5
Q

True labor or False labor: Lightening in multiparous woman

A

True labor

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6
Q

True labor or False labor: Discomfort present in abdomen above umbilicus

A

False labor

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7
Q

True labor or False labor: Increased contraction intensity with activity and ambulation

A

True labor

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8
Q

True labor or False labor: Presenting part above ischial spines

A

False labor

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9
Q

True labor or False labor: Bloody show

A

True labor

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10
Q

True labor or False labor: Discomfort radiating from lower back to lower abdomen

A

True labor

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11
Q

True labor or False labor: Contractions continuing even after a shower or back rub

A

True labor

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12
Q

The second stage of labor is the stage when the __________. It begins with full cervical dilation and complete effacement. It ends with the baby’s birth. This stage has 3 phases (i.e., latent, descent, and transition). A second stage that is longer than 2 hours might be considered prolonged in a woman without regional anesthesia and should be reported to the primary health care provider.

A

-fetus is born

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13
Q

The third stage of labor lasts from the time the ____________ until the placenta is delivered. Detachment of the placenta from the wall of the uterus or separation is indicated by a firmly contracted fundus, change from a discoid shape to a globular (ovoid) shape, a sudden gush of dark blood from the introitus, apparent lengthening of the umbilical cord, and the finding of vaginal fullness.

A

-baby is born

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14
Q

Prolonged breath holding while bearing down (closed glottis pushing)?

A

valsalva maneuver

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15
Q

Artificial rupture of membrane?

A

amniotomy

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16
Q

Occurrence when widest part of the head (biparietal diameter) distends the vulva just before birth?

A

crowning

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17
Q

Incision into perineum to enlarge the vaginal outlet?

A

episiotomy

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18
Q

Test to determine if membranes have ruptured by assessing pH of the fluid?

A

amniotomy

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19
Q

Technique used to control birth of fetal head and protect perineal tissue?

A

Ritgen maneuver

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20
Q

Expulsion of placenta with fetal side emerging first?

A

schultze mechanism

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21
Q

Cord encircling the fetal neck?

A

nuchal cord

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22
Q

Occurrence when pressure of presenting part against pelvic floor stretch receptors results in a woman’s perception of an urge to bear down?

A

ferguson reflex

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23
Q

Classification of medication that stimulates the uterus to contract?

A

oxytocic

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24
Q

Expulsion of placenta with maternal surface emerging first?

A

duncan mechanism

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25
Q

Protrusion of umbilical cord in advance of the presenting part?

A

prolapse of umbilical cord

26
Q

Primary powers of labor that act involuntarily to expel the fetus and the placenta from the uterus?

A

-uterine contractions

27
Q

“Building up” phase of a contraction?

A

-increment

28
Q

Peak of a contraction?

A

-acme

29
Q

“Letting down” phase of a contraction?

A

-decrement

30
Q

How often contractions occur, or period of time from the beginning of one contraction to the beginning of the next or from the peak of one contraction to the peak of the next?

A

-frequency

31
Q

Strength of the contraction at its peak?

A

-intensity

32
Q

Period of time that elapses between the onset and end of a contraction?

A

-duration

33
Q

Tension of the uterine muscle during the interval between contractions?

A

-resting tone

34
Q

Period of rest between contractions?

A

-interval

35
Q

Involuntary urge to push in response to the Ferguson reflex?

A

-bearing down

36
Q

True or False: Amniotic fluid turns nitrazine test paper greenish yellow.

A

False:

37
Q

True or False: A partogram is used to diagram the progress of uterine contractions.

A

False:

38
Q

True or False: A laboring woman should be encouraged to void at least every 2 hours during labor.

A

True

39
Q

True or False: Ambulation should be encouraged only during the latent phase of the first stage of labor.

A

False:

40
Q

True or False: A hands and knee position is recommended during contractions to facilitate the internal rotation of an occiput posterior position to a more anterior position.

A

True

41
Q

True or False: The nurse should perform a vaginal examination immediately, using strict sterile technique, if bright red, fresh vaginal bleeding is noted during active labor.

A

False:

42
Q

True or False: Maternal body temperature should be monitored at least every 2 hours after the amniotic membranes have ruptured.

A

True

43
Q

True or False: Increased sensitivity to touch or hyperesthesia, which develops as labor progresses, results in a woman’s rejection of her partner’s or the nurse’s touch with comfort measures.

A

True

44
Q

True or False: A woman should begin pushing as soon as the second stage of labor begins.

A

False:

45
Q

True or False: For childbirth to progress safely and in a timely fashion, a woman’s bearing down efforts must be carefully regulated by the nurse and coach.

A

False:

46
Q

True or False: For pushing to be effective, the woman should maintain a push and hold her breath for at least 10 seconds.

A

False:

47
Q

True or False: The only certain objective sign of the onset of the second stage of labor is the woman’s perception of an urge to bear down.

A

False:

48
Q

True or False: During the descent phase of the second stage of labor, pressure of the presenting part on the pelvic floor stimulates release

A

True

49
Q

True or False: During birth of the head, the woman must continue to bear down fully with uterine contractions to ensure prompt expulsion.

A

False:

50
Q

True or False: If stirrups are used during birth, it is important to place the legs into the stirrups one leg at a time.

A

False:

51
Q

True or False: The time of birth is recorded as the precise time when the newborn takes her or his first breath.

A

False:

52
Q

True or False: the priority goal for a newborn in the immediate postbirth period is that the newborn’s airway remains patent.

A

True

53
Q

Critical factors to include in physical assessment of maternal-fetal unit during labor:

A
  • maternal factors: vital signs, uterine activity, cervical changes, show and bleeding, amniotic fluid, behavior, appearance, mood, energy level, bearing down effort, and use of childbirth preparation methods
  • fetal factors: FHR pattern, activity level, progress in cardinal movements of labor, and passage of meconium
54
Q

A primigravida calls the hospital and tells a nurse on the labor unit that she knows that she is in labor. The nurse’s initial response would be:

a. tell me why you know that you’re in labor
b. how far do you live from the hospital
c. how far along are you in your pregnancy
d. have your membranes ruptured

A

a. tell me why you know that you’re in labor

55
Q

A woman’s amniotic membranes apparently have ruptured. The nurse assesses the fluid to determine its characteristics and confirm membrane rupture. An expected finding would be:

a. pH 5.5
b. absence of ferning
c. pale, straw colored fluid with white flecks
d. strong odor

A

c. pale, straw colored fluid with white flecks

56
Q

A vaginal examination is performed on a multiparous woman who is in labor. The results of the examination have been documented as 4 cm, 75%, 2, LOT. An accurate interpretation of these data is:

a. woman is in the latent phase of the first stage of labor
b. station is 2 cm above the ischial spines
c. presentation is vertex
d. lie is transverse

A

c. presentation is vertex

57
Q

First stage of labor:

A
  • stage of labor from the onset of regular uterine contractions to full effacement and dilation of the cervix
  • (6-8 hours) (3-6 hours) (20-40 mins)
58
Q

second stage of labor:

A
  • stage of labor from full dilation of the cervix to the birth of the baby
  • nulliparous woman: >2->3 hours depending on anesthesia
  • multiparous women: >1 - >2 hours depending on anesthesia
59
Q

Third stage of labor:

A
  • stage of labor from the birth of the baby to the separation and expulsion of the palcenta
  • 10 to 15 mins
60
Q

Fourth stage of labor:

A

-First 1 to 2 hours after birth

OB Test 3 (5 decks)

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