Test 2 OB Flashcards
When determining the frequency of contractions, the nurse would measure which period of time?
a) Start of one contraction to the start of the next contraction
b) Beginning of one contraction to the end of the same contraction
c) Peak of one contraction to the peak of the next contraction
d) End of one contraction to the beginning of the next contraction
a) Start of one contraction to the start of the next contraction
Which fetal lie is most conducive to a spontaneous vaginal birth?
a) Transverse
b) Longitudinal
c) Perpendicular
d) Oblique
b) Longitudinal
Which observation would suggest that placental separation is occurring?
a) Uterus stops contracting altogether.
b) Umbilical cord pulsations stop.
c) Uterine shape changes to globular.
d) Maternal blood pressure drops.
c) Uterine shape changes to globular.
As the nurse is explaining the difference between true versus false labor to her childbirth class, she states that the major difference between them is
a) discomfort level is greater with false labor.
b) progressive cervical changes occur in true labor.
c) there is a feeling of nausea with false labor.
d) there is more fetal movement with true labor.
b) progressive cervical changes occur in true labor.
The most intense time during labor is during the
a. Latent phase
b. Active phase
c. Transition phase
d. Placental expulsion phase
c. Transition phase
A laboring woman is admitted to the labor and birth suite at 4-cm dilation. She would be in which phase of labor?
a) Latent
b) Active
c) Late
d) Early
Which assessment would indicate that a woman is in true labor?
a) Membranes are ruptured and fluid is clear.
b) Presenting part is engaged and not floating.
c) Cervix is 4 cm dilated, 90% effaced.
d) Contractions last 30 seconds every 5 to 10 minutes.
c) Cervix is 4 cm dilated, 90% effaced.
Which interventions are underutilized in promoting a normal birth? Select all that apply.
a) Oral nutrition and fluids in labor
b) Open-glottis pushing in the second stage of labor
c) Skin-to-skin contact after birth for infant bonding
d) Routine artificial rupture of membranes (amniotomy)
e) Labor induction with intravenous Pitocin
f) Routine episiotomy to shorten labor length
a) Oral nutrition and fluids in labor
b) Open-glottis pushing in the second stage of labor
c) Skin-to-skin contact after birth for infant bonding
Physiologic preparation for labor would be demonstrated by
a) a decrease in Braxton Hicks contractions felt by mother.
b) weight gain and an increase in appetite by mother.
c) lightening, when the fetus drops into true pelvis.
d) fetal heart rate accelerations and increased movements.
c) lightening, when the fetus drops into true pelvis.
Evidence-based practice applied to the clinical setting improves
a) communication between health care professionals.
b) client care and overall better outcomes.
c) cost-effectiveness of therapeutic treatments.
d) ability to carry out a research study by nurses.
b) client care and overall better outcomes.
How often do you assess the fetal heart rate during latent labor?
During Active Labor?
The general principle being what?
30-60 minutes during latent
15-30 minutes during active
As the frequency/duration of contractions increases, and circulation is reduced during contractions, we need to make sure the fetus is tolerating it well.
How often do you assess the birthing parent’s vitals during labor?
Temperature is every 4 hours during the first stage of labor, every 2 hours after the water breaks
B/P, HR, RR every hour during latent phase, every 30 min during active/transition
How often do you assess contractions during labor?
30-60 during latent, so do it and the FHR together
15-30 during active
15 min during transition
A nurse is explaining the use of effleurage as a pain relief measure during labor. Which
statement would the nurse most likely use when explaining this measure?
A. “This technique focuses on manipulating body tissues.”
B. “The technique requires focusing on a specific stimulus.”
C. “This technique redirects energy fields that lead to pain.”
D. “The technique involves light stroking of the abdomen with breathing.”
Effleurage involves light stroking of the abdomen in rhythm with breathing.
When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The
nurse interprets this finding as indicating which type of contraction?
A. intense
B. strong
C. moderate
D. mild
C. moderate
A client’s membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?
A. Check the fetal heart rate.
B. Perform a vaginal exam.
C. Notify the primary care provider immediately.
D. Change the linen saver pad.
A. Check the fetal heart rate.
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?
A. “I’m feeling contractions mostly in my back.”
B. “My contractions are about 6 minutes apart and regular.”
C. “The contractions slow down when I walk around.”
D. “If I try to talk to my partner during a contraction, I can’t.”
C. “The contractions slow down when I walk around.”
When assessing cervical effacement of a client in labor, the nurse assesses which
characteristic?
A. extent of opening to its widest diameter
B. degree of thinning
C. passage of the mucous plug
D. fetal presenting part
B. degree of thinning
A woman telephones the prenatal clinic and reports that her water just broke. Which
suggestion by the nurse would be most appropriate?
A. “Call us back when you start having contractions.”
B. “Come to the clinic or emergency department for an evaluation.”
C. “Drink 3 to 4 glasses of water and lie down.”
D. “Come in as soon as you feel the urge to push.”
B. “Come to the clinic or emergency department for an evaluation.”
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 event
has most likely occurred?
A. cervical dilation
B. lightening
C. bloody show
D. Braxton Hicks contractions
B. lightening
What is the order of fetal movement in labor?
Descent, engagement, flexion, internal rotation, extension, external rotation, expulsion
A nurse is preparing a presentation for a group of pregnant people 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.
A. presence of a support partner
B. view of birth as a stressor
C. low anxiety level
D. fear of loss of control
E. participation in a pregnancy exercise program
A, C, E
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 during this stage?
A. regular contractions
B. cervical dilation (dilatation)
C. fetal movement through the birth canal
D. placental separation
B. cervical dilation (dilatation)
Which action is a priority when caring for a woman during the fourth stage of labor?
A. assessing the uterine fundus
B. offering fluids as indicated
C. encouraging the woman to void
D. assisting with perineal care
A. assessing the uterine fundus
