Childbearing: Labor and nursing interventions (W9)

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Questions and Answers

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?

<p>Over 40 years old (C)</p> Signup and view all the answers

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

<p>Progressive effacement and dilation (D)</p> Signup and view all the answers

Which maternal neuro assessment is crucial during pregnancy?

<p>Visual disturbances (C)</p> Signup and view all the answers

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

<p>Hepatitis B surface antigen (HBsAG) screening (D)</p> Signup and view all the answers

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

<p>Position in the uterus before labor (B)</p> Signup and view all the answers

What defines Retained Placenta during childbirth?

<p>Delivery of the placenta after 20 minutes (B)</p> Signup and view all the answers

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

<p>Decreased blood pressure and increased pulse rate (A)</p> Signup and view all the answers

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

<p>Anterior shoulder, then body, then posterior shoulder (D)</p> Signup and view all the answers

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

<p>100-110 bpm (D)</p> Signup and view all the answers

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

<p>Apply fundal massage (B)</p> Signup and view all the answers

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

<p><strong>Episiotomy</strong> (D)</p> Signup and view all the answers

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

<p>Thiopental, nitrous oxide, and succinylcholine (B)</p> Signup and view all the answers

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

<p>Stage 2 (D)</p> Signup and view all the answers

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

<p>&quot;The baby's coming&quot;, grunting sounds, bearing down (A)</p> Signup and view all the answers

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

<p>Wiping secretions from mouth and nose before suctioning (B)</p> Signup and view all the answers

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

<p>30 minutes - 3 hours (A)</p> Signup and view all the answers

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

<p>Suctioning mouth and nose secretions from the newborn (D)</p> Signup and view all the answers

When is light general anesthesia used during Cesarean birth?

<p>When regional anesthesia is not possible (D)</p> Signup and view all the answers

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

<p>Preparation of the sterile table (B)</p> Signup and view all the answers

What is the major drawback of epidural anesthesia?

<p>Can slow down labor if given too soon (A)</p> Signup and view all the answers

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

<p>Local anesthesia (D)</p> Signup and view all the answers

What is the purpose of sedation in labor?

<p>To help reduce the pain of labor without eliminating it entirely (B)</p> Signup and view all the answers

When is a pudendal block typically used?

<p>For relieving 2nd stage perineal pain and perineal repair (D)</p> Signup and view all the answers

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

<p>Epidural anesthesia (D)</p> Signup and view all the answers

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

<p>Risk of excessive bleeding (A)</p> Signup and view all the answers

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

<p><strong>Morphine Sulfate</strong> (D)</p> Signup and view all the answers

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

<p>Fetal weight (D)</p> 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?

<p>Leopold's maneuvers (A)</p> Signup and view all the answers

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

<p>Placenta (C)</p> 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?

<p>Occiput Anterior (OA) (C)</p> Signup and view all the answers

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

<p>Perform an episiotomy (D)</p> Signup and view all the answers

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

<p>To detect the presence of amniotic fluid (A)</p> Signup and view all the answers

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

<p>The gradual decrease in intensity after the peak (B)</p> 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?

<p>Psyche (A)</p> Signup and view all the answers

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