Exam 26: Labor and Delivery

A mother has entered the second stage of labor. When does the second stage of labor end?

What is the largest diameter of the fetal skull?

The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. What immediate action should the nurse take?

The physician has decided to induce labor with prostaglandin gel and an amniotomy. When should the nurse expect that labor will start?

Which type of monitor will assesses the intensity of contractions?

How do Braxton-Hicks contractions, which may begin in the first trimester and become increasingly stronger during the pregnancy, differ from labor contractions?

A primigravida has a pelvis of the android type, which usually means the delivery will be a _______________.

What area of the uterus provides the force during a contraction?

A mother is in early labor and asks the nurse how long the labor will last. The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when?

For the first hour following delivery, how often should the nurse assess the mother?

During the second stage of labor, how often should the nurse should monitor the fetal heart rate?

A nurse is assessing the printout from the fetal monitor. What is the legal responsibility of the nurse?

An infant presents 5 minutes after delivery with a heart rate of 105, is crying, has some flexion in the arms, sneezes, and has a pink body and blue limbs. What Apgar score should be assigned to this infant?

When trying to differentiate false labor from true labor, the nurse realizes which of the following statements regarding true labor is correct?

The first-time mother has been told by the nurse that the first stage of labor is the longest. What would be an appropriate nursing intervention for comfort during this time?

When observing the fetal heart monitor, the nurse recognizes the fetal heart rate (FHR) decreases to 120 bpm at the beginning of a contraction and returns to a baseline of 155 bpm at the end of the contraction. What should this indicate to the nurse?

A nurse is teaching a group of primigravidas that during delivery, pressure on the fetal skull may produce changes in the shape of the skull. What is the reshaping of the skull called?

During labor, the patient screams at her husband to get out of her sight. What would be the most appropriate action for the nurse?

A woman is admitted in active labor, and the nurse assesses the fetal heart rate (FHR) at 124 bpm. What action should the nurse take based on the assessment?

A primigravida patient is admitted to the labor and delivery unit. During initial assessment, the baby is found to be engaged. Which statement is true?