Exam 2: Intrapartum Quiz Questions With Complete Solutions
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Course
INTRAPARTEM
Institution
INTRAPARTEM
The nurse is caring for a Hispanic patient who has given birth to a baby. When does the nurse expect the patient to start breastfeeding?
1. First hour after birth
2. When the milk comes
3. When the infant cries
4. After the patient has rested - ANS 2. When the milk comes
Some patie...
Exam 2: Intrapartum Quiz Questions
With Complete Solutions
The nurse is caring for a Hispanic patient who has given birth to a baby. When does the nurse
expect the patient to start breastfeeding?
1. First hour after birth
2. When the milk comes
3. When the infant cries
4. After the patient has rested - ANS 2. When the milk comes
Some patients often wish to breastfeed after the ejection of the milk. The patient cannot be
given instruction to breastfeed 1 hour after birth. The patient may require rest, but breastfeeding
should be encouraged only after the milk ejection. Some patients prefer to breastfeed during the
infant's reactive state, but patients of a Hispanic background may not choose to do this, as it
may not fall within their cultural belief system. The nurse should always respect the cultural
beliefs of the patient.
When managing the care of a patient in the second stage of labor, the nurse uses various
measures to enhance the progress of fetal descent. What do these measures include?
1. Encouraging the woman to try various upright positions, including squatting and standing
2. Telling the woman to start pushing as soon as her cervix is fully dilated
3. Continuing an epidural anesthetic so that pain is reduced and the woman can relax
4. Coaching the woman to use sustained, 10- to 15-second, closed-glottis bearing-down efforts
with each contraction - ANS 1. Encouraging the woman to try various upright positions,
including squatting and standing
Upright positions and squatting may enhance the progress of fetal descent. Many factors dictate
when a woman will begin pushing. Complete cervical dilation is necessary, but it is only one
factor. If the fetal head is still in a higher pelvic station, the physician or midwife may allow the
woman to "labor down" (allowing more time for fetal descent, thereby reducing the amount of
pushing needed) if she is able. The epidural may mask the sensations and muscle control
needed for the woman to push effectively. Closed-glottic breathing may trigger the Valsalva
maneuver, which increases intrathoracic and cardiovascular pressure, reducing cardiac output
and inhibiting perfusion of the uterus and placenta. In addition, holding the breath for longer
than 5 to 7 seconds diminishes the perfusion of oxygen across the placenta, resulting in fetal
hypoxia.
, The nurse is caring for a newly admitted nulliparous patient in the ninth month of pregnancy.
What should the nurse do to provide effective care?
1. Ask to photograph the memories of childbirth.
2. Restrict the mobility of the patient in the room.
3. Explain the various labor stages to the patient.
4. Avoid intervening with the patient's psychological issues. - ANS 3. Explain the various
labor stages to the patient.
The nurse's primary responsibility is to explain the various stages of labor to the patient in the
third trimester. This ensures that the patient is less anxious about the labor and responds well to
the instructions. Photographing the patient's memories of childbirth may be done only after
obtaining prior permission of the patient and the family. Psychological issues, such as mood
swings and depression of the patient, should not be ignored because they play a major role in
the birthing process. The patient may be instructed to participate in diversional activities, such
as walking and watching television, to reduce the fear and anxiety about labor.
The nurse is assessing a pregnant patient in the last week of gestation. The nurse observes that
the patient has flushed cheeks, uterine contractions (UCs) of 65 seconds with a frequency of 4
minutes, and pink to bloody mucus. What stage of labor should the nurse infer that the patient is
in based on these observations?
1. Latent phase
2. Active phase
3. Transition phase
4. Active pushing phase - ANS 2. Active phase
The patient has flushed cheeks, UCs of 65 seconds with a frequency of 4 minutes, and pink to
bloody mucus. These symptoms are observed during the active phase of labor. The symptoms
of the patient do not correlate with the latent, transition, or active pushing phases (second
stage) of labor. In the latent phase of labor, the UCs are 30 to 45 seconds with a frequency of 5
to 30 minutes, and the mucus is pale pink. In the transition phase, the UCs are 45 to 90
seconds with a frequency of 2 to 3 minutes, and the mucus appears bloody. In the active
pushing phase of the second stage of labor, the UCs are 90 seconds with a frequency of 2 to
2.5 minutes.
What is the most significant finding in a urinalysis for a patient with preeclampsia?
1. Protein
2. Ketones
3.Glucose
4. Leukocytes - ANS 1. Protein
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