Exam 26: Labor and Delivery

The pelvis is divided into two parts,the false and true pelvis.The nurse explains that the size of the true pelvis is most important because:

The relationship of fetal body parts to one another during labor is called fetal attitude.The nurse explains that the ideal attitude for the fetal body is:

Using Leopold's maneuvers to assess fetal position,the nurse finds a soft rounded prominence at the level of the fundus,a hard round prominence just above the symphysis pubis,and nodulations on the left side of the uterus.The fetal position is:

The nurse teaches a group of primigravidas that during delivery,pressure on the fetal skull may produce changes in the shape of the skull called:

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

The patient's membranes have just ruptured.The nurse is with her and knows that the first thing that must be done is to:

A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again.The nurse recognizes this as:

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.

During labor,the patient screams at her husband to get out of her sight.The nurse's most appropriate action would be to:

During the second stage of labor,the nurse should monitor the fetal heart rate every:

A mother has entered the second stage of labor.The nurse states that this stage begins with complete dilatation of the cervix and ends:

The nurse clarifies to a primigravida that her pelvis is of the android type,which usually means the delivery will be a _______________.

The nurse points out the largest diameter of the fetal skull is the:

When monitoring the fetal heart rate (FHR),the nurse recognizes indications that the FHR is nonreassuring.This indicates to the nurse that the fetus is experiencing fetal distress most likely related to:

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

When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR)decreases to 120 beats per minute at the beginning of a contraction and returns to a baseline of 155 beats per minute at the end of the contraction.This indicates:

As the second stage of labor begins,the mother has an urge to push.The nurse encourages her to use her abdominal muscles to assist with pushing because:

Braxton-Hicks contractions,which may begin in the first trimester and become increasingly stronger during the pregnancy,differ from labor contractions in that they:

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

The physical condition of the infant is assessed at birth through the use of an Apgar score.If the infant has a heart rate of 105,is crying,has some flexion in the arms,sneezes,and has a pink body and blue limbs 5 minutes after delivery,the baby's Apgar score is: