Childbearing: Labor and nursing interventions (W9)

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Which assessment is typically part of the prenatal care evaluation?

Monitoring fetal heart rate

Checking the fetal position

Reviewing baseline data (correct)

Assessing maternal vital signs

What distinguishes true labor contractions from false labor contractions?

Not responsive to walking or position change

High, posterior cervix

Irregular or temporary regularity

Regular with increasing intensity and frequency (correct)

Which condition might be indicated by the presence of protein in the urinalysis during pregnancy?

Urinary tract infection

Gestational diabetes

Gestational hypertension

Preeclampsia (correct)

What maternal age factor is essential for assessing pregnancy risk?

Over 40 years old Signup and view all the answers

In assessing the onset of labor, what cervical changes are indicative of true labor?

Progressive effacement and dilation Signup and view all the answers

Which maternal neuro assessment is crucial during pregnancy?

Visual disturbances Signup and view all the answers

What is an essential part of the admission labs for pregnant patients?

Hepatitis B surface antigen (HBsAG) screening Signup and view all the answers

'Engagement variable' in relation to the fetus refers to its:

Position in the uterus before labor Signup and view all the answers

What defines Retained Placenta during childbirth?

Delivery of the placenta after 20 minutes Signup and view all the answers

During Stage 4 of labor, what signs should be checked for indicating post-birth danger?

Decreased blood pressure and increased pulse rate Signup and view all the answers

What is the correct sequence for the delivery of shoulders in childbirth?

Anterior shoulder, then body, then posterior shoulder Signup and view all the answers

During immediate post-birth, what is considered a normal range for maternal pulse rate?

100-110 bpm Signup and view all the answers

What should be done in case of uterine atony during childbirth?

Apply fundal massage Signup and view all the answers

Which degree of perineal interruption involves a straight incision from the vaginal opening towards the anus?

Episiotomy Signup and view all the answers

During Cesarean birth, what combination of drugs is used in light general anesthesia?

Thiopental, nitrous oxide, and succinylcholine Signup and view all the answers

Which phase of labor involves pushing from 10 cm dilation to the delivery of the neonate?

Stage 2 Signup and view all the answers

What are signs of impending birth that a nurse should be alert for?

"The baby's coming", grunting sounds, bearing down Signup and view all the answers

What is done during controlled delivery of the head in the second stage of labor?

Wiping secretions from mouth and nose before suctioning Signup and view all the answers

What is the average duration of descent through the maternal pelvis for nullipara women?

30 minutes - 3 hours Signup and view all the answers

What is the main purpose of a bulb syringe or suction catheter during the delivery process?

Suctioning mouth and nose secretions from the newborn Signup and view all the answers

When is light general anesthesia used during Cesarean birth?

When regional anesthesia is not possible Signup and view all the answers

What is one of the responsibilities of nurses during birth preparation?

Preparation of the sterile table Signup and view all the answers

What is the major drawback of epidural anesthesia?

Can slow down labor if given too soon Signup and view all the answers

Which type of anesthesia is injected into the soft tissues of the perineum for repair?

Local anesthesia Signup and view all the answers

What is the purpose of sedation in labor?

To help reduce the pain of labor without eliminating it entirely Signup and view all the answers

When is a pudendal block typically used?

For relieving 2nd stage perineal pain and perineal repair Signup and view all the answers

Which anesthesia type allows the patient to remain awake, alert, and almost totally pain-free during labor?

Epidural anesthesia Signup and view all the answers

What risk is associated with using epidurals or spinals in patients with bleeding tendencies?

Risk of excessive bleeding Signup and view all the answers

Which medication is typically used for treating moderate to severe recurring pain during labor?

Morphine Sulfate Signup and view all the answers

Which of the following is NOT assessed during the intrapartum nursing assessment?

Fetal weight Signup and view all the answers

Which of the following maneuvers is used to determine the position and number of fetuses, as well as the fetal lie?

Leopold's maneuvers Signup and view all the answers

Which of the following is NOT one of the primary forces of labor?

Placenta Signup and view all the answers

What is the fetal position called when the occiput (back of the fetal head) is directly facing the mother's anterior (front) side?

Occiput Anterior (OA) Signup and view all the answers

Which of the following is NOT a nursing intervention during the intrapartum period?

Perform an episiotomy Signup and view all the answers

What is the purpose of the 'fern test' during the assessment of rupture of membranes?

To detect the presence of amniotic fluid Signup and view all the answers

Which of the following describes the 'decrement' phase of a contraction?

The gradual decrease in intensity after the peak Signup and view all the answers

What is the term used to describe the state of the mother's psyche, which is considered one of the primary forces of labor?

Psyche Signup and view all the answers