Nursing care to promote fetal and maternal health Flashcards
1
Q
- During a natural labor, the client is tolerating her contractions well. The nurse know this is a result of:
a. A relative reduction in pain fibers on the uterus at the time of labor.
b. Endogenous endorphins help block the pain of labor
c. Her breathing distracts the pain of labor.
d. She has probably hypnotized herself.
A
C. Her breath distracts the pain of labor.
2
Q
- What are some natural ways to reduce pain and stress during labor? Select that all apply.
a. Massage
b. IV morphine
c. IM Demerol
d. Epidural anesthesia
e. Hydrotherapy
f. Application of heat or cold
A
A. Massage
E. Hydrotherapy
F. Application of heat and cold
3
Q
- A client presents in early labor. What is the most important part of the nursing assessment?
a. Check for lower extremity edema
b. Leopold’s maneuvers
c. Check for fundal height
d. Group B strep culture
A
B. Leopold’s maneuvers
4
Q
- What are some theories about the initiation of labor? Select that all apply:
a. An Increase in pituitary output of oxytocin
b. Increased synthesis of prostaglandin
c. An increase in uterine sensitivity to oxytocin
d. An increase in uterine sensitivity to prostaglandin
e. An increase in cervical sensitivity to oxytocin
f. Decrease in progesterone
A
B. Increased synthesis of prostaglandin
C. An increase in uterine sensitivity to oxytocin
F. Decrease in progesterone
5
Q
- When the bi-parietal diameter of the fetal head passes through the pelvic inlet, this is referred as:
a. descent
b. flexion
c. engagement
d. Extension
A
C. Engagement
6
Q
- A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions?
a. Every 5 minutes
b. 15 minutes
c. Every 30 minutes
d. Every 60 minutes
A
A. Every 5 minutes
7
Q
- When the presenting part is at the level of
the ischial spines, it is at station 0 called
A
Engagement
8
Q
At -4 station the head is
A
flexed
9
Q
At +4 station, the head is
A
Extended
