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 primiparous patient at 39 weeks' gestation states to the nurse, "I can breathe easier now." What is the nurse's most appropriate response?

Which assessment finding indicates that cervical dilation and/or effacement has occurred?

A patient just delivered her baby via the vaginal route. The patient asks the nurse why the baby's head is not round, but oval. Which explanation should the nurse provide the patient?

An increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of

Which maternal factor may inhibit fetal descent during labor?

The laboring patient asks the nurse how the labor contractions cause the cervix to dilate. The nurse responds that labor contractions facilitate cervical dilation by

The clinical nurse educator is providing instruction to a group of new nurses during labor orientation. Which information regarding the factors that have a role in the initiation of labor should the educator include in this teaching session? (Select all that apply.)

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

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

Uncontrolled maternal hyperventilation during labor results in

A laboring patient 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?

If a notation on the patient's health record states that the fetal position is LSP, this indicates that the

Which physiologic event is the key indicator of the commencement of true labor?