Exam 22: Processes and Stages of Labor and Birth

The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which patient?

To identify the duration of a contraction, the nurse would:

A primigravida patient arrives in the labor and delivery unit and describes her contractions as occurring every 10-12 minutes, lasting 30 seconds. She is smiling and very excited about the possibility of being in labor. On exam, her cervix is dilated 2 cm, 100% effaced, and -2 station. What best describes this labor?

A patient is admitted to the labor and delivery unit with contractions that are 2 minutes apart, lasting 60 seconds. She reports that she had bloody show earlier that morning. A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated. The nurse knows that the patient is in which phase of labor?

The primiparous patient at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?

Which patient requires immediate intervention by the labor and delivery nurse?

The primiparous patient in early labor asks the nurse what the contractions are like as labor progresses. The nurse responds, "In normal labor, as the uterine contractions become stronger, they usually also become:

How would the nurse best analyze the results from a patient's sonogram that shows the fetal shoulder as the presenting part?

During the latent phase of labor, when should the nurse assess the fetal heart pattern of a low-risk woman?

The nurse is caring for a patient in labor. Which signs and symptoms would indicate the patient is progressing into the second stage of labor?

A patient who is having false labor most likely would have:

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

A clinic nurse is preparing diagrams of pelvic shapes. Which pelvic shapes are considered least adequate for vaginal childbirth?

The nurse is caring for laboring patients. Which women are experiencing problems related to a critical factor of labor?

The nurse determines that a patient is carrying her fetus in the vertical lie. The nurse's judgment should be questioned if the fetal presenting part is the:

A nurse needs to evaluate the progress of a woman's labor. The nurse obtains the following data: cervical dilatation 6 cm; contractions mild in intensity, occurring every 5 minutes, with a duration of 30-40 seconds. Which clue in this data does not fit the pattern suggested by the rest of the clues?

When comparing the anterior and posterior fontanelles of a newborn, the nurse knows that both:

The charge nurse has received the shift change report. Which patient requires immediate intervention?

The nurse is preparing a patient education handout on the differences between false labor and true labor. What information is most important for the nurse to include?

The labor nurse would not encourage a mother to bear down until the cervix is completely dilated, to prevent: