maternal reviewer postpartum, Lecture notes of Microbiology

reviewer made from postpartum to intrapratum and antepartum

Typology: Lecture notes

2020/2021

Uploaded on 03/07/2022

sandrea-gonzalez
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1.Michella has been experiencing regular, coordinated contractions with cervical
dilatation moving from 4 to 6 cm in the last half-hour, and her membranes are
still intact. Bobby is in which stage of labor?
(1/1 Point)
Second stage of labor
Latent phase of the second stage of labor
Active phase of the first stage of labor
Placental stage or the third stage of labor
2.When planning comfort measures to help the woman in active labor tolerate
her pain, the nurse must consider which of the following?
(1/1 Point)
The active phase of labor can be a time of true discomfort and high anxiety
If properly prepared, women will require no pain medication
Pain medication given during the latent phase of labor is not likely to impair contractions
Early labor contractions are usually regular, coordinated, and very painful
3.When timing the length of contraction, the nurse would do which of the
following?
(0/1 Point)
Ask the woman when the beginning of the contraction is felt, then time the interval from this
point until the woman states the contraction has subsided.
Note the upward slopes of the contraction on the monitor graph and measure from one upward
slope to the next upward slope
Gently palpate the abdomen for the beginning of the tightening of the uterus; time the interval
from this point until the uterine tightening subsides
Lightly touch the abdomen and time the interval from the beginning of the uterine tensing to
the beginning of the next tensing
4.Which assessment findings would lead to the nurse to suspect that a pregnant
woman is in the transition phase of the first stage of labor? Select all that apply.
(3/3 Points)
Contractions occur every 2 minutes
Cervix is dilated 9 cm
Contractions last about 30 seconds
Cervix is dilated 3 cm
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1.Michella has been experiencing regular, coordinated contractions with cervical dilatation moving from 4 to 6 cm in the last half-hour, and her membranes are still intact. Bobby is in which stage of labor? (1/1 Point) Second stage of labor Latent phase of the second stage of labor Active phase of the first stage of labor Placental stage or the third stage of labor 2.When planning comfort measures to help the woman in active labor tolerate her pain, the nurse must consider which of the following? (1/1 Point) The active phase of labor can be a time of true discomfort and high anxiety If properly prepared, women will require no pain medication Pain medication given during the latent phase of labor is not likely to impair contractions Early labor contractions are usually regular, coordinated, and very painful 3.When timing the length of contraction, the nurse would do which of the following? (0/1 Point) Ask the woman when the beginning of the contraction is felt, then time the interval from this point until the woman states the contraction has subsided. Note the upward slopes of the contraction on the monitor graph and measure from one upward slope to the next upward slope Gently palpate the abdomen for the beginning of the tightening of the uterus; time the interval from this point until the uterine tightening subsides Lightly touch the abdomen and time the interval from the beginning of the uterine tensing to the beginning of the next tensing 4.Which assessment findings would lead to the nurse to suspect that a pregnant woman is in the transition phase of the first stage of labor? Select all that apply. (3/3 Points) Contractions occur every 2 minutes Cervix is dilated 9 cm Contractions last about 30 seconds Cervix is dilated 3 cm

Women resists being touched 5.Sheila is in her first stage of labor and the nurse notices a prominent and observable abdominal indentation that she recognizes as a pathologic retraction ring. The nurse should respond to these findings by doing which of the following? (1/1 Point) Instruct Sheila to lie on her right side to prevent pressure on her abdomen Inform Sheila that this indentation is normal, to decrease her anxiety Recognize this an indication that labor is almost complete Report this danger sign to the physician immediately 6.Jasmin is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of her abdomen. The nurse would recognize which of the following? (1/1 Point) This position is referred to as being left anteriopelvic Jasmine will probably deliver very quickly and without problems The fetus is in the most common anterior fetal position This indicates that the fetus is probably in the breech position 7.While interviewing a woman in labor, which information would be least important to obtain? (0/1 Point) The use of drugs or medications during pregnancy Whether the pregnancy was planned If the woman’s mother has come with her. Maternal concerns regarding health 8.Which of the following outcomes would be appropriate for the woman in labor without a support person? The client will (0/1 Point) Indicate that she was comfortable going through labor alone Reunite with her child’s father before labor is complete State the labor process was a smooth, rewarding experience. Verbalize that she felt supported during the labor process

(1/1 Point) The client is in false labor The client is in early labor The client is in active labor The client will go into labor later today 14.Which of the following correctly describes the mechanisms of labor? (1/1 Point) Descent, flexion, internal rotation, extension, restitution, external rotation, expulsion descent, flexion, internal rotation, extension, external rotation, restitution, expulsion Flexion, descent, internal rotation, restitution, extension, external rotation, expulsion descent, internal rotation, restitution, extension, external rotation, expulsion 15.A laboring client is dozing between contractions, irritable with her husband and will not allow the nurse to palpate her contraction. which stage and phase of labor does the nurse interpret this to be? (1/1 Point) first stage, active second stage, pushing First stage, transition third stage, expulsion 16.The nurse performs a vaginal exam because the client stated the need to push. the cervical assessment reveals complete dilation and effacement and +1 station. Which stage of labor occurring? (0/1 Point) first stage third stage fourth stage second stage 17.A client was awakened by contractions every 5 minutes at 5:00. At 7:00, following admission to the following admission to the hospital she was 3 cm. At 9:30 she was completely dilated and gave birth at 10:00. What length of time does the nurse record for the second stage of labor. (1/1 Point) 4.5 hours

3 hours 5 hours unable to determine 18.A client is awakened by contractions every 6 minutes at 4:00. At 8:00, following the admission to the hospital she was 4 cm. At 8:30 she was completely dilated and give birth at 9:00. What length of time does the nurse record for for this second stage (1/1 Point) 5 hours unable to determine 30 minutes 1 hour 19.A laboring client's membranes rupture at 4-5 cm, 80%, 0 station. The client express anxiety because of the Ruptured Of Membrane. Which of the following nursing responses would be appropriate? "ROM: (1/1 Point) usually facilitates the progress of labor." does not affect labor progress." delays tbe progress of labor." does not have a predictable effect on labor." 20.The nurse assess a laboring client's baby to be in LOP (Left Occiput Posterior) What information would the nurse need to know in order to give appropriate nursing care at this time? LOP: (0/1 Point) will shorten the lenghth of labor facilitates pushing has no effect on the lenghth of labor produces back discomfort 21.Labor can lead to emotional distress due to major life changes. (1/1 Point) Partially True False Partially False