Nursing role in promoting nutritional health during pregnancy

Question 1

1. The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The baby is coming!” which of the following would be the nurse’s first action?
   a. Inspect the perineum
   b. Time the contractions
   c. Auscultate the fetal heart rate
   d. Contact the birth attendant

Answer 1

A. Inspect the perineum

Question 2

2. After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes
   stated by the client would indicate to the nurse that the teaching was effective?
   a. Shortens the second stage of labor
   b. Enlarges the pelvic inlet
   c. Prevents perineal edema
   d. Ensures quick placenta delivery

Answer 2

A. Shortens the second stage of labor

Question 3

3. What are the important considerations that the nurse must remember after the placenta is delivered?
4. Check if the placenta is complete including the membranes
5. Check if the cord is long enough for the baby
6. Check if the umbilical cord has 3 blood vessels
7. Check if the cord has a meaty and shiny portion

Answer 3

A. Check of the placenta is complete including the membranes

Question 4

4. A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40
   weeks’ gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the
   priority at this time?
   a. Placing the client in bed to begin fetal monitoring.
   b. Preparing for immediate delivery.
   c. Checking for ruptured membranes.
   d. Providing comfort measures.

Answer 4

B. Preparing for immediate delivery.