PNE 107 (Obstetrics) Nursing Care During Labor and Birth Questions
and Answers Correct Already Graded.
1. As your client pro- Kangaroo care
gresses through the
fourth stage of la-
bor, or recovery, you
make many assess-
ments. One of these
is the assessment
of bonding between
the parents and the
newborn. What is
one nursing inter-
vention that pro-
motes maternal-in-
fant bonding?
2. To assess the the beginning of one contraction to the beginning of
frequency of a the next.
woman's labor con-
tractions, the nurse
would time:
3. As a woman en- Assess fetal heart rate for fetal safety.
ters the second Explanation: Rupture of the membranes may lead to a
stage of labor, her prolapsed cord. Assessment of FHR detects this.
membranes spon-
taneously rupture.
When this occurs,
what would the
nurse do next?
4. A woman is admit- "I want this baby to be a boy."
ted to a labor unit in
active labor. Which
of the following
assessments would
alert you to the pos-
sibility that she may
have difficulty ac-
cepting this child?
, PNE 107 (Obstetrics) Nursing Care During Labor and Birth Questions
and Answers Correct Already Graded.
5. The nurse is re- acme
viewing the uterine
contraction pattern
and identifies the
peak intensity, doc-
umenting this as
which phase of the
contraction?
6. A woman has just encouraging the woman to push when she has a
entered the second strong desire to do so
stage of labor. The
nurse would focus
care on which inter-
vention?
7. A client states, blue.
"I think my water
broke! I felt this
gush of fluid be-
tween my legs." The
nurse tests the flu-
id with a Nitrazine
swab and confirms
membrane rupture
if the swab turns:
8. When applying the between the umbilicus and the symphysis pubis
ultrasound trans-
ducers for contin-
uous external elec-
tronic fetal monitor-
ing, the nurse would
place the transduc-
er to record the FHR
at which location?
9. A labor and de-
livery nurse knows
, that when assess- frequency
ing a woman's con- duration
traction pattern, it is intensity
important to include
which of the follow-
ing? (Select all that
apply.)
10. The labor and de- infection.
livery nurse knows Explanation: Because internal monitoring techniques
that internal moni- are invasive, both the woman and the fetus can be-
toring during labor come ill with infection. Internal methods should be
is an invasive tech- used only when the benefit clearly outweighs the risk.
nique. She correct-
ly identifies an in-
crease in the risk of
which of the follow-
ing for both mother
and fetus if this is
done?
11. A nursing instruc- "Anxiety can speed up the labor process."
tor is teaching stu-
dents about the la-
bor and delivery
process and recog-
nizes a need for fur-
ther teaching when
overhearing a stu-
dent make which of
the following state-
ments?
12. Mrs. Timms is now Does not hyperventilate
in the transition
phase of labor. One
of your concerns is
the possibility of an
ineffective breath-
, ing pattern. If one
of your goals was
for the woman's
breathing pattern to
be effective, what
outcome would you
expect?
13. A client is now in contraction pattern every 15 minutes
the second stage of
labor. While doing
the assessment, the
nurse would gath-
er what data at this
time?
14. A client is ready to heart rate
push. The nurse in-
structs her to push
vigorously by tak-
ing a deep breath
and pushing hard
while counting to
10. The nurse tells
her to do three
of these maneuvers
during the contrac-
tion. What would be
important to mon-
itor on the client
while she is push-
ing vigorously?
15. As the obstetric Chest pain
nurse you are mon-
itoring your client
during the third
stage of labor. You
know that you need
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