Term
| A nurse explains the purpose of effleurage to a client in early labor. The nurse tells the client that effleurage is: |
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Definition
| Light stroking of the abdomen to facilitate relaxation during labor and provide tactile stimulation; relaxation; displaces pain |
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Term
| With regard to the position of the laboring woman, maternity nurses should be able to tell the woman that: |
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Definition
| Frequent changes in position will help reliever her fatigue and increase her comfort; improve circulation |
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Term
| A nurse is performing as assessment of a client who is scheduled for a cesarean delivery. Which assessment finding would indicate a need to contact the physician? |
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Definition
| FHR of 180 (normal is 120-160) |
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Term
| A woman in labor has just received an epidural block. The most important nursing intervention is to: |
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Definition
| Monitor for hypotension because it is an adverse effect |
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Term
| With regard to systemic analgesics administered during labor, nurses should be aware that: |
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Definition
| Effects of the fetus and newborn can include reduced alertness and delayed sucking; may result in neonatal CNS depression |
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Term
| When assessing a woman in the first stage of labor, the nurse recognizes that the most conclusive sign that uterine contractions are effective would be: |
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Definition
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Term
| A nurse is caring for a client in labor. The nurse documents that the client is beginning the second stage of labor when which of the following assessments is noted? |
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Definition
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Term
| In the immediate postpartum period, the most serious consequence likely to occur from bladder distention is: |
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Definition
| Uterine bleeding; full bladder will impede uterus ability to contract |
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Term
| A nurse is developing a plan of care for a new mother recovering from a cesarean delivery. To prevent thrombophlebitis, the nurse plans to encourage the woman to: |
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Definition
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Term
| A nurse is assessing a client who is 6 hours postpartum after delivering a full-term health newborn infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate? |
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Definition
| Tell them to get help before getting out of bed; safety precautions |
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Term
| A postpartal client plans to be discharged 12-hours after the vaginal delivery of her first child. Which of the following most warrants concern over an early discharge for this client? |
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Definition
| Temperature - sign of infection |
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Term
| A postpartal client had her third baby two days ago and is preparing to go home. Which of the following lab results would the nurse address before discharge? |
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Definition
Rh
CBC
Hemoglobin/Hematocrit |
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Term
| When assessing the fetus using Leopold maneuvers, the nurse feels a soft, irregular fetal part in the fundal portion of the uterus and a long, smooth surface in the mother’s right side. What is the likely position of the fetus? |
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Definition
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Term
| The nurse has received a report about a woman in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and –2. The nurse’s interpretation of this assessment is that: |
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Definition
3 cm dilated
30% effaced
2 cm above ischial spine |
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Term
| Which of the following descriptions of the four stages of labor is correct for both definition and duration? |
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Definition
1: 1-20 hours; dilating and regular contractions (latent, active, transition)
2: Shorter than first; delivering baby
3: Quick; delivering placenta
4: 1-2 hours post partum; 1:1 with mom |
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Term
| A woman in labor has just received an epidural block. The most important nursing intervention is to: |
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Definition
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Term
| Early decelerations are caused by |
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Definition
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Term
| Accelerations with fetal movement: |
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Definition
| Are a good sign - healthy baby |
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Term
| Amnioinfusion is used to treat: |
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Definition
| Variable decels; problems associated with decreased intra-amniotic volume |
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Term
| Maternal hypotension can result in: |
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Definition
| Abnormal FHR problems and reduced placental perfusion (happens simultaneously) |
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Term
| Which of the following correctly matches the type of deceleration with its likely cause? |
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Definition
-early decels: head compression
-variable decels: cord compression
-late decels: uteral/placental insufficiency
-prolonged decels: abnormal fetal head positioning |
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Term
| When assessing a multiparous woman who has just given birth to an 8-pound baby, the nurse notes that the woman’s fundus is firm and has become globular in shape. A gush of dark red blood comes from her vagina and the umbilical cord lengthens. The nurse concludes that: |
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Definition
| The placenta has separated |
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Term
| The nurse expects to administer an oxytocic (e.g., Pitocin, Methergine) to a woman after expulsion of her placenta to: |
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Definition
| Stimulate uterine contractions (minimizes bleeding) |
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Term
| The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is: |
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Definition
| Uterine atony; lacerations; retained placental fragments; uterine inversion |
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Term
| The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to: |
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Definition
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Term
| Which of the following women might be most likely to experience strong afterpains? |
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Definition
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Term
| In the immediate postpartum period, the most serious consequence likely to occur from bladder distention is: |
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Definition
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Term
| A client in labor is transported to the delivery room and is prepared for a cesarean delivery. The client is transferred to the delivery table, and the nurse places the client in the: |
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Definition
| Supine with a wedge under her right hip |
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Term
| A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client’s abdomen. After attachment of the fetal monitor, the initial nursing assessment is which of the following? |
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Definition
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Term
| A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at minus one station. The nurse determines that the fetal presenting part is: |
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Definition
| 1 cm above the ischial spine; head |
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