Exam (elaborations)
Ricci, Kyle & Carmen Chapter 13 - Labor and Birth Process Questions with Correct Answers
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Ricci, Kyle & Carmen Chapter 13 - Labor and Birth Process Questions with Correct Answers
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Ricci, Kyle & Carmen Chapter 13 - Labor and BirthProcess Questions with Correct Answers
1. A woman in her 40th week of pregnancy calls the nurse at the clinic
and says she's not sure whether she is in true or false labor. Which
statement by the client would lead the nurse to suspect that the woman is
experiencing false labor?
A) "I'm feeling contractions mostly in my back."
B) "My contractions are about 6 minutes apart and regular."
C) "The contractions slow down when I walk around."
D) "If I try to talk to my partner during a contraction, I can't." Correct
Answer-Ans: C
Feedback:
False labor is characterized by contractions that are irregular and weak,
often slowing down with walking or a position change. True labor
contractions begin in the back and radiate around toward the front of the
abdomen. They are regular and become stronger over time; the woman
may find it extremely difficult if not impossible to have a conversation
during a contraction.
2. Which of the following would indicate to the nurse that the placenta is
separating?
A) Uterus becomes globular
B) Fetal head is at vaginal opening
C) Umbilical cord shortens
D) Mucous plug is expelled Correct Answer-Ans: A
,Feedback:
Placental separation is indicated by the uterus changing shape to
globular and upward rising of the uterus. Additional signs include a
sudden trickle of blood from the vaginal opening, and lengthening (not
shortening) of the umbilical cord. The fetal head at the vaginal opening
is termed crowning and occurs before birth of the head. Expulsion of the
mucous plug is a premonitory sign of labor.
3. When assessing cervical effacement of a client in labor, the nurse
assesses which of the following characteristics?
A) Extent of opening to its widest diameter
B) Degree of thinning
C) Passage of the mucous plug
D) Fetal presenting part Correct Answer-Ans: B
Feedback:
Effacement refers to the degree of thinning of the cervix. Cervical
dilation refers to the extent of opening at the widest diameter. Passage of
the mucous plug occurs with bloody show is a premonitory sign of labor.
The fetal presenting part is determined by vaginal examination and is
commonly the head (cephalic), pelvis (breech), or shoulder.
4. A woman calls the health care facility stating that she is in labor. The
nurse would urge the client to come to the facility if the client reports
which of the following?
A) Increased energy level with alternating strong and weak contractions
B) Moderately strong contractions every 4 minutes, lasting about 1
minute
, C) Contractions noted in the front of abdomen that stop when she walks
D) Pink-tinged vaginal secretions and irregular contractions lasting
about 30 seconds Correct Answer-Ans: B
Feedback:
Moderately strong regular contractions 60 seconds in duration indicate
that the client is probably in the active phase of the first stage of labor.
Alternating strong and weak contractions, contractions in the front of the
abdomen that change with activity, and pink-tinged secretions with
irregular contractions suggest false labor.
5. A woman is in the first stage of labor. The nurse would encourage her
to assume which position to facilitate the progress of labor?
A) Supine
B) Lithotomy
C) Upright
D) Knee-chest Correct Answer-Ans: C
Feedback:
The use of any upright position helps to reduce the length of labor.
Research validates that nonmoving back-lying positions such as supine
and lithotomy positions during labor are not healthy. The knee-chest
position would assist in rotating the fetus in a posterior position.
11. After teaching a group of students about the maternal bony pelvis,
which statement by the group indicates that the teaching was successful?
A) The bony pelvis plays a lesser role during labor than soft tissue.
B) The pelvic outlet is associated with the true pelvis.
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