Exam 17: Processes and Stages of Labor and Birth

A primigravida client arrives in the labor and delivery unit and describes her contractions as occurring every 10-12 minutes,lasting 30 seconds.She is smiling and very excited about the possibility of being in labor.On exam,her cervix is dilated 2 cm,100% effaced,and is a −2 station.What best describes this labor?

A client who is having false labor most likely would have: (Select all that apply. )

The labor nurse would not encourage a mother to bear down until the cervix is completely dilated to prevent: (Select all that apply. )

When comparing the anterior and posterior fontanelles of a newborn,it can be said that both:

While caring for a labor client,you notice during a vaginal exam that the baby's head has rotated internally.What would you expect the next set of cardinal movements for a baby in a vertex presentation to be?

A nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

A primigravida calls Labor and Delivery and tells the nurse that she is 39 weeks pregnant and that over the last 4 or 5 days,she has noticed that although her breathing has become easier,she is having leg cramps,a slight amount of edema in her lower legs,and an increased amount of vaginal secretions.The nurse tells the client that she has experienced what is commonly called:

To identify the duration of a contraction,the nurse would:

A client is admitted to the labor and delivery unit with contractions that are 2 minutes apart,lasting 60 seconds.She reports that she had bloody show earlier that morning.A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated.The nurse knows that the client is in which phase of labor?

How would the nurse best analyze the results from a client's sonogram that show the fetal shoulder as the presenting part?

The midwife performs a vaginal exam and determines that the fetal head is at a −2 station.As the nurse,you know that birth:

A laboring client is beginning to hyperventilate.The nurse recognizes this could result in:

A clinic nurse is preparing diagrams of pelvic shapes.Which pelvic shapes are considered least adequate for childbirth? Select all that apply.

During the fourth stage of labor,your client's assessment includes a BP of 110/60,pulse 90,and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus.You would:

A client is admitted to the labor unit with contractions 1.5-2 minutes apart lasting 60-90 seconds.The client is apprehensive and irritable.This client is most likely in what phase of labor?