Exam (elaborations)
PN 108 PREPU CHAPTER 8 EXAM QUESTIONS AND ANSWERS
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PN 108 PREPU CHAPTER 8 EXAM QUESTIONS AND ANSWERS...
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Braxton Hicks contractions are termed "practice contractions" and occurthroughout pregnancy. When the woman's body is getting ready to go
into labor, it begins to show anticipatory signs of impending labor.
Among these signs are Braxton Hicks contractions that are more
frequent and stronger in intensity. What differentiates Braxton Hicks
contractions from true labor? - ANSWER Braxton Hicks contractions
usually decrease in intensity with walking.
One of the theories about the onset of labor is the prostaglandin theory.
While not being conclusively proven that the action of prostaglandins
initiate labor, it is known that prostaglandins do play a role in labor. What
is an action of prostaglandins? - ANSWER softens cervix
The first stage of labor is often a time of introspection. In light of this,
which information would guide the nurse's planning of nursing care? -
ANSWER A woman may spend time thinking about what is happening
to her.
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 symptom? - ANSWER moderately strong contractions every 4
minutes, lasting about 1 minute
When caring for a client in the third stage of labor, the nurse notices that
the expulsion of the placenta has not occurred within 5 minutes after
birth of the infant. What should the nurse do? - ANSWER Nothing.
Normal time for stage three is 5 to 30 minutes.
A woman in her 40th week of pregnancy calls the nurse at the clinic and
says she is 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? - ANSWER "The contractions slow down
when I walk around."
Assessment reveals that the fetus of a client in labor is in the vertex
presentation. The nurse determines that which part is presenting? -
ANSWER occiput
When teaching a group of nursing students about the stages of labor,
the nurse explains that softening, thinning, and shortening of the cervical
canal occur during the first stage of labor. Which term is the nurse
referring to in the explanation? - ANSWER effacement
A nurse is coaching a woman during the second stage of labor. Which
action should the nurse encourage the client to do at this time? -
ANSWER Push with contractions and rest between them.
Which assessment finding in a client reporting uterine contractions
would be most consistent as an indicator of approaching labor? -
ANSWER rupture of amniotic membranes
There are four essential components of labor. The first is the
passageway. It is composed of the bony pelvis and soft tissues. What is
one component of the passageway? - ANSWER cervix
A nurse is providing care to a pregnant client in labor. Assessment of a
fetus identifies the buttocks as the presenting part, with the legs
extended upward. The nurse identifies this as which type of breech
presentation? - ANSWER frank
Which feature would alert the nurse that the client is in the transition
phase of labor? - ANSWER beginning urge to bear down
After teaching a pregnant client who is in her last weeks of pregnancy
about the signs and symptoms of approaching labor, which signs or
symptoms if identified by the client would indicate effective teaching?
Select all that apply. - ANSWER lightening
bloody show
backache
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