Processes and Stages of Labor: Psychosocial Considerations

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How does the laboring woman's respiratory system respond to the increased demands of labor?

The respiratory rate increases, causing respiratory acidosis

The respiratory rate decreases, causing respiratory alkalosis

The respiratory rate remains stable, with no significant changes

The respiratory rate increases, causing respiratory alkalosis (correct)

What is the effect of strong uterine contractions on the cardiovascular system of the laboring woman?

The pulse and blood pressure surge, causing an increase in cardiac output of more than 30% (correct)

The pulse and blood pressure decrease, causing a decrease in cardiac output of more than 30%

The pulse and blood pressure remain stable, with no significant effect on cardiac output

The pulse and blood pressure surge, causing a decrease in cardiac output of more than 30%

Which of the following is the most appropriate nursing action to address fluid and electrolyte imbalances during labor?

Avoid administering fluids and maintain a strict fluid restriction

Encourage the laboring woman to consume solid foods and fatty foods

Administer IV fluids at a maintenance rate, without any additional electrolyte supplementation

Monitor for polyuria and hematuria, and ensure the bladder remains empty (correct)

How does the laboring woman's gastrointestinal system typically respond during labor?

The absorption of solid foods is reduced, and clear liquids are recommended Signup and view all the answers

Which of the following is a sign of impending labor?

Irregular, intermittent contractions (Braxton Hicks contractions) Signup and view all the answers

Which of the following is a sign of true labor, as opposed to false labor?

Contractions that are regular, increasing in intensity, duration, and frequency, and are accompanied by discomfort radiating to the back Signup and view all the answers

What is the expected position of the uterine fundus at 40 weeks of gestation?

At the xiphoid process Signup and view all the answers

Which of the following findings would be considered abnormal during the intrapartum nursing assessment?

A blood pressure rise of 30/15 over the early pregnancy baseline Signup and view all the answers

What is the purpose of performing Leopold's maneuvers during the intrapartum assessment?

To determine the fetal position and presentation Signup and view all the answers

Which of the following is a sign of placental separation during the third stage of labor?

All of the above Signup and view all the answers

Which of the following is a potential complication of preeclampsia during labor and delivery?

Increased risk of placental abruption Signup and view all the answers

Which of the following statements regarding fetal heart rate (FHR) monitoring during labor is correct?

Variable decelerations may indicate umbilical cord compression Signup and view all the answers

Which of the following interventions is recommended for a laboring patient with a nonreassuring fetal heart rate pattern?

Administer oxygen at 10 L/minute via face mask Signup and view all the answers

Which of the following is a potential complication associated with preterm premature rupture of membranes (PPROM)?

Chorioamnionitis (infection of the membranes) Signup and view all the answers

Which of the following is a recommended intervention for a laboring patient with preterm labor?

Limit analgesia to the smallest possible dose Signup and view all the answers

Which of the following statements about epidural anesthesia during labor is correct?

Preloading with intravenous fluids can help prevent hypotension Signup and view all the answers

Which of the following is a potential complication of multiple gestation (e.g., twins, triplets)?

Increased risk of premature rupture of membranes (PROM) Signup and view all the answers

Which of the following statements regarding cervical insufficiency is correct?

It can lead to preterm birth or pregnancy loss due to cervical incompetence Signup and view all the answers

Which of the following is a recommended intervention for a laboring patient with diabetes mellitus?

Preload with intravenous fluids and tilt to the left to improve placental perfusion Signup and view all the answers

Which of the following statements regarding nitrous oxide as a labor analgesia is correct?

It is contraindicated in patients with vitamin B12 deficiency Signup and view all the answers

What is the MOST likely cause of tachysystole during labor?

Oxytocin administration, cocaine use, or uterine rupture Signup and view all the answers

A laboring patient presents with a face presentation. Which of the following is the MOST likely outcome?

Vaginal delivery is possible but a cesarean section is often preferred Signup and view all the answers

What is the MOST likely intervention for a patient with hypotonic labor?

Perform an amniotomy and initiate an oxytocin protocol to augment labor Signup and view all the answers

A patient presents with a complete breech presentation. What is the MOST appropriate intervention?

Immediately perform a cesarean section to avoid the risks of a breech delivery Signup and view all the answers

A patient with a history of diabetes mellitus and obesity delivers a macrosomic infant. What is the MOST likely complication the infant may experience?

Brachial plexus injury Signup and view all the answers

A patient presents with a non-reassuring fetal heart rate pattern during labor. What is the MOST appropriate initial intervention?

Provide maternal hydration and correct any maternal hypotension Signup and view all the answers

A patient with a complete breech presentation is attempting a vaginal delivery. What is the MOST significant risk the fetus may face?

Head entrapment during the second stage of labor Signup and view all the answers

A patient with a history of previous placental abruption presents with a central placental abruption. What is the MOST likely outcome?

Severe, life-threatening maternal hemorrhage Signup and view all the answers

A patient with a history of post-term pregnancy presents at 43 weeks' gestation. What is the MOST appropriate intervention?

Perform a nonstress test and biophysical profile Signup and view all the answers

A patient with a placenta previa presents with painless, bright red vaginal bleeding. What is the MOST likely cause of the bleeding?

Cervical dilation leading to the placenta covering the cervical opening Signup and view all the answers