Exam 12: Processes of Birth

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?

A client in labor presents with a breech presentation. The nurse understands that a breech presentation is associated with:

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?

Which assessment finding would cause a concern for a client who had delivered vaginally?

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?

Uncontrolled maternal hyperventilation during labor results in:

The nurse is assessing a client in the active phase of labor. What should the nurse expect during this phase?

Match each term with the correct definition. -Fetal lie

The assessment finding which indicates that the client is in the active phase of the first stage of labor is:

To determine if the client is in true labor, the nurse would assess for changes in:

A laboring patient states to the nurse, "I have to push!" What is the next nursing action?

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?

Which event is the best indicator of true labor?

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:

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:

Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

An increase in urinary frequency and leg cramps after the 36th week of pregnancy most likely indicates:

An assessment finding that would indicate to the nurse that cervical dilation and/or effacement has occurred is:

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.)

The primary difference between the labor of a nullipara and that of a multipara is: