NR327 Exam 2 Questions #5 Processes of Birth (Chamberlain) complete guide all correct answers

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NR327 Exam 2 Questions #5 Processes of Birth 1. The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that in addition to ... all that he’s doing now, he could tell her when the contractions are: 2. The nurse is explaining to a group of nursing students what occurs during active labor as the uterus contracts. Which statement explains the maternal-fetal exchange of oxygen and waste products during a contraction? 3. The nurse is directing an unlicensed assistive personnel (UAP) to take maternal vital signs between contractions. Which statement is the best rationale for assessing maternal vital signs between contractions? 4. Uncontrolled maternal hyperventilation during labor results in: 5. Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet? 6. The laboring client asks the nurse how the labor contractions work to dilate the cervix. The best response by the nurse is that labor contractions facilitate cervical dilation by: 7. Pregnant clients can usually tolerate the normal blood loss associated with childbirth because they have: 8. The nurse is assessing the duration of a client’s labor contractions. Which action does the nurse implement to assess the duration of labor contractions? 9. Which event is the best indicator of true labor? 10. Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis? 11. An increase in urinary frequency and leg cramps after the 36th week of pregnancy most likely indicates: 12. A nullipara client has progressed to the active phase of labor. The nurse understands that this phase of labor, on the average, for a nullipara will last how long? 13. A client just delivered a baby by the vaginal route. The client asks the nurse why the baby’s head is not round, but oval. Which explanation should the nurse give to the client? 14. A client whose cervix is dilated to 5 cm is considered to be in which phase of labor? 15. e nurse is assessing a client in the active phase of labor. What should the nurse expect during this phase? 16. A laboring client asks the nurse how she will know that the contraction is at its peak. The nurse explains that the contraction peaks during which stage of measurement? 17. A client in labor presents with a breech presentation. The nurse understands that a breech presentation is associated with: 18. The primary difference between the labor of a nullipara and that of a multipara is: 19. Which maternal factor may inhibit fetal descent? 20. Which assessment finding would cause a concern for a client who had delivered vaginally? 21. Which clinical findings would be considered to be normal for a preterm fetus during the labor period? 22. On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. What is the priority intervention at this time? 23. An assessment finding that would indicate to the nurse that cervical dilation and/or effacement has occurred is: 24. If a notation on the client’s health record states that the fetal position is LSP, this means that the: 25. The assessment finding which indicates that the client is in the active phase of the first stage of labor is: 26. To determine if the client is in true labor, the nurse would assess for changes in: 27. he health care provider for a laboring patient makes the following entry into the patient’s record: 3/50%/ 1. What instruction will the nurse implement with the patient? 28. The examiner indicates to the labor nurse that the fetus is in the left occiput anterior (LOA) position. To facilitate the labor process, how will the nurse position the laboring patient? 29. 29. The primipara at 39 weeks’ gestation states to the nurse, “I can breathe easier now.” What is the nurse’s best response? 30. The nurse assess a laboring patient’s contraction pattern and notes the frequency at every 3 to 4 minutes, duration 50 to 60 sections, and the intensity is moderate by palpation. What is the most accurate documentation for this contraction pattern? 31. A laboring patient states to the nurse, “I have to push!” What is the next nursing action? 32. After birth of the placenta the patient states, “All of a sudden I feel very cold.” What is the best nursing action in response to this statement? MULTIPLE RESPONSE 33. 28-year-old gravida 1, para 0 client who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet but it is not bloody in nature. She relates a contraction pattern that is irregular, ranging from 5 to 7 minutes and lasting 30 seconds. What questions would be used during the process of phone triage by the nurse? (Select all that apply.) 34. A client asks the nurse how she can tell if labor is real? What should the nurse give as an explanation? (Select all that apply.) 35. The nurse who elects to practice in the area of obstetrics often hears discussion regarding the four Ps. What are the four Ps that interact during childbirth? (Select all that apply.) 36. The nurse is planning care for a client during the fourth stage of labor. Which interventions should the nurse plan to implement? (Select all that apply.) 37. Which should the nurse expect to assess in the third stage of labor that indicates the placenta has separated from the uterine wall? (Select all that apply.) 38. The nurse is teaching a group of nursing students about factors that have a role in starting labor. Which should the nurse include in the teaching session? (Select all that apply.) [Show More]

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