Module 16 quiz 4

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is defined as the time between the beginning of one contraction and the beginning of the next contraction?

Frequency of contractions (correct)

Duration of labor

Interval of relaxation

Contraction duration

Which fetal presentation involves the head being the presenting part and fully flexed on the chest?

Vertex presentation (correct)

Shoulder presentation

Transverse presentation

Breech presentation

What indicates that a fetus has passed its first stool before birth?

Pink-tinged amniotic fluid

Meconium-stained amniotic fluid (correct)

Blood-stained amniotic fluid

Clear amniotic fluid

True labor contractions are characterized by which of the following patterns?

Frequent, longer, and more intense Signup and view all the answers

In which stage of labor does the cervix begin to fully dilate?

First stage of labor Signup and view all the answers

What should be done to address variable decelerations in fetal heart rate during labor?

Reposition the woman on her side Signup and view all the answers

What is the primary focus of nursing care for the newborn immediately after birth?

Maintaining thermoregulation Signup and view all the answers

What is a critical risk during the fourth stage of labor?

Hemorrhage Signup and view all the answers

What signifies a need to go to the hospital during labor?

Ruptured membranes Signup and view all the answers

In a frank breech position, how are the fetus’s legs positioned?

Flexed at the hips and extended toward the shoulders Signup and view all the answers

What does a 15-beat increase in fetal heart rate that lasts 15 to 20 seconds indicate?

Well-oxygenated fetus Signup and view all the answers

Which concern is primarily associated with a VBAC pregnancy?

Uterine rupture Signup and view all the answers

What should a nurse prioritize after performing an amniotomy?

Fetal heart rate assessment Signup and view all the answers

What characterizes the transition phase of labor?

Sudden behavioral changes, like irritability. Signup and view all the answers

What does a green-stained amniotic fluid indicate when the infant is in a vertex presentation?

Fetal distress Signup and view all the answers

How is the frequency of contractions measured?

From the beginning of one contraction to the beginning of the next Signup and view all the answers

What is the main concern for a woman undergoing VBAC?

Uterine scar rupture Signup and view all the answers

What is a characteristic of false labor?

Painless tightening of abdominal muscles Signup and view all the answers

Which intervention is important to assess fetal well-being after an amniotomy?

Check fetal heart rate immediately Signup and view all the answers

In the fourth stage of labor, what can a full bladder cause?

Excessive bleeding and uterine hemorrhage Signup and view all the answers

What should be prioritized in newborn care to minimize heat loss?

Implementing skin-to-skin contact and wrapping Signup and view all the answers

How should you intervene for variable decelerations in fetal heart rate?

Reposition the woman on her side Signup and view all the answers

What indicates true labor?

Regular contractions that increase in frequency and intensity Signup and view all the answers

What nursing intervention is appropriate for managing late decelerations?

Providing supplemental oxygen at 10 L/minute Signup and view all the answers

What is indicated by a score of 9 on the Apgar score?

The newborn is stable and needs monitoring Signup and view all the answers

What is a sign of frank breech presentation?

Legs flexed at the hips and extended toward the shoulders Signup and view all the answers

What is a common misconception about false (prodromal) labor?

It involves painful contractions that increase in intensity. Signup and view all the answers

What is a nursing diagnosis for the fourth stage of labor?

Risk for injury related to hemorrhage Signup and view all the answers

How should interventions be structured for late decelerations in fetal heart rate?

Increase maternal oxygen supply Signup and view all the answers

Which aspect is emphasized in Arab culture during labor?

Modesty and respect for cultural beliefs Signup and view all the answers

Study Notes

Contractions and Labor Processes

Frequency of contractions: Measured from the beginning of one contraction to the beginning of the next.
Contraction relaxation: Important for uterine muscle recovery, allowing placental blood flow for fetal oxygenation.
Fetal compromise contraction pattern: Duration longer than 90 seconds or interval shorter than 60 seconds.

Stages of Labor

First stage of labor: Time from onset of labor until full cervical dilation.
Second stage of labor: Time from full cervical dilation to birth of the infant.
Third stage of labor: Time from birth of the infant until placenta expulsion.
Fourth stage of labor: Time from expulsion of the placenta to stabilization of maternal vital signs.

Fetal Presentation and Positions

Vertex presentation: Fetal head is the presenting part, fully flexed on the chest.
Frank breech presentation: Fetus’s hips are flexed, knees extended.

Amniotic Fluid

Meconium-stained amniotic fluid: Suggests fetal distress.

True Labor

True labor is characterized by regular contractions increasing in frequency and intensity.

Pushing Technique

Take a deep breath and push with the second exhalation at the beginning of a contraction.

Nursing Interventions

Assessing for hemorrhage: A priority in the fourth stage of labor.
Variable decelerations: Reposition the woman on her side to improve fetal blood flow.
Newborn hypothermia: Minimize heat loss via skin-to-skin contact and wrapping.

Other Considerations

VBAC (Vaginal Birth After Cesarean Section): Primary concern is uterine scar rupture, potentially causing hemorrhage.
Amniotomy (Artificial Rupture of Membranes): Assess fetal heart rate immediately after the procedure.
Arab Culture in Labor: Emphasize modesty, pain control, and respect for amulets.
Freestanding Birth Center: Offers a homelike setting for low-risk pregnancies with lower costs.
False (Prodromal) Labor: Contractions are painless and do not intensify with ambulation, the cervix is not effaced.
Perineal Care: Apply an ice pack for up to 12 hours to reduce bruising and edema.
Apgar Score: A score of 9 indicates a newborn is in stable condition.
Station: Minus stations indicate the fetal head is above the ischial spines.
Nursing Diagnosis for Fourth Stage of Labor: Risk for injury related to hemorrhage.

Interventions

Stimulating Effacement & Contractions: Ambulation for patients in true labor.
Late Decelerations: Indicate uteroplacental insufficiency and fetal heart compression. Interventions include increasing oxygen.
Nursing diagnosis for a patient uncertain about true labor: Risk for Deficient Knowledge.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers essential aspects of contractions and the stages of labor, including the definition of fetal presentations and the role of amniotic fluid. Test your knowledge on the frequency and relaxation of contractions, as well as the critical stages from labor onset to maternal stabilization. Ideal for nursing or midwifery students.