Week 4 BSN 346 Nursing Care of the Family During Labor
and Birth Questions With Complete Solutions
Female Reproductive System:
Question 1 of 9
Which statement describes how the endometrium responds to
the female reproductive cycle?
The myometrium causes blood loss during menarche.
The functional layer of the endometrium releases estrogen and
progesterone.
The functional layer of the endometrium is shed during the
menstrual period.
The basal layer of the endometrium regenerates the myometrium
each month. Correct Answer The functional layer of the
endometrium is shed during the menstrual period.
The functional layer of the endometrium is shed during each
menstrual period and is responsible for blood loss during
menarche.
First Stage of Labor:
Question 1 of 3
What approach would a nurse take to best assess the progress of
a woman in labor?
Observe for classic signs of labor progress while keeping in
mind that labor is variable from birth to birth.
Check for cervical dilation, effacement, and fetal station.
Recognize that active labor is always fast and indicates that birth
is imminent.
Use electronic fetal monitoring to monitor fetal heart tones and
contraction pattern. Correct Answer Observe for classic signs
,of labor progress while keeping in mind that labor is variable
from birth to birth.
It is appropriate to monitor for classic signs while recognizing
that not every labor demonstrates these signs
Menstruation and Menopause:
Question 1 of 3
Which statements are true about the hormones involved in the
hypothalamic-pituitary cycle?
Select all that apply.
Follicle-stimulating hormone (FSH) is secreted by the anterior
pituitary gland.
Gonadotropin-releasing hormone (GnRH) is secreted by the
hypothalamus.
Luteinizing hormone (LH) is secreted by the corpus luteum.
Ovarian graafian follicles produce estrogen.
A decrease in estrogen and progesterone stimulates the
hypothalamus to secrete GnRH. Correct Answer Follicle-
stimulating hormone (FSH) is secreted by the anterior pituitary
gland.
GnRH stimulates the anterior pituitary gland to secrete FSH.
Gonadotropin-releasing hormone (GnRH) is secreted by the
hypothalamus.
The hypothalamus is stimulated to secrete GnRH.
Ovarian graafian follicles produce estrogen.
FSH stimulates development of ovarian graafian follicles and
their production of estrogen.
A decrease in estrogen and progesterone stimulates the
hypothalamus to secrete GnRH.
,Levels of progesterone and estrogen decline, menstruation
occurs, and the hypothalamus is once again stimulated to secrete
GnRH.
Nursing Care of the Family During Labor and Birth:
Question 1 of 3
Which actions are additional responsibilities of the nurse in the
second stage of labor?
Select all that apply.
Prepare a sterile environment.
Prepare for perineal cleansing.
Educate the parents on how to hold the child.
Educate the mother on latching technique.
Prepare for initial assessment of the newborn. Correct Answer
Prepare a sterile environment.
The nurse would ensure that the birthing area is sterile,
including gowns, gloves, and drapes.
Prepare for perineal cleansing.
The nurse would prepare for perineal cleansing during the birth.
Prepare for initial assessment of the newborn.
The nurse would prepare for the initial assessment of newborn
during the birth.
Physiologic Changes and Assessment During the Postpartum
Period:
Question 1 of 3
Which findings are consistent with subinvolution for a woman
24 hours postpartum?
Select all that apply.
Excessive blood loss
Foul odor from lochia
, A fundus 2U above the umbilicus
Decreased milk production
Lacerations of the birth canal
Increased contraction of the uterus Correct Answer Excessive
blood loss
Excessive blood loss is associated with decreased uterine
contraction and subinvolution after birth.
Foul odor from lochia
Endometrial infection is associated with decreased uterine
involution, as well as fever, pain, and malodorous lochia.
A fundus 2U above the umbilicus
A fundus 2 cm above the umbilicus 24 hours after birth is
indicative of subinvolution.
Preventative Screenings:
Question 1 of 3
Which screening procedure should be performed for a woman
whose parents both have diabetes mellitus?
Lipid profile
Bone density scan
Fasting glucose test
Thyroid-stimulating hormone (TSH) level test Correct Answer
Fasting glucose test
A fasting glucose test is an appropriate preventive screening
procedure for a woman with a family history of diabetes
mellitus. Early detection and treatment of diabetes mellitus can
prevent serious complications that may develop if the disease
goes undetected for a long period of time.
Question 1 of 3
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