Podcast
Questions and Answers
Which statement indicates the client is experiencing true labor contractions?
Which statement indicates the client is experiencing true labor contractions?
- She is unable to talk during contractions
- The contractions are mostly felt in the back
- The contractions slow down when walking around
- The contractions are regular and about 6 minutes apart (correct)
What does the term 'cervical effacement' refer to during labor?
What does the term 'cervical effacement' refer to during labor?
- The degree of thinning of the cervix (correct)
- The degree of cervical dilation
- The passage of the fetal head through the cervix
- The extent of mucous plug expulsion
Which finding indicates that the placenta is separating during the third stage of labor?
Which finding indicates that the placenta is separating during the third stage of labor?
- The umbilical cord shortens noticeably
- The mucous plug is expelled
- The uterus becomes firm and globular in shape (correct)
- The fetal head is visible at the vaginal opening
During a cervical exam, what is the nurse assessing when evaluating cervical dilation?
During a cervical exam, what is the nurse assessing when evaluating cervical dilation?
What is a common premonitory sign that labor may be starting?
What is a common premonitory sign that labor may be starting?
During the third stage of labor, which event occurs after the placenta separates?
During the third stage of labor, which event occurs after the placenta separates?
Which stage of labor starts after the newborn is born and ends with the separation and birth of the placenta?
Which stage of labor starts after the newborn is born and ends with the separation and birth of the placenta?
If the fetus of a nulliparous woman is in a shoulder presentation, the nurse should prepare the client for which type of birth?
If the fetus of a nulliparous woman is in a shoulder presentation, the nurse should prepare the client for which type of birth?
Which of the following assessment findings indicates the client is in the latent phase of the first stage of labor?
Which of the following assessment findings indicates the client is in the latent phase of the first stage of labor?
Which pelvic shape is the most favorable for a vaginal birth?
Which pelvic shape is the most favorable for a vaginal birth?
What is the most appropriate suggestion by the nurse when a woman reports her water just broke?
What is the most appropriate suggestion by the nurse when a woman reports her water just broke?
Which of the following is the most likely recommendation for a woman with a $5(7 + 3)$ cm cervical dilation, 50% effacement, and contractions every 4 minutes lasting 50 seconds?
Which of the following is the most likely recommendation for a woman with a $5(7 + 3)$ cm cervical dilation, 50% effacement, and contractions every 4 minutes lasting 50 seconds?
A woman reports that she is experiencing a sudden urge to push. Which stage of labor is she most likely in?
A woman reports that she is experiencing a sudden urge to push. Which stage of labor is she most likely in?
Which of the following is the most common cause of a shoulder dystocia?
Which of the following is the most common cause of a shoulder dystocia?
A nulliparous woman is in active labor with a cervical dilation of 6 cm and 70% effacement. Which of the following is the most appropriate nursing intervention?
A nulliparous woman is in active labor with a cervical dilation of 6 cm and 70% effacement. Which of the following is the most appropriate nursing intervention?
A woman in labor reports feeling a sudden, intense pain in her lower abdomen. Which of the following is the most likely cause?
A woman in labor reports feeling a sudden, intense pain in her lower abdomen. Which of the following is the most likely cause?
Which component is considered part of the true pelvis?
Which component is considered part of the true pelvis?
What term would the nurse use to describe the relationship of the long axis (spine) of the fetus to the long axis (spine) of the mother?
What term would the nurse use to describe the relationship of the long axis (spine) of the fetus to the long axis (spine) of the mother?
If the fetal position is documented as LSA, what part is the presenting part?
If the fetal position is documented as LSA, what part is the presenting part?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
The nurse is monitoring a woman in labor and notes the time from the onset of a contraction to its highest intensity. What phase is the nurse interpreting?
The nurse is monitoring a woman in labor and notes the time from the onset of a contraction to its highest intensity. What phase is the nurse interpreting?
Which of the following is considered part of the true pelvis?
Which of the following is considered part of the true pelvis?
What term would the nurse use to describe the relationship between the long axis of the fetus and the long axis of the mother?
What term would the nurse use to describe the relationship between the long axis of the fetus and the long axis of the mother?
If the fetal position is documented as LOA, what part is the presenting part?
If the fetal position is documented as LOA, what part is the presenting part?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
The nurse is monitoring a woman in labor and notes the time from the onset of a contraction to its highest intensity. What phase is the nurse interpreting?
The nurse is monitoring a woman in labor and notes the time from the onset of a contraction to its highest intensity. What phase is the nurse interpreting?
Which phase of a uterine contraction involves the relaxation of the uterine muscle fibers?
Which phase of a uterine contraction involves the relaxation of the uterine muscle fibers?
Which finding would indicate a cause for concern during a contraction in a woman in labor?
Which finding would indicate a cause for concern during a contraction in a woman in labor?
Which of the following describes a woman in the latent phase of labor?
Which of the following describes a woman in the latent phase of labor?
Which response by the nurse would be most appropriate when a pregnant woman asks, "How long do you think I will be in labor?"
Which response by the nurse would be most appropriate when a pregnant woman asks, "How long do you think I will be in labor?"
Which of the following is a common physiologic response during labor?
Which of the following is a common physiologic response during labor?
What is the primary function of the decrement phase of a uterine contraction?
What is the primary function of the decrement phase of a uterine contraction?
Which of the following would be considered a cause for concern during a contraction in a woman in labor?
Which of the following would be considered a cause for concern during a contraction in a woman in labor?
Which of the following is a characteristic of the latent phase of labor?
Which of the following is a characteristic of the latent phase of labor?
Which of the following factors can promote coping and a positive labor experience?
Which of the following factors can promote coping and a positive labor experience?
What is the primary role of the bony pelvis during labor?
What is the primary role of the bony pelvis during labor?
Which part of the maternal pelvis is the true pelvis associated with?
Which part of the maternal pelvis is the true pelvis associated with?
In a frank breech presentation, what is the position of the fetal legs?
In a frank breech presentation, what is the position of the fetal legs?
What is the most likely event that has occurred when a pregnant woman reports easier breathing but increased pelvic pressure and back pain?
What is the most likely event that has occurred when a pregnant woman reports easier breathing but increased pelvic pressure and back pain?
Which of the following statements about the maternal pelvis is true?
Which of the following statements about the maternal pelvis is true?
In a full or complete breech presentation, what is the position of the fetal legs?
In a full or complete breech presentation, what is the position of the fetal legs?
What is the term used to describe the passage of the mucous plug that fills the cervical canal during pregnancy?
What is the term used to describe the passage of the mucous plug that fills the cervical canal during pregnancy?
What is the primary function of Braxton Hicks contractions during pregnancy?
What is the primary function of Braxton Hicks contractions during pregnancy?
Which part of the maternal pelvis lies above the linea terminalis?
Which part of the maternal pelvis lies above the linea terminalis?
In a footling breech presentation, what is the position of the fetal legs?
In a footling breech presentation, what is the position of the fetal legs?
What does effacement refer to?
What does effacement refer to?
What is the fetal presenting part determined by?
What is the fetal presenting part determined by?
What symptom would indicate that a woman is likely in active labor?
What symptom would indicate that a woman is likely in active labor?
Which position is recommended to facilitate the progress of labor?
Which position is recommended to facilitate the progress of labor?
What is a characteristic sign of the late active phase of the first stage of labor?
What is a characteristic sign of the late active phase of the first stage of labor?
What is indicated by a cervical dilation of 8 cm and 90% effacement?
What is indicated by a cervical dilation of 8 cm and 90% effacement?
What is the significance of bloody show during labor?
What is the significance of bloody show during labor?
What is a characteristic of the latent phase of the first stage of labor?
What is a characteristic of the latent phase of the first stage of labor?
What is the perineal phase of the second stage of labor characterized by?
What is the perineal phase of the second stage of labor characterized by?
What is the significance of the upright position during labor?
What is the significance of the upright position during labor?
Which phase of labor is characterized by progressive cervical dilation?
Which phase of labor is characterized by progressive cervical dilation?
What is the primary change during the second stage of labor?
What is the primary change during the second stage of labor?
In the active phase of labor, how often do contractions typically occur?
In the active phase of labor, how often do contractions typically occur?
What percentage of cervical effacement suggests the latent phase of labor?
What percentage of cervical effacement suggests the latent phase of labor?
Which of the following is a common sign that labor may be approaching?
Which of the following is a common sign that labor may be approaching?
What hormone is thought to be responsible for the burst of energy before labor?
What hormone is thought to be responsible for the burst of energy before labor?
What is a common activity women engage in before labor known as nesting?
What is a common activity women engage in before labor known as nesting?
What may increased energy levels before labor be attributed to?
What may increased energy levels before labor be attributed to?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
Which fetal skull feature is most important for allowing the head to move through the birth canal?
Which fetal skull feature is most important for allowing the head to move through the birth canal?
If the fetal presenting part is at the level of the maternal ischial spines, what station is documented?
If the fetal presenting part is at the level of the maternal ischial spines, what station is documented?
During the first stage of labor, what is the major change the nurse should describe to the patient?
During the first stage of labor, what is the major change the nurse should describe to the patient?
What is the most important role of the uterine contractions during labor?
What is the most important role of the uterine contractions during labor?
What cranial bone overlaps the smallest at the posterior fontanelle?
What cranial bone overlaps the smallest at the posterior fontanelle?
Which stage of labor involves the birth of the placenta?
Which stage of labor involves the birth of the placenta?
At what cervical dilation is a woman considered to be in the second stage of labor?
At what cervical dilation is a woman considered to be in the second stage of labor?
What is the maximum duration typically allowed for the second stage in a nulliparous woman?
What is the maximum duration typically allowed for the second stage in a nulliparous woman?
Which factor has the greatest influence on the duration of labor?
Which factor has the greatest influence on the duration of labor?
Which stage of labor starts after the newborn is born and ends with the separation and birth of the placenta?
Which stage of labor starts after the newborn is born and ends with the separation and birth of the placenta?
If a client's pelvic shape is identified as the most favorable one for a vaginal birth, which type of pelvic shape would the nurse have noted?
If a client's pelvic shape is identified as the most favorable one for a vaginal birth, which type of pelvic shape would the nurse have noted?
If a woman's water just broke, which suggestion by the nurse would be most appropriate?
If a woman's water just broke, which suggestion by the nurse would be most appropriate?
A client is admitted to the labor and birthing suite in early labor. If the nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth, which pelvic shape would the nurse have noted?
A client is admitted to the labor and birthing suite in early labor. If the nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth, which pelvic shape would the nurse have noted?
A woman in labor is assessed to have a cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in which stage of labor?
A woman in labor is assessed to have a cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in which stage of labor?
A fetus of a nulliparous woman is in a shoulder presentation. The nurse would prepare the client for which type of birth?
A fetus of a nulliparous woman is in a shoulder presentation. The nurse would prepare the client for which type of birth?
A client is admitted to the labor and birthing suite in early labor. The nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
A client is admitted to the labor and birthing suite in early labor. The nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
A woman reports that her water just broke. Which suggestion by the nurse would be most appropriate?
A woman reports that her water just broke. Which suggestion by the nurse would be most appropriate?
A woman is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
A woman is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
A client's water just broke. Which suggestion by the nurse would be most appropriate?
A client's water just broke. Which suggestion by the nurse would be most appropriate?
Which statement by the client would most likely indicate that she is experiencing true labor contractions?
Which statement by the client would most likely indicate that she is experiencing true labor contractions?
During a cervical exam, what is the nurse assessing when evaluating cervical effacement?
During a cervical exam, what is the nurse assessing when evaluating cervical effacement?
When assessing for signs that the placenta is separating during the third stage of labor, which finding would be most indicative?
When assessing for signs that the placenta is separating during the third stage of labor, which finding would be most indicative?
Which of the following statements regarding the maternal pelvis is true?
Which of the following statements regarding the maternal pelvis is true?
Which of the following fetal movements would the nurse expect to observe as the fetus descends through the birth canal?
Which of the following fetal movements would the nurse expect to observe as the fetus descends through the birth canal?
A nulliparous woman in active labor reports a sudden, intense urge to bear down and push. Which stage of labor is she most likely experiencing?
A nulliparous woman in active labor reports a sudden, intense urge to bear down and push. Which stage of labor is she most likely experiencing?
Which of the following is a sign that the client is in the late active phase of the first stage of labor?
Which of the following is a sign that the client is in the late active phase of the first stage of labor?
What is the primary role of the bony pelvis during labor?
What is the primary role of the bony pelvis during labor?
A woman in labor reports a sudden urge to push. Which stage of labor is she most likely in?
A woman in labor reports a sudden urge to push. Which stage of labor is she most likely in?
Which of the following is the most likely recommendation for a woman with a $5(7 + 3)$ cm cervical dilation, 50% effacement, and contractions every 4 minutes lasting 50 seconds?
Which of the following is the most likely recommendation for a woman with a $5(7 + 3)$ cm cervical dilation, 50% effacement, and contractions every 4 minutes lasting 50 seconds?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
Which of the following is the most common cause of a shoulder dystocia?
Which of the following is the most common cause of a shoulder dystocia?
What is the primary function of Braxton Hicks contractions during pregnancy?
What is the primary function of Braxton Hicks contractions during pregnancy?
Which pelvic shape is the most favorable for a vaginal birth?
Which pelvic shape is the most favorable for a vaginal birth?
What is the significance of bloody show during labor?
What is the significance of bloody show during labor?
What is the maximum duration typically allowed for the second stage in a nulliparous woman?
What is the maximum duration typically allowed for the second stage in a nulliparous woman?
Which factor is considered the most important in allowing the fetal head to move through the birth canal?
Which factor is considered the most important in allowing the fetal head to move through the birth canal?
When the presenting part of the fetus is at the level of the maternal ischial spines, what is the documented station?
When the presenting part of the fetus is at the level of the maternal ischial spines, what is the documented station?
Which of the following is the major change that occurs during the first stage of labor?
Which of the following is the major change that occurs during the first stage of labor?
During the third stage of labor, which event occurs after the placenta separates?
During the third stage of labor, which event occurs after the placenta separates?
Which pelvic shape is considered the most favorable for a vaginal birth?
Which pelvic shape is considered the most favorable for a vaginal birth?
What is the maximum duration typically allowed for the second stage of labor in a nulliparous woman?
What is the maximum duration typically allowed for the second stage of labor in a nulliparous woman?
Which of the following is a characteristic of the latent phase of labor?
Which of the following is a characteristic of the latent phase of labor?
Which of the following is the most common cause of a shoulder dystocia?
Which of the following is the most common cause of a shoulder dystocia?
What is the significance of bloody show during labor?
What is the significance of bloody show during labor?
Which of the following is a common physiologic response during labor?
Which of the following is a common physiologic response during labor?
In a complete or full breech presentation, how are the fetal legs positioned?
In a complete or full breech presentation, how are the fetal legs positioned?
Which of the following statements accurately describes the relationship between the maternal bony pelvis and the birth process?
Which of the following statements accurately describes the relationship between the maternal bony pelvis and the birth process?
A woman in her third trimester reports increased pelvic pressure, cramping, and lower back pain, along with easier breathing. Which event is most likely occurring?
A woman in her third trimester reports increased pelvic pressure, cramping, and lower back pain, along with easier breathing. Which event is most likely occurring?
In a frank breech presentation, what is the position of the fetal legs?
In a frank breech presentation, what is the position of the fetal legs?
Which part of the maternal pelvis lies above the imaginary linea terminalis?
Which part of the maternal pelvis lies above the imaginary linea terminalis?
If a fetus is documented as having a LOA (Left Occipito-Anterior) position, what part is the presenting part?
If a fetus is documented as having a LOA (Left Occipito-Anterior) position, what part is the presenting part?
During the second stage of labor, what is the primary change occurring?
During the second stage of labor, what is the primary change occurring?
What is the term used to describe the passage of the mucous plug that fills the cervical canal during pregnancy?
What is the term used to describe the passage of the mucous plug that fills the cervical canal during pregnancy?
During the first stage of labor, what is the major change the nurse should describe to the patient?
During the first stage of labor, what is the major change the nurse should describe to the patient?
What is the term used to describe the relationship between the long axis (spine) of the fetus and the long axis (spine) of the mother?
What is the term used to describe the relationship between the long axis (spine) of the fetus and the long axis (spine) of the mother?
Which fetal skull diameter is considered the most important in affecting the birth process?
Which fetal skull diameter is considered the most important in affecting the birth process?
A nurse is providing care to a woman in the active phase of labor. Which of the following would be the MOST concerning finding during a contraction?
A nurse is providing care to a woman in the active phase of labor. Which of the following would be the MOST concerning finding during a contraction?
A woman reports a sudden increase in energy and a strong urge to clean and organize her home prior to the onset of labor. What is the MOST likely explanation for this behavior?
A woman reports a sudden increase in energy and a strong urge to clean and organize her home prior to the onset of labor. What is the MOST likely explanation for this behavior?
A nurse is caring for a woman in the first stage of labor. Which of the following findings would MOST likely indicate the active phase of labor?
A nurse is caring for a woman in the first stage of labor. Which of the following findings would MOST likely indicate the active phase of labor?
A nulliparous woman is in active labor with a cervical dilation of 6 cm and 70% effacement. Which of the following is the MOST appropriate nursing intervention?
A nulliparous woman is in active labor with a cervical dilation of 6 cm and 70% effacement. Which of the following is the MOST appropriate nursing intervention?
A nurse is caring for a woman in the second stage of labor. Which of the following is the PRIMARY change that occurs during this stage?
A nurse is caring for a woman in the second stage of labor. Which of the following is the PRIMARY change that occurs during this stage?
A nurse is caring for a woman in labor and notes that the time from the onset of a contraction to its highest intensity is 45-60 seconds. What phase of labor is the nurse interpreting?
A nurse is caring for a woman in labor and notes that the time from the onset of a contraction to its highest intensity is 45-60 seconds. What phase of labor is the nurse interpreting?
A nulliparous woman is in labor with a fetal presentation of shoulder dystocia. What is the MOST appropriate nursing intervention?
A nulliparous woman is in labor with a fetal presentation of shoulder dystocia. What is the MOST appropriate nursing intervention?
A woman in labor reports a sudden urge to push. Which stage of labor is she MOST likely in?
A woman in labor reports a sudden urge to push. Which stage of labor is she MOST likely in?
What is the significance of the acronym 'LSA' when documenting fetal position?
What is the significance of the acronym 'LSA' when documenting fetal position?
During the true labor process, which of the following is NOT one of the cardinal movements the fetus undergoes as it passes through the birth canal?
During the true labor process, which of the following is NOT one of the cardinal movements the fetus undergoes as it passes through the birth canal?
When assessing uterine contractions during labor, which phase does the time from onset to peak intensity represent?
When assessing uterine contractions during labor, which phase does the time from onset to peak intensity represent?
What is the definition of 'fetal lie' in relation to the birthing process?
What is the definition of 'fetal lie' in relation to the birthing process?
Which part of the maternal pelvis provides the most obstruction and resistance during labor?
Which part of the maternal pelvis provides the most obstruction and resistance during labor?
At what cervical dilation is a nulliparous woman typically considered to have entered the active phase of the first stage of labor?
At what cervical dilation is a nulliparous woman typically considered to have entered the active phase of the first stage of labor?
Which of the following is the most accurate interpretation of $80%$ cervical effacement?
Which of the following is the most accurate interpretation of $80%$ cervical effacement?
Which of the following fetal skull features is most advantageous for allowing molding and passage through the birth canal?
Which of the following fetal skull features is most advantageous for allowing molding and passage through the birth canal?
A woman in active labor is contracting every 2-3 minutes. What is the most appropriate initial nursing intervention?
A woman in active labor is contracting every 2-3 minutes. What is the most appropriate initial nursing intervention?
Which of the following pelvis types is considered most favorable for vaginal birth?
Which of the following pelvis types is considered most favorable for vaginal birth?
During the decrement phase of a uterine contraction, what occurs?
During the decrement phase of a uterine contraction, what occurs?
Which factor is least likely to promote coping and a positive labor experience?
Which factor is least likely to promote coping and a positive labor experience?
In the active phase of labor, how frequently do contractions typically occur?
In the active phase of labor, how frequently do contractions typically occur?
What is the significance of bloody show during labor?
What is the significance of bloody show during labor?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
Which of the following movements would the nurse include when describing the typical movements of the fetus as it travels through the passageway?
What is the primary function of Braxton Hicks contractions during pregnancy?
What is the primary function of Braxton Hicks contractions during pregnancy?
Which of the following is a characteristic of the latent phase of the first stage of labor?
Which of the following is a characteristic of the latent phase of the first stage of labor?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
What is the most appropriate way for a nurse to estimate the length of a woman's first labor?
Which of the following is considered part of the true pelvis?
Which of the following is considered part of the true pelvis?
What is the most likely event that has occurred when a pregnant woman reports easier breathing but increased pelvic pressure and back pain?
What is the most likely event that has occurred when a pregnant woman reports easier breathing but increased pelvic pressure and back pain?
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