Exam 12: Processes of Birth

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?

The 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?

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?

Which clinical findings would be considered to be normal for a preterm fetus during the labor period?

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?

A client whose cervix is dilated to 5 cm is considered to be in which phase of labor?

Match each term with the correct definition. -Position

Pregnant clients can usually tolerate the normal blood loss associated with childbirth because they have:

Match each term with the correct definition. -Presentation

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.)

Which maternal factor may inhibit fetal descent?

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.)

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?

If a notation on the client's health record states that the fetal position is LSP, this means that the:

A 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.)

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.)

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?

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?

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.)

Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?