OB quiz 1, Chapter 12 and 13 Flashcards

the nurse is explaining the physiology of uterine contractions to a group of nursing students. which statement best explains the maternal-fetal exchange of oxygen and waste products during a contraction?

the nurse is directing an unlicensed assistive personnel to obtain maternal vital signs between contraction. which statement is the appropriate rationale for assessing maternal vital signs between contractions rather than at another interval?

uncontrolled maternal hyperventilation during labor results in?

which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?

the laboring patient asks the nurse how the labor contractions cause the cervix to dilate. the nurse responds that labor contractions facilitate cervical dilation by?

pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiological adaptation to pregnancy?

the nurse is assessing the duration of a patients labor contractions. which method does the nurse implement to assess the duration of labor contractions?

which physiologic event is the key indicator of the commencement of true labor?

which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

an increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of?

a patient just delivered her baby via the vaginal route. the patient asks the nurse why the babys head is not round, but oval. which explanation should the nurse provide the patient?

a patient whose cervix is dilated to 6 cm is considered to be in which phase of labor?

the nurse is assessing a patient in the active phase of labor. what should the nurse expect during this phase?

a laboring patient asks the nurse how she will know that the contraction is at its peak. the nurse explains that the contractions peaks during which stage of measurement?

a patient in labor presents with a breech presentation. the nurse understands that a breech presentation is associated with?

the primary difference between the labor of a nullipara and that of a multipara is?

which maternal factor may inhibit fetal descent during labor?

which assessment finding would cause a concern for a patient who had delivered vaginally?

on admission to the labor and birth unit, a 38 year old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. what is the priority intervention at this time?

which assessment finding indicates that cervical dilation and or effacement has occurred?

if a notation on the patients health record states that the fetal position is LSP, this indicates that?

to determine if the patient is in true labor, the nurse would assess for changes in?

the health care provider for a laboring patient makes the following entry into the patients record. 3/50%/+1. what instruction will the nurse implement with the patient?

the examiner indicates to the labor nurse that the fetus is in the left occiput anterior (LOA) position. to facilitate the labor process, how will the nurse position the laboring patient?

the primiparous patient at 39 weeks gestation states to the nurse, "I can breathe easier now." what is the nurses most appropriate response?

the nurse assesses a laboring patients contraction pattern and notes the frequency at every 3 to 4 minutes, duration 50 to 60 seconds, and the intensity is moderate by palpation. what is the most accurate documentation for this contraction pattern?

a laboring patient states to the nurse, "I have to push!" what is the next nursing action?

after birth of the placenta the patient states, "All of a sudden I feel very cold," what is the most appropriate nursing action at this time?

childbirth preparation can be considered successful if which of the following outcomes is achieved?

a woman with a known heroin habit is admitted in early labor. which drug is contraindicated with opiate-dependent patients?

a patient is admitted to the labor and birth room in active labor, contractions are 4 to 5 minutes apart and last for 30 seconds. the nurse needs to perform a detailed assessment. when is the best time to ask questions or perform procedures?

childbirth pain is different from other types of pain in that it is

excessive anxiety during labor heightens the patients sensitivity to pain by increasing

which fetal position may cause the laboring patient increased back discomfort?

a major advantage of non-pharmacologic pain management is

the best time to teach non-pharmacologic pain management pain control methods to an unprepared laboring patient is during which stage?

the primary side effect of maternal narcotic analgesia in the newborn is

the nerve block used in labor that provides anesthesia to the lower vagina and perineum is referred to as a(n)

the nurse is teaching a childbirth education class. which information regarding excessive pain in labor should the nurse include in the session?

which patient will most likely have increased anxiety and tension during labor?

which method of pain management would be safest for a gravida 3, para 2, admitted at 8cm cervical dilation?

a laboring patient who imagines who body opening to let the baby out is using a mental technique called

when administering a narcotic to a laboring patient, which statement explains why the nurse should inject the medication at the beginning of a contraction?

the method of anesthesia in labor that is considered the safest for the fetus is

to improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should

which physiologic effect may occur in the presence of increased maternal pain perception during labor?

which of the following factors would affect pain perception or tolerance for the laboring patient?

a patient in labor is approaching the transition stage and already has an epidural in place. An additional dose of medication has been prescribed and administered to the patient. which priority intervention should be performed in order to evaluate the clinical response to treatment?

the process of labor places significant metabolic demands on the obstetric patient. which physiologic findings would be expected?

a labor patient, gravida 2, para 1, at term has received meperidine (demerol) for pain control during labor. her most recent dose was 15 minutes ago and birth is now imminent. Maternal vital signs have been stable and the EFM tracing has not shown any baseline changes. which medicaition does the nurse anticipate would be required in the birth room for administration?

which statement is true with regard to the type of pain associated with childbirth experience?

a patient in labor reports a feeling of burning pain during the second stage of labor. this type of pain is associated with

a patient presents to the labor and birth area for emergent birth. vaginal exam reveals that the patient is fully dilated, vertex, +2 station, with ruptured membranes. the patient is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. what is the priority nursing response based on this patient assessment?

a labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. this is an example of

a pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. she now complains of tingling sensation in her fingers. what is the priority nursing intervention at this time?

a laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. the nurse would

to relieve a mild postdural puncture headache, the nurse should encourage the intake of

which patient will be most receptive to teaching about non-pharmacologic pain control methods?

the nurse is providing care to a patient in the active phase of the first stage of labor. the patient is crying out loudly with each contraction. what is the nurses most respectful approach for this patient?

a multiparas labor plan includes the use of jet hydrotherapy during the active phase of labor. what is the priority patient assessment prior to assisting the patient with this request?

a patient in active labor requests an epidural for pain management. what is the nurses most appropriate intervention at this juncture?