Exam 12: Processes of Birth

A patient asks the nurse how she can tell if labor is real. Which information should the nurse provide to this patient? (Select all that apply.)

The nurse is explaining the physiology of uterine contractions to a group of nursing students. Which statement best explains the maternal-fetal exchange of oxygen and waste products during a contraction?

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 clinical finding 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.)

A 28-year-old gravida 1, para 0 patient 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; however, it is not bloody in nature. She relates a contraction pattern that is irregular, ranging from 5 to 7 minutes and lasting 30 seconds. Which questions should the nurse pose to the patient during this telephone triage? (Select all that apply.)

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

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 is planning care for a patient during the fourth stage of labor. Which interventions should the nurse plan to implement? (Select all that apply.)

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

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

The nurse is assessing the duration of a patient's labor contractions. Which method does the nurse implement to assess the duration of labor contractions?

After birth of the placenta the patient states, "All of a sudden I feel very cold." What is the most appropriate nursing action at this time?

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

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

The nurse assesses a laboring patient's contraction pattern and notes the frequency at every 3 to 4 minutes, duration 50 to 60 seconds, and the intensity is moderate by palpation. What is the most accurate documentation for this contraction pattern?

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?

Pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiologic adaptation to pregnancy?

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

The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions rather than at another interval?

A patient whose cervix is dilated to 6 cm is considered to be in which phase of labor?