Signs of Impending and True Labor Quiz
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Questions and Answers

Which of the following is NOT an impending labor sign or symptom?

  • Braxton Hicks contractions
  • Rupture of membranes
  • Cervical dilation and effacement (correct)
  • Increased vaginal mucus discharge

    • Which of the following is a reassuring fetal heart rate pattern?

  • Sustained tachycardia over 160 bpm
  • Moderate variability with accelerations (correct)
  • Late decelerations
  • Decreased or absent variability

    • What is the recommended nursing intervention for late decelerations in the fetal heart rate pattern?

  • Increase maternal IV fluids to address placental insufficiency
  • Lift the baby's head off the cord, change maternal position, and consider amnioinfusion (correct)
  • Monitor for lack of accelerations, which may indicate head compression
  • Administer tocolytics to reduce uterine contractions

    • Which of the following is a sign to go to the hospital or birth center during impending labor?

    <p>Ruptured membranes</p> Signup and view all the answers

    What is the recommended nursing intervention for variable decelerations in the fetal heart rate pattern?

    <p>Lift the baby's head off the cord and change maternal position</p> Signup and view all the answers

    Which of the following is NOT a method of fetal monitoring?

    <p>Phenaphthazine (nitrazine) test</p> Signup and view all the answers

    What is the recommended nursing intervention for fetal bradycardia (heart rate below 110 bpm)?

    <p>Increase maternal IV fluids to address placental insufficiency</p> Signup and view all the answers

    Which of the following is a sign or symptom of true labor?

    <p>Bloody show</p> Signup and view all the answers

    What is the recommended nursing intervention for early decelerations in the fetal heart rate pattern?

    <p>No specific intervention is required, as early decelerations are generally benign</p> Signup and view all the answers

    Which of the following is a nonreassuring fetal heart rate pattern?

    <p>Sustained bradycardia</p> Signup and view all the answers

    Which of the following is a sign of impending labor associated with vaginal discharge?

    <p>Expulsion of the mucus plug</p> Signup and view all the answers

    What is the significance of weight loss of 1 to 3 pounds as a sign of impending labor?

    <p>Reflects body's preparation for labor</p> Signup and view all the answers

    Which sign is NOT a symptom of impending labor?

    <p>Cervical dilation and effacement</p> Signup and view all the answers

    What should be the cause for concern during impending labor if not related to contractions or membranes?

    <p>Decreased fetal movement</p> Signup and view all the answers

    Which statement accurately describes the fetal heart rate baseline?

    <p>Normal range between 110-160 BPM</p> Signup and view all the answers

    In fetal monitoring, what does the term 'Nadir' refer to?

    <p>Lowest point of fetal heart rate between contractions</p> Signup and view all the answers

    What is the recommended nursing intervention for placental insufficiency due to maternal hypotension?

    <p><em>IV fluids</em> to raise blood pressure</p> Signup and view all the answers

    When assessing the Fetal Heart Rate, what characteristic is associated with nonreassuring patterns?

    <p><em>Tachycardia</em> sustained over 160 BPM</p> Signup and view all the answers

    VEAL CHOP is a mnemonic used for interpreting fetal heart rate patterns. What does 'VEAL' represent in this context?

    <p>'Variable decelerations = Early decelerations'</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal bradycardia and decreased variability are observed?

    <p>Reposition the mother and provide supplemental oxygen</p> Signup and view all the answers

    In the context of fetal monitoring, what does the term 'nadir' refer to?

    <p>The lowest point or depth of a variable deceleration</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when late decelerations are observed in the fetal heart rate pattern?

    <p>Administer intravenous fluids and consider amnioinfusion</p> Signup and view all the answers

    What is the significance of the 'VEAL' component in the 'VEAL CHOP' mnemonic for interpreting fetal heart rate patterns?

    <p>It represents variable decelerations, early decelerations, accelerations, and late decelerations</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when a lack of accelerations is observed in the fetal heart rate pattern?

    <p>Assess for potential placental insufficiency and consider interventions</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal tachycardia (heart rate above 160 bpm) is observed?

    <p>Assess for potential causes and consider interventions</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when a prolonged late deceleration is observed in the fetal heart rate pattern?

    <p>Prepare for an emergency cesarean delivery</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when recurrent variable decelerations are observed in the fetal heart rate pattern?

    <p>Encourage the mother to change positions frequently</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when a sinusoidal fetal heart rate pattern is observed?

    <p>Assess for potential causes and consider interventions</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal heart rate decelerations are observed in conjunction with uterine hyperstimulation (contractions too close together)?

    <p>Administer tocolytics to reduce uterine contractions</p> Signup and view all the answers

    What is the significance of the 'CHOP' component in the 'VEAL CHOP' mnemonic for interpreting fetal heart rate patterns?

    <p>It represents cord compression, which can lead to late decelerations in the fetal heart rate.</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when a sinusoidal fetal heart rate pattern is observed?

    <p>Monitor the fetal heart rate closely and prepare for potential resuscitation measures.</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal tachycardia (heart rate above 160 bpm) is observed?

    <p>Monitor the fetal heart rate closely and prepare for potential resuscitation measures.</p> Signup and view all the answers

    What is the recommended nursing intervention for late decelerations in the fetal heart rate pattern?

    <p>Lift the baby's head off the cord and change the mother's position.</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal bradycardia (heart rate below 110 bpm) and decreased variability are observed?

    <p>Monitor the fetal heart rate closely and prepare for potential resuscitation measures.</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal heart rate decelerations are observed in conjunction with uterine hyperstimulation (contractions too close together)?

    <p>Administer tocolytics to address uterine hyperactivity.</p> Signup and view all the answers

    What is the recommended nursing intervention for placental insufficiency due to maternal hypotension?

    <p>Administer IV fluids to address the maternal hypotension.</p> Signup and view all the answers

    Which of the following is a sign to go to the hospital or birth center during impending labor?

    <p>Decreased fetal movement.</p> Signup and view all the answers

    Which of the following is a reassuring fetal heart rate pattern?

    <p>Stable fetal heart rate with moderate variability.</p> Signup and view all the answers

    What is the significance of weight loss of 1 to 3 pounds as a sign of impending labor?

    <p>It indicates the baby has dropped into the pelvis, a sign of impending labor.</p> Signup and view all the answers

    What is the most likely cause of pulmonary edema and shortness of breath during labor?

    <p>Maternal drug administration</p> Signup and view all the answers

    Which of the following is the most significant risk factor for preterm labor?

    <p>Prior premature birth</p> Signup and view all the answers

    What is the most appropriate nursing intervention for a prolapsed umbilical cord?

    <p>Insert fingers into the vagina to apply pressure on the baby's head to keep it off the cord</p> Signup and view all the answers

    What is the most likely cause of uterine rupture during labor?

    <p>Both a and b</p> Signup and view all the answers

    What is the most common cause of polyhydramnios (excessive amniotic fluid) during pregnancy?

    <p>Gestational diabetes</p> Signup and view all the answers

    What is the most appropriate nursing intervention for fetal tachycardia (heart rate above 160 bpm) during labor?

    <p>Monitor the fetal heart rate closely</p> Signup and view all the answers

    What is the recommended nursing intervention for late decelerations in the fetal heart rate pattern?

    <p>Place the mother on her left side to promote circulation</p> Signup and view all the answers

    What is the most appropriate nursing intervention when fetal heart rate decelerations are observed in conjunction with uterine hyperstimulation (contractions too close together)?

    <p>Reposition the mother to her side to improve uteroplacental perfusion</p> Signup and view all the answers

    What is the recommended nursing intervention for placental insufficiency due to maternal hypotension?

    <p>Administer fluids to increase maternal blood pressure</p> Signup and view all the answers

    What is the significance of the 'CHOP' component in the 'VEAL CHOP' mnemonic for interpreting fetal heart rate patterns?

    <p>Signifies the occurrence of late decelerations</p> Signup and view all the answers

    Which of the following is a sign of impending labor associated with vaginal discharge?

    <p>Increased vaginal discharge with a clear, watery appearance</p> Signup and view all the answers

    What is the recommended nursing intervention for late decelerations in the fetal heart rate pattern?

    <p>Reposition the mother to her side to improve uteroplacental perfusion</p> Signup and view all the answers

    Which of the following is a nonreassuring fetal heart rate pattern?

    <p>Fetal heart rate with a baseline of 140-150 bpm and late decelerations with contractions</p> Signup and view all the answers

    Which of the following is NOT a method of fetal monitoring?

    <p>Magnetic resonance imaging (MRI)</p> Signup and view all the answers

    Which complication during labor is characterized by fetal distress, maternal shock, and necessitates immediate C-section among other treatments?

    <p>Abruptio placentae</p> Signup and view all the answers

    What is the main cause of dystocia during labor related to maternal factors?

    <p>Uterine inertia</p> Signup and view all the answers

    Which condition during labor involves the placenta reaching within 2 to 3 cm of the cervical opening?

    <p>Placenta previa</p> Signup and view all the answers

    What medical intervention is commonly used to induce labor when contractions are weak or labor is not progressing?

    <p>Oxytocin</p> Signup and view all the answers

    In cases of dystocia caused by fetal factors in labor, what condition involves the head being too large for a safe vaginal delivery?

    <p>Cephalopelvic disproportion</p> Signup and view all the answers

    What does oxytocin commonly cause as a side effect during labor induction?

    <p>Congestive heart failure</p> Signup and view all the answers

    Which obstetrical procedure setting allows the woman to undergo labor, delivery, and recovery all in the same room?

    <p>Modern hospital setting</p> Signup and view all the answers

    What nursing intervention is appropriate when a woman undergoes an episiotomy to alleviate pain and swelling?

    <p>Provide ice packs and analgesic sprays</p> Signup and view all the answers

    What is the primary goal of using Oxytocin, Prostaglandin E1 (misoprostol), or E2 (dinoprostol) suppository vaginally for cervical softening?

    <p>To soften the cervix</p> Signup and view all the answers

    What is the purpose of an episiotomy in obstetrical procedures?

    <p>To enlarge the vaginal outlet for delivery</p> Signup and view all the answers

    Which indication may necessitate the use of forceps during labor?

    <p>Maternal fatigue or exhaustion</p> Signup and view all the answers

    In obstetric procedures, what is the purpose of administering warm or cool sitz baths post-episiotomy?

    <p>To alleviate perineal pain and swelling</p> Signup and view all the answers

    What is the role of a double-bladed curved forceps in obstetrics?

    <p>To increase traction during delivery</p> Signup and view all the answers

    In the context of obstetric procedures, what does 'mediolateral' refer to in relation to an episiotomy?

    <p>A specific location for surgical incision</p> Signup and view all the answers

    What is the significance of green-stained amniotic fluid during labor?

    <p>It may lead to fetal compromise.</p> Signup and view all the answers

    During the transition phase of labor, what is the primary role of the healthcare provider?

    <p>Provide firm coaching on breathing and relaxation techniques.</p> Signup and view all the answers

    If a woman in labor is experiencing crowning, what should be the immediate nursing action?

    <p>Report the crowning to the healthcare provider.</p> Signup and view all the answers

    What is the recommended frequency for monitoring contractions and fetal heart rate during the second stage of labor?

    <p>Every 5 minutes</p> Signup and view all the answers

    In case of retained placenta during the third stage of labor, what complication can arise?

    <p>Hemorrhage</p> Signup and view all the answers

    What is the role of performing an Apgar score evaluation immediately after birth?

    <p>To evaluate newborn's respiratory status and overall condition</p> Signup and view all the answers

    Why is it essential to maintain a firm contraction of the uterus in the immediate postpartum period?

    <p>To minimize blood loss and prevent postpartum hemorrhage</p> Signup and view all the answers

    What might indicate chronic fetal hypoxemia due to prolonged maternal hypoxia?

    <p>Oligohydramnios</p> Signup and view all the answers

    What is a complication during labor characterized by fetal distress, maternal shock, and necessitates immediate C-section among other treatments?

    <p>Abruptio placentae</p> Signup and view all the answers

    Which condition during labor involves the placenta reaching within 2 to 3 cm of the cervical opening?

    <p>Marginal placenta previa</p> Signup and view all the answers

    What causes uterine contractions when they are not strong enough or labor is not progressing?

    <p>Oxytocin</p> Signup and view all the answers

    Which type of placenta previa involves the placenta completely covering the cervical opening?

    <p>Total placenta previa</p> Signup and view all the answers

    Which procedure involves starting labor by medical intervention often due to large or post-term baby, diabetes mellitus, or worsening PIH?

    <p>Induction &amp; Augmentation of Labor</p> Signup and view all the answers

    What is a condition caused by an excessively large abdomen, striae gravidarum, and can be the cause of prolapsed cord?

    <p>Dystocia</p> Signup and view all the answers

    What is the purpose of an episiotomy in obstetrical procedures?

    <p>To facilitate delivery by enlarging the vaginal outlet</p> Signup and view all the answers

    Which nursing intervention is appropriate post-episiotomy to alleviate pain and swelling?

    <p>Use ice packs (first 8 hours) and warm or cool sitz baths</p> Signup and view all the answers

    What is the role of forceps in obstetric extractions?

    <p>To facilitate delivery by increasing traction and assisting in rotating the baby's head</p> Signup and view all the answers

    When is amniotomy indicated during labor?

    <p>When there are signs of maternal or fetal distress</p> Signup and view all the answers

    What is the primary goal of using Oxytocin, Prostaglandin E1, or E2 suppository vaginally for cervical softening?

    <p>To soften the cervix and prepare for labor induction</p> Signup and view all the answers

    What is the significance of maternal or fetal distress during amniotomy?

    <p>It requires immediate emergency intervention</p> Signup and view all the answers

    What is the purpose of using warm or cool sitz baths post-episiotomy?

    <p>To reduce pain and swelling in the perineal area</p> Signup and view all the answers

    Why might forceps be used during delivery according to obstetric procedures?

    <p>Due to maternal exhaustion or heart disease</p> Signup and view all the answers

    Which nursing action is appropriate during Amniotomy?

    <p>Monitor BP every 10-15 minutes and after rupture of waters for any sign of maternal or fetal distress.</p> Signup and view all the answers

    Which of the following is a potential cause of polyhydramnios (excessive amniotic fluid) during pregnancy?

    <p>Neural tube defects like spina bifida or anencephaly</p> Signup and view all the answers

    What is the most appropriate nursing intervention when a prolapsed umbilical cord is identified during labor?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential cause of uterine rupture during labor?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is the most appropriate nursing intervention when fetal bradycardia (heart rate below 110 bpm) and decreased variability are observed?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential risk factor for preterm labor?

    <p>All of the above</p> Signup and view all the answers

    What is the most appropriate nursing intervention when a sinusoidal fetal heart rate pattern is observed?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential complication of precipitate labor (very brief labor, less than 3 hours)?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    • Impending labor signs include lightening, increased vaginal mucus discharge, softening of the cervix, Braxton Hicks contractions, burst of energy, weight loss of 1 to 3 pounds, and rupture of membranes.
    • True labor signs consist of cervical dilation and effacement, contractions at regular intervals increasing in duration and intensity, back pain radiating to the abdomen, bloody show, and expulsion of the mucus plug.
    • Reasons to go to the hospital or birth center during impending labor include contractions, ruptured membranes, bleeding other than bloody show, decreased fetal movement, or any other concerns.
    • Fetal monitoring methods include fetoscope, Doppler, external monitoring, and internal monitoring.
    • Fetal heart rate baseline is 110-160 BPM, with variations like bradycardia, decreased variability, accelerations, early decelerations, variable decelerations, and late decelerations.
    • VEAL CHOP is a mnemonic for interpreting fetal heart rate patterns, helping identify causes like cord compression or placental insufficiency.
    • Reassuring fetal heart rate patterns include stable FHR, moderate variability, accelerations, and appropriate uterine contraction frequency; non-reassuring patterns involve tachycardia or bradycardia.
    • Complications during labor can include abruptio placentae, which may be partial or total, with causes like hypertension, cocaine use, poor nutrition, or previous history.
    • Dystocia in labor can be caused by maternal factors like uterine inertia or passageway issues, or fetal factors like cephalopelvic disproportion.
    • Inducing labor can be done using oxytocin or dinoprostone to stimulate contractions or ripen the cervix, with considerations for monitoring fetal distress and potential side effects.

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    Description

    Test your knowledge on the signs and symptoms of impending labor, such as lightening, Braxton Hicks contractions, and weight loss, as well as the signs of true labor, which include cervical dilation, regular contractions, and expulsion of the mucus plug.

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