1) A client is admitted to a labor and delivery unit with contractions that are 3–
5 minutes apart, lasting 60–70 seconds. She reports that she is leaking fluids. A
vaginal examination reveals that her cervix has been 80 percent erased and is 4
cm dilated and has a -1 station. LPN / LVN knows at what stage and stages of
customer labor?
A) Secret phase, first phase
B) the active phase of the first phase
C) second phase secret phase
D) infection
answer:
B) active phase of first phase second phase = full spread till birth
.
1) Which basic type of pelvis includes the correct description and
percentage of occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped;
75% Ans:
A) Platypelloid: flattened, wide, shallow; 3%
Which condition would be least effective when gravity is desired to aid the
embryo's landing?
A) lithotomy
B) walking
C) kneeling
D) sitting answer:
A) lithotomy
, 3) Factors affecting the process of labor and birth, commonly known as the
five Ps, all include:
A) Route.
B) powers.
C) Traveler.
D) pressure.
D) pressure.
Ans:
:: The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
2) While evaluating an external monitor tracing of a woman in
active labor, the nurse notes that the fetal heart rate (FHR) for five
sequential contractions begins to decelerate late in the contraction,
with the nadir of the decelerations occurring after the peak of the
contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp
electrode. Ans:
C) Change the woman's position
3) During labor a fetus with an average heart rate of 175 beats/min
over a 15-minute period would be considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia
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